This island has tractor pulled ambulances
See Wikipedia Sark - Emergency Services
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What's the advantage of this over vans?
It's the only thing allowed, lol. According to the wiki article OP linked all other motor vehicles (other than tractors) are banned. You would think there would be an exception for emergency services...
I guess it's better than horse-drawn ambulance. Bumpiness is not good for the injured.
You don't have to worry about the alternator going out.