Worldwide Motorcycle Ambulances: (1) Brazil: MOB-100 unit of the São Paulo Fire Department. The department's motorcycles are always deployed in two-man teams (lead vehicle not shown). Since 2000, the São Paulo Fire Department has operated Honda motorcycle ambulances (Portuguese: Motos Operacionais de Bombeiros, known as "MOBs") in a first responder role, to offset the influence of traffic on the response times of traditional ambulances. The motorcycles carry a variety of emergency care equipment (including basic extrication, technical rescue, and firefighting gear) and are always deployed in two-man teams, with the lead vehicle carrying a first aid kit and intravenous fluids and the rear vehicle carrying more advanced equipment, including an automated external defibrillator, suction devices, and emergency delivery kits. Fire departments in other states, such as Minas Gerais, Mato Grosso do Sul and Pernambuco, have also adopted motorcycle ambulances since 2008. In August 2008, SAMU, the federal emergency medical services, purchased 400 motorcycle ambulances to be deployed nationwide between December 2008 and 2009