Adipositas permaxima in der Notfallrettung

Giesel, M.; Wißuwa, H.; Puchstein, Christoph

doi:10.1007/s10049-008-1141-6

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…Our data show that patients’ body weight leads to a significant increase in paramedics’ workload per kilogram of weight. It has long been known that lifting and transferring obese patients is difficult ergonomically, and a variety of presumably helpful technical devices have been introduced into daily EMS routine to manage the problem [33].…”

Section: Discussionmentioning

confidence: 99%

“…Our data show that patients' body weight leads to a significant increase in paramedics' workload per kilogram of weight. It has long been known that lifting and transferring obese patients is difficult ergonomically, and a variety of presumably helpful technical devices have been introduced into daily EMS routine to manage the problem [33]. It is somewhat discouraging that even in our selected group of non-emergencies, when time should allow for proper preparation of lifting and transfer, the patient's body weight still had such a profound effect on workload despite all aids and preventative measures.…”

Section: Obesity and Workloadmentioning

confidence: 99%

“…Therefore, the development, acquisition, and distribution of helping aids as well as operational procedures for the transfer of obese patients should be reconsidered. For example, a more liberal provision and dispatch of dedicated "heavy lift" ambulances could provide relief to regular ambulance crews and should be investigated for possible benefits on workload [33].…”

Section: Obesity and Workloadmentioning

confidence: 99%

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Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study

Keunecke

Gall

Birkholz

et al. 2019

BMC Health Serv Res

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Background Human workload is a key factor for system performance, but data on emergency medical services (EMS) are scarce. We investigated paramedics’ workload and the influencing factors for non-emergency medical transfers. These missions make up a major part of EMS activities in Germany and are growing steadily in number. Methods Paramedics rated missions retrospectively through an online questionnaire. We used the NASA-Task Load Index (TLX) to quantify workload and asked about a variety of medical and procedural aspects for each mission. Teamwork was assessed by the Weller teamwork measurement tool (TMT). With a multiple linear regression model, we identified a set of factors leading to relevant increases or decreases in workload. Results A total of 194 non-emergency missions were analysed. Global workload was rated low (Mean = 27/100). In summary, 42.8% of missions were rated with a TLX under 20/100. TLX subscales revealed low task demands but a very positive self-perception of performance (Mean = 15/100). Teamwork gained high ratings (Mean TMT = 5.8/7), and good teamwork led to decreases in workload. Aggression events originating from patients and bystanders occurred frequently (n = 25, 12.9%) and increased workload significantly. Other factors affecting workload were the patient’s body weight and the transfer of patients with transmittable pathogens. Conclusion The workload during non-emergency medical transfers was low to very low, but performance perception was very positive, and no indicators of task underload were found. We identified several factors that led to workload increases. Future measures should attempt to better train paramedics for aggression incidents, to explore the usefulness of further technical aids in the transfer of obese patients and to reconsider standard operating procedures for missions with transmittable pathogens.

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Section: Discussionmentioning

confidence: 99%

Section: Obesity and Workloadmentioning

confidence: 99%

Section: Obesity and Workloadmentioning

confidence: 99%

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Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study

Keunecke

Gall

Birkholz

et al. 2019

BMC Health Serv Res

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“…Trotz maximaler Intensivtherapie und erneuter explorativer Laparotomie verstarb der Patient nach am Folgetag an einem Multiorganversagen im Rahmen eines septischen Schockgeschehens. Dieser Einsatz stellt exemplarisch die verschiedenen Problemfelder dar, die bei der Versorgung stark adiöser Patienten für den Rettungsdienst und die versorgenden Kliniken entstehen[2,3,8]. Nach Angaben des Statistischen Bundesamtes leiden derzeit ca.…”

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Eine schwere Aufgabe – adipöse Patienten in der Notfallmedizin

Bartels

Brinkmann

Ziégler

et al. 2011

Notfall Rettungsmed

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Notfallrettung XXL

Wißuwa

Puchstein

2010

Anaesthesist

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Obesity in Germany is becoming more and more prevalent. Significantly overweight patients (>200 kg) pose an increasing and difficult challenge for emergency medical services, emergency doctors and the hospitals responsible for further treatment. The anatomic and physiological characteristics of patients with extreme obesity must be taken into consideration, particularly the airway, breathing, circulation, disability, exposure and environment of the patient. Furthermore special preparations for medical supplies, concepts and strategies for transport and further treatment in hospital are required. Suitable equipment and coordinated processes are essential for both the safety of the persons involved and the patient's dignity. It is, however, a fact that many organizations and hospitals are poorly prepared for this challenge as the complete infrastructure of a hospital has to be adapted. Emergency transport in a bed should be avoided. Neighboring rescue services must be alarmed at an early stage if the commune concerned does not have adequate means of its own. Politics should guarantee cost-covering remuneration for hospitals and rescue services.

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Adipositas permaxima in der Notfallrettung

Cited by 3 publications

References 11 publications

Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study

Workload and influencing factors in non-emergency medical transfers: a multiple linear regression analysis of a cross-sectional questionnaire study

Eine schwere Aufgabe – adipöse Patienten in der Notfallmedizin

Notfallrettung XXL

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