Ma'am, that's a Shovel.
Hand her a shovel
Well, a normal ambulance is usually a van with a stretcher in the back. A skydiving ambulance A bucket and a shovel.
Sagittarius, Capricorn - No ma'am, CANCER !
The teacher was rather bewildered. "Don't you mean Michael " she asked. "No ma'am. I've written the 'M' already."