Delmar EMS responded for a medical emergency that required a medical assist. Truck 74 and Engine 74-1 operated at a medical assist call with a different type of removal. Due to the layout of the building, fire and EMS crews had to remove the patient through a second story window. The patient was safely secured and lowered to the gurney. Units operated for approximately 20 minutes. Paramedic B-74 transported to Peninsula Regional.