Perhaps you’ve noticed when you look at crowd shots at sports events on television, the people in the back often look bigger than the ones in front. It is a common distortion caused by a close-up shot by a very long lens from a distance.
Like depth of field?
This is not actually a pic of a sporting event where this is a significant distance between the foreground and background.
I’m pretty sure there is very little distance between say, his head and his mid-section. Not to mention the EMT who is standing right next to the gurney.