Guide to the emergency management of morbidly obese patients

摘要: The emergency care of morbidly obese acutely ill or injured patients presents special problems both outside and inside the hospital department. Adequate preparation is required in order to provide adequate care. Position patient semi-Fowler's reverse Trendelenburg position at 45o protect airway. Always administer high-flow, high-concentration oxygen all patients, as they are chronically hypoxic. Use 2-person, 4-handed technique during manual bag / valve mask ventilation. adequately sized cuffs when attempting blood pressure measurements. Plan intravenous access carefully use appropriate size needles cannulas ensure success prevent repeated attempts. Radiological surgical specialist advice may be necessary for diagnostic procedures that cannot accommodate owing physical limitations. ideal body weight adjusted measurements calculating most dosages titrate where necessary. Do not afraid ask