An ambulance cot and cot loading and unloading system for an emergency vehicle comprises a cot having a head end, a base for mounting to a deck of an emergency vehicle, a track mounted for linear movement along said base, and an arm mounted for linear movement along said track from a retracted position to an extended position. The arm is and configured to engage the cot, and wherein when the track is extended along the base and the arm is extended along the track the arm is extended from the base in an extended position and is configured for lifting the cot and providing cantilevered support to the cot while in the extended position.