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It charge be a assurance of the times. Added and added blaze departments are implementing bariatric ambulances to lath the ever-increasing cardinal of morbidly adipose patients.

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According to the U.S. Centers for Disease Control and Prevention (CDC), Americans are one inch taller and a abundant 25 pounds added than they were in the 1960s. But alike admitting Americans are taller, that does not annual for all the added weight, aback anatomy accumulation basis (BMI) additionally added over the aforementioned period. Figures from the CDC appearance that 64% of the U.S. developed citizenry is ample and about a 15% is morbidly obese, or almost 100 pounds overweight. But alike admitting Americans counterbalance an boilerplate of 25 pounds added than they did some 40-plus years ago, what we are seeing is added and added Americans who counterbalance in balance of 500, 600, 700 and in some cases 1,000 pounds.

I could address bottomward all the affidavit why Americans are bigger, but that would not change the actuality that firefighters are affected to accord with bariatric patients and charge acknowledge to emergencies involving these patients routinely. In my March 2004 column, “Necessity Is the Mother of Invention,” I abundant how Captain Manny Chavez of the Houston, TX, Blaze Administration invented a alteration accessory for adipose patients alleged the ManSAC. The ManSAC is an egg-shaped carrier that would accompany the accumulation to the centermost while distributing the weight. The aboriginal accessory was ancient with PVC vinyl and seatbelt fiber and there were 10 handles on it so the weight of the actuality could be broadcast to a best of 10 altered people. The accessory was able of accustomed 1,600 pounds. Aback then, added companies accept bogus facsimiles of the ManSAC.

But alike then, bariatric patients had to be transported while lying on the attic of the ambulance in a ManSAC or one of the facsimiles aback they could not fit on stretchers and appropriately could not be loaded into an ambulance while lying on a stretcher. To facilitate alteration these patients to the hospital, it became all-important to abolish the stretcher and abode patients on the attic of the ambulance.

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Since then, blaze departments accept amorphous alleviative and alteration these patients with distinctively congenital bariatric ambulances. Bariatric ambulances about are added big-ticket than accustomed ambulances and are able with specialized accessories so they can accomplish their duties properly. This usually agency they accept hydraulic accommodating lifts or admission ramps, beyond interiors, cot-loading systems and congenital ability aliment and hydraulics or winches.

One blaze administration that afresh started application a bariatric ambulance is the Memphis, TN, Blaze Department, which handles added than 106,500 EMS runs a year and sees about one bariatric accommodating a anniversary (see the accompanying “Memphis Blaze Administration Standard Operating Procedures: Bariatric Unit”).

The new bariatric ambulance in Memphis will acquiesce these patients to be transported with address aback they will not be lying on the attic and hopefully it will save the backs of firefighters who sometimes accept afflicted themselves appropriation acutely adipose patients into the ambulance. Stretchers on bariatric ambulances are added advanced and typically, depending on the brand, can lath patients up to 1,600 pounds.

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Instead of affairs a new ambulance, the Memphis Blaze Administration retrofitted a assets ambulance at the amount of alone about $5,000. This included modifying an absolute stretcher with an extra-wide board, new stretcher wheels, ramps and a winch with a cable for affairs the stretcher into or out of the ambulance.

The Memphis Blaze Administration bariatric ambulance is not staffed and is housed at an agent abode with an agent company. The bariatric ambulance is alone acclimated for abiding patients who counterbalance added than 500 pounds and area carriage is difficult because of their concrete action or the abilities of the patients to move, the capabilities of the accessible cadre or the patients’ admeasurement prevents them from actuality cautiously anchored to a approved stretcher.

Whenever a firefighter/paramedic on addition ambulance calls for a bariatric ambulance application any or all of the belief in the antecedent paragraph, the agent aggregation that is housed with the bariatric ambulance brings it to the arena as a assignment force and assists with the accommodating all the way to commitment at the hospital. Once its duties at the hospital are completed, the assignment force allotment to the base with the aboriginal ambulance crew’s ambulance. Once the aboriginal ambulance aggregation is done with the bariatric assemblage at the hospital, it allotment to the base apartment the bariatric ambulance and swaps aback into its aboriginal ambulance, abrogation the bariatric ambulance at the base area it is commonly housed.

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Even admitting America continues to be bloom acquainted and diet labels beautify our aliment articles with the cardinal of calories and carbohydrates, it is credible that firefighters will abide to administer the affliction of bariatric patients for some time to come. The use of bariatric ambulances and accessories will absolutely accommodate assurance for the firefighter while accouterment address for the patient.

GARY LUDWIG, MS, EMT-P, a Firehouse® accidental editor, is a agent blaze arch with the Memphis, TN, Blaze Department. He is armchair of the EMS Section for the International Association of Blaze Chiefs (IAFC), was appointed to the National EMS Advisory Council by the U.S. Secretary of Transportation and is a affiliate of the International Association of Blaze Fighters (IAFF) EMS Standing Committee. Ludwig has a master’s amount in business and administration and is a accountant paramedic. He can be accomplished at www.garyludwig.com.



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