Any thoughts on the limitations posed by using Ladder apparatus with pre-piped waterways?

This is the second photo I have found on FH.com and I have posted regarding this subject.
I'm not questioning the brothers and their efforts at this fire as I am sure they did the best they could with the appratus given to them.
I just thought this photo offered some opportunity for discussion on real world fireground applications of aerial appratus and how the design affects the operations and safety of members and civilians alike.
Imagine how this operation would have been if those civilians passed out and the brother on the tip had to enter and get these fine citizens on the aerial as shown here? How would that compare to a standard non piped aerial or TL bucket?
How does this design affect VES operations?
FTM-PTB

This is the second photo I have found on FH.com and I have posted regarding this subject.
I'm not questioning the brothers and their efforts at this fire as I am sure they did the best they could with the appratus given to them.
I just thought this photo offered some opportunity for discussion on real world fireground applications of aerial appratus and how the design affects the operations and safety of members and civilians alike.
Imagine how this operation would have been if those civilians passed out and the brother on the tip had to enter and get these fine citizens on the aerial as shown here? How would that compare to a standard non piped aerial or TL bucket?
How does this design affect VES operations?
FTM-PTB
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