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So like most my ecto is not an ambulance, therefore I don't have room in the back for a slide out gurney system to hold my pack.
I'm just wondering what others have used. I thought of maybe using a fridge slide, but they are all so expensive.

They make slide out trunk tray's for equipment in police vehicles but they cost $400+ my last car had one wish I saved it

What about a shelf or small dresser drawer kit from Home Depot? Not sure how long you need it to slide, but HD has various drawer kits.