The Bariatric / Obese Patient
Obesity affects approximately 60 million people in North America with approximately 3 million people falling into the morbidly obese category. Morbid obesity is defined as an excess of body fat, or weight of 100 pounds over ideal body weight.
Accidents happen- even to morbidly obese people, who then become patients in a healthcare facility who may not have the capabilities to effectively treat the bariatric patient.
Transporting the morbidly obese Patient
The bariatric patient needing to be transported by Air Ambulance can present daunting issues for flight and medical crew members unless the team has experience and is well prepared in transporting this type of patient.
Loading patients into the aircraft is one of the most critical moments in safe patient transport. The mere size of transporting a bariatric patient involves understanding the logistics needed to load the patient physically into the aircraft, in order to provide a safe and efficient transport to their destination.
Since narrow executive size doors, found on most aircraft in the air ambulance industry, are not wide enough to accommodate an obese patient over 400 pounds. Cargo doors available on many LearJet 35’s can accommodate the large girth of the patient, which is measured at the largest part of the patient. This girth, along with a true weight will assist the air ambulance provider with the correct dimensions to ensure the patient can indeed fit into the aircraft.
Additionally, when transporting very large patients, it is imperative to use a loading system that includes a loading ramp so as to prevent any tipping, tilting or wobbling of the patient as well as protecting the flight crew members from weight bearing hazards. If there are no contraindicating medical conditions, obese patients are loaded headfirst into the aircraft using additional restraints to secure the patient.
Monitoring equipment attached to the stretcher itself provides a life line to the crew so they may monitor all vital signs during this transition. This same stretcher goes bedside with the patient, further reducing stress on the patient instead of requiring several transfers.
Special Needs of the Bariatric Patient
Bariatric patients may need extra padding during flight to reduce the likelihood of decubitis. Additionally, adipose tissue contains high concentration of nitrogen. With pressure changes, the adipose tissue weaken and release nitrogen in the blood with large concentrations of lipids leading to increase of fat emboli and increased nitrogen content. 100% oxygen should be placed on the patient for 15 min prior to transport to minimize the possibility of a fat emboli during flight. Pain medication or even light sedation may be required to reduce anxiety related to being in closed spaces
AirCARE1 International Specializes in Obese Patient Transports
AirCARE1 International provides air ambulance transportation for bariatric patients. Our wide cargo door and unique loading system provides a safe means of loading very large patients into the aircraft. Each of our Lear 35A’s are equipped with large cargo doors to provide plenty of room during the transfer. Additionally, we have the LifePort patient care system that includes the loading ramp. Our stretcher system and ramp are equipped and rated to carry patients up to 450 lbs. To ensure the patient will fit inside of the aircraft, we ask for the complete girth of the patient around the largest part of their body.
We are experts in transporting bariatric patients in a safe and expedient manner while providing a smooth and stress free flight.
Call our 24/7 communication specialist at 877-760-7760 to hear what we can do for you.