A hybrid between a fire truck (pumper) and an ambulance. The Pumpulance, thought to be cost-saving by combining two pieces of expensive equipment and reducing manpower, is really nothing more than an embarrassment and denial by the fire service that EMS is swiftly taking over.
See also; Ambulumper
Dude! There was a rocking trash can fire around the corner from the fire house. We would have been fighting the beast if we hadn't been taking some shitbum to the hospital in the Pumpulance.