but there is usually more than one way to satisfy a spec
that's called a fudge and is a tactic employed when the actual intent of a spec can't be met - a bit like getting a landrover up the ramp into a Merlin(having to take the windscreen off and deflate the tyres) or getting 6 troops into a Wildcat (using Gurkhas because they are smaller).
We might see the introduction of a smaller stretcher (OK unless you are 6'7"), a diagonal loading plan or all sorts of other fudges - the real fun is going to be with a bariatric patient