I think the paramedic is sizing up the ambulance to see if that's going to fit in there.
This all began when "Betsy," the pre-op omnisexual asked me a question that could only be answered by the OompaLoompas. After they came out and started to sing, the rabbits felt safe, came out, and started mating. This got me a little hot, so I started plunging my baloney into that front bum.
It was all too much for Betsy. You can't see it, but the back of Besty's head exploded from sheer pleasure. Can't blame her really, rabbits, dwarves, AND Dirk. Too much for anyone.