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obese_pt

the obese patient in the ED

introduction

  • the obese patient with a BMI > 30 who presents to ED:
    • is ~15% more likely to have a failed iv cannulation 1)
    • is twice as likely to have an AXR ordered
    • is 30% more likely to have cardiac enzymes ordered
  • bariatric patients pose major problems in the ED
    • iv access and other life saving procedures can be extremely difficult and with greater morbidity/mortality
    • physical clinical signs can be impossible to detect and evaluate leading to delayed diagnosis and misdiagnosis
    • physical transfers are a major issue
    • appropriate beds are required
    • most CT scanners and other radiology equipments have a limit of 150kg or 200kg making diagnostics much harder
1)
Ngui et al. Austin Hospital. EMA 2013 25:227-232
obese_pt.txt · Last modified: 2023/03/22 22:16 by gary1

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