Possibly because the A109 patient is loaded across the cabin rather than lengthways in the MD902 or EC135
I see, but the cross cabin dimensions of the A109 E Power are 1.62 m, as per the AW website, which is fairly limiting unless the majority of the stretcher patients are expected to be pygmies! or does the East Mids aircraft have the bulging doors that give an few extra inches?
Thanks, Victor Papa just read your post, this sounds life a real faff if you're having to alter the internal configuration for taller patients.