The Kootenai County Sheriff’s Office faced a dilemma this week.

After Tyler Rambo was charged with attempted second-degree murder and taken into custody, the sheriff’s office was made responsible for the 18-year-old’s medical treatment, including transporting him to doctor’s appointments in Spokane.

To accommodate Rambo’s needs, the sheriff’s office made arrangements with health care providers, bought a special bed Rambo can use, and considered renting a van that accommodates wheelchairs, Undersheriff Dan Mattos said Tuesday.

The bed costs $600 a month to rent, Mattos said. The other costs have not been finalized.

Rambo was shot 14 times by police in a July 4 incident in Coeur d’Alene City Park. Doctors amputated his legs.

At Rambo’s first appearance, his attorney, Rick Baughman, asked the court for a low bail amount because his client was in a wheelchair and “at this point he’s not going anywhere.”

“He is on eight or nine medications, and he has five or six doctor appointments lined up, including prosthetics, orthopedics and pain management,” Baughman told the court.

A magistrate set a $1 million bail and Rambo has been in jail since last week, awaiting a Sept. 26 hearing.

Jail Lt. Kyle Hutchinson said the medical provider, which contracts with the county, determined that much of Rambo’s care can be provided at the jail.

The appointments Baughman mentioned in court will be handled in-house, Hutchinson said.

“After an in-house appointment today, it was determined that any prearranged medical appointments set prior to Rambo’s arrest could be handled by medical staff at the (jail),” Hutchinson said.

For now, Rambo will not have to be transported to out-of-state medical providers, he said.

“This could and likely will change as time goes on,” he said.

Costs to keep Rambo at the jail have not been pinned down, Mattos said, but “the taxpayer is going to pick up the medical bills. That much we do know.”