1 Lithium Metal batteries required (for lights and siren noise), not included. IV bag has broken at top as shown in 9th picture. Strap on stretcher is broken as shown in last picture, however it still works to hold patient down. Only what is seen in the pictures is included! PLAYMOBIL rescue ambulance: help the medics transport the patient to seek medical help with the rescue ambulance. The rescue ambulance's lights and siren can be activated to signal that a rescue is in progress. Set includes two figures, stretcher, and other accessories. Children can use the rescue ambulance to help transport patients Lights and sirens really work for realistic play experience Figures can bend, sit, stand and turn their heads Encourages children to explore and learn while having fun Includes two figures, stretcher, and other accessories