TNCC Bariatric Patient Questions and Answers with
Complete Solutions
, Bariatric patients are:
A special population deserving of our care and compassion.
"Bariatric" is generally defined as patients weighing in excess of:
300 lbs, and practically defined as any patient who weight exceeds the ability of the
EMS crew to lift and move the patient safely without special precautions.
Patients > 300 lbs should NOT be moved without at least:
4 individuals assisting the lift and for every 50 - 100 additional pounds, add another
crew member to the lift team.
Make sure to consider the weight and the:
Size (girth) of the patient. Even if the patients weight is below the stretcher capacity,
their size may require the use of bariatric equipment.
All requests for non-emergent bariatric transfers should be coordinated through
a:
District Chief. Contact the appropriate District Chief to advise them of the need for
bariatric transport and a special request for transport via a bariatric truck will be made.
All requests for emergent (911) responses and transports will be handled as per:
Combined Communications Center (CCC) policy. The CCC will notify a DC of the
special request.
Make sure to notify the hospital:
Early of the bariatric transport to allow ED staff time for adequate preparation.
How do you calculate BMI?
weight (kg) / height (m^2)
What BMI level indicates obesity? What are the levels of obesity?
Over 30
Class 1 = 30-35
Class 2 = 35-40
Class 3 = over 40
Who could qualify for bariatric surgery?
Class 3 BMI potentially
What is an extreme health risk?
Excess fat per weight
What are common comorbidities associated with obesity?
Sleep apnea
HTN
CV disease
Diabetes
Gall bladder concerns
Depression
Incotinence
Skin breakdown
Chronic venous insufficiency
Increased risk for CA
Modifiable mostly**
What are psychological issues that bariatric people have?
Complete Solutions
, Bariatric patients are:
A special population deserving of our care and compassion.
"Bariatric" is generally defined as patients weighing in excess of:
300 lbs, and practically defined as any patient who weight exceeds the ability of the
EMS crew to lift and move the patient safely without special precautions.
Patients > 300 lbs should NOT be moved without at least:
4 individuals assisting the lift and for every 50 - 100 additional pounds, add another
crew member to the lift team.
Make sure to consider the weight and the:
Size (girth) of the patient. Even if the patients weight is below the stretcher capacity,
their size may require the use of bariatric equipment.
All requests for non-emergent bariatric transfers should be coordinated through
a:
District Chief. Contact the appropriate District Chief to advise them of the need for
bariatric transport and a special request for transport via a bariatric truck will be made.
All requests for emergent (911) responses and transports will be handled as per:
Combined Communications Center (CCC) policy. The CCC will notify a DC of the
special request.
Make sure to notify the hospital:
Early of the bariatric transport to allow ED staff time for adequate preparation.
How do you calculate BMI?
weight (kg) / height (m^2)
What BMI level indicates obesity? What are the levels of obesity?
Over 30
Class 1 = 30-35
Class 2 = 35-40
Class 3 = over 40
Who could qualify for bariatric surgery?
Class 3 BMI potentially
What is an extreme health risk?
Excess fat per weight
What are common comorbidities associated with obesity?
Sleep apnea
HTN
CV disease
Diabetes
Gall bladder concerns
Depression
Incotinence
Skin breakdown
Chronic venous insufficiency
Increased risk for CA
Modifiable mostly**
What are psychological issues that bariatric people have?
