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Topic Title: How is the rising number of obese patients affecting your department?
Topic Summary:
Created On: 5/2/2008 5:05 PM

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 6/30/2008 9:07 AM
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moosecfd368

Posts: 1
Joined: 6/30/2008

My squad recently bought the electric cot...I have mixed feelings on this. They say it makes it easier to lift heavy patients...What about loading into the ambulance? My thoughts are, the cots are heavier than the regular ones, sure they help with the lift from ground position to loading position but after that...?
I work for a private ambulance PT as well, we have a rated 700 pound Ferno stretcher with the expanding side handles, but they gave us a Van Type-II ambulance where the stretcher does not work!! lol I believe in good lifting habits and safe practices with extra lifting assistance from fire departments and police agencies.

A general rule of thumb for EMS Bariatric emergencies...the heavier the patient the higher up they are in the building and the elevators never work. They usually have small spiral staircases!!! LOL
Stay safe and lift with the knees!!

-------------------------
Brian "Moose" Jones
Firefighter II/EMT
Hazardous Materials Technician-Basic
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 7/13/2009 11:40 AM
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lawndartcatcher

Posts: 10
Joined: 6/9/2009

The NuMask looks like a good BLS solution for folks with normal facial anatomy, but what if they don't have teeth or a misshapen jawline? Granted, getting an airway on a morbidly obese patient is sometimes difficult, but it's not the whole picture. Even if we have perfect airway control we need to face the problem of getting them out of the house or the fact that we see them a lot more - remember, morbidly obese folks have a high incidence of co-morbidity problems (heart disease, type II diabetes, etc.) which means that we tend to see them more than their non-obese counterparts.

I agree that we need to figure out why this is happening - is it an educational problem, a psychological problem, a psychical problem, or D) all of the above. We all know it's really tough to eat healthy even if you know what to eat and have the time to prepare it. Do we need healthier choices at restaurants (yes!) or do we need better educated consumers (I don't care if it's a carrot - once you coat it in batter and deep-fry it it's no longer a "healthy snack"). Then again, maybe we also need people who are willing to say "I'm overweight because of the choices I make in life, not because Colonial Sanders put a special chemical in his fried chicken that makes me crave it on a regular basis". (Taco Bell and Baskin-Robbins must use the same chemical...)

Until then we'll just have to pay more for airlines (heavier people = more fuel used), more for health care (even if you don't go to the doctor on a regular basis the insurance companies base their rates on a cross-sampling of the population) and send more people out to safely carry people out to the truck.

Leave the bucket of KFC - the craving is starting to kick in...
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 7/14/2009 1:43 PM
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THAT_medic75

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Joined: 7/10/2009


"The NuMask looks like a good BLS solution for folks with normal facial anatomy, but what if they don't have teeth or a misshapen jawline? Granted, getting an airway on a morbidly obese patient is sometimes difficult, but it's not the whole picture..."
Actually, in people without teeth or really big are the patients this was designed to work better in. Like I said before, this is because the seal is using the lips, not pressing a mask over the mouth/nose. I was just commenting to the ? specifically of a way obese patients affected my department. I wasnt trying to comment on the "whole picture", just point out that this is one basic way I and a lot of departments have changed approaching assisted ventilations, since there are an increasing amount of people it is difficult to use a bvm or CPAP mask with. And, may I remid you, if you don't have an airway, you wont be having to get them out of the house, just trying to point out that I found this device made it easier for me to know I had a seal and delivering breaths with relatively little effort, thereby concentrating on the surronbdings a little more! Yeesh!

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