Calgary Emergency Medical Services Bariatric patient transport, the Calgary EMS solution

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1 Calgary Emergency Medical Services Bariatric patient transport, the Calgary EMS solution Scott Holland EMT-P Superintendent Of Special Operations June 2008 Caring for the Community

2 Bariatric Response mission Our Mission To develop capacity within The City of Calgary EMS and the Calgary Regional EMS Partnership (CREP) to respond to bariatric patient medical emergencies with the proper resources and unique skill set. 3

3 Why a Bariatric Ambulance Sub Title 2005 Calgary EMS 43 Pt/Stretcher incidents 6 Isolet incidents 86 Back Injuries incidents resulting in, 43 lost time occurrences 2843 lost man hours total cost: $256,000 3

4 The Bariatric Ambulance Sub Title Sub Title 2007 Demers MX-170 on a Ford E-450 Chassis With a MAC s Ambulance Lift 3

5 Sub Title Sub Title Guidelines for deployment 1. Utilization is designed for patients that exceed 182 kilograms (400 pounds). 2. The requesting agency maintains responsibility for primary patient care. 3. The requesting agency provides any additional support required. 4. Bariatric patient scenes require a minimum of six personnel. 5. Destination management should be considered to avoid double transportation. 6. Returning crews to their service area is the responsibility of the requesting service. 7. The requesting agency will be invoiced at rates approved by Alberta Health. 8. An information package will be provided on-line or via to all regional staff. 9. Supplemental training will be provided to the Bariatric Response Team. 3

6 Deployment Area Sub Title 3

7 Deployment Population in this area is estimated at: 1,197,725 which makes up 36.6% of the provincial population. (source-alberta Health & Wellness 2006) Our teams response capability is restricted to this CREP area.

8 Regional Partners

9 Deployment Algorithm Bariatric Call >400 lbs PSC Consults Deployment Superintendent NO Orange Alert? YES Deploy Medic 3 When Available Delay Call

10 CHR has a Bariatric stretcher, but not the Mac Lift. The MAC Lift First of it s kind in Canada Other options include winch and cable with bulky ramps. Medic 3 is the only ambulance to have this lift system.

11 The Lift The lifting capacity of the Mac s Ambulance Lift is 454kg (1000 lbs). Additional Bariatric equipment includes: - Striker Bariatric Stretcher (6 inch wider) 800lbs-1600lbs - HoverMatt and Hover Jack (air powered patient transfer aid) unlimited weight - Transfer Tarp (12 handles) 1600lbs

12 Hydraulic Pump & Control Module Right Rear Storage Compartment Pump Cover Hydraulic Control Module

13 Bottom Load position

14 Top load position

15

16

17 Back to Stow Position

18 Bariatric Stretcher Striker Bariatric Stretcher (6 inch wider) 800lbs-1600lbs

19 Side Lift Handles Allows for additional personnel to lift Extend for raising/lowering the Stretcher Extended they protrude 7 in

20 Specifications; Transfer Flat Folded:53 cm X 23 cm (21 X 9 ) Unfolded:274 cm X 152 cm (108 X 60 ) Maximum Weight Capacity: 727 kg (1600 lbs)

21 Transfer Flat Reduces strain on Pt and operators Enables up to 12 persons to help lift Center Pt on the transfer flat Evenly distribute help around perimeter Lift Pt with proper technique Leave under Pt & fold over the Pt

22 Hover Matt and Jack HoverMatt and Hover Jack (air powered patient transfer aid) unlimited weight

23 Statistics The World Health Organization has identified the epidemic of obesity as one of today s most significant world-wide health problems. Obesity in adults now affects three times more people than it did 20 years ago. Based on 2005 data. CHR PTS > 235 kg 6-10 / yr Calgary EMS > 150 kg / yr Region 3 EMS > 150 kg / yr

24 Funding Structure Based on total call volume for the year 2005 CHR PTS > 235 kg 6-10 / yr Calgary EMS > 150 kg / yr Region 3 EMS > 150 kg / yr Calgary EMS and Calgary Health Region 81% Remaining Regional Partners 19%

25 Implementation timeline Event Jan-07 Feb-07 Mar-07 Apr-07 May- 0 7 Jun-07 Jul-07 Macs Lift Installation on Ambulance in Saskatoon (Demers) Bariatric Ambulance in Calgary - New Vehicle Commissioning & Training Module Development Training for Bariatric Response Team On-Line Orientation Training for Regional EMS Bariatric Response Team Operational

26 Cost Equipment Mac Lift $ Bariatric Stretchers (2) $ 11, General Bariatric Equipment $ 6,057.00

27 Total $29,767.00

28 CFCN VIDEO

29 QUESTIONS?

30 THANK YOU Scott Holland Superintendent of Special Operations The City of Calgary EMS Bariatric response

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