1.You are called by the family for an obese patient who underwent adjustable-banded gastroplasty surgery two weeks earlier. On your arrival, you estimate the patient’s weight to be about 210 kg. The patient is complaining of severe nausea with vomiting for the past few days. On closer assessment, the patient presents with a fever, is tachycardic, and says he is very “uncomfortable.” You call for backup to help move the patient, but they are still 20 minutes away from your location.

(a) Discuss what types of problems you may encounter in moving the patient.

(b) What type of preparation, considering both equipment to use and skills to employ, should the AEMT incorporate into the assessment, management, and movement of the patient?

(c) For the circumstances listed below, discuss how the assessment and management of bariatric patient would be dissimilar from those for the nonobese patient.

a. Airway management

b. Provision of PPV

c. Treatment of dyspnea

d. Patient positioning