1. BARIATRIC EVACUATION Emergency Evacuation Seminar
Hosted by TagEvac in association with AVIVA Insurance
BARIATRIC EVACUATION
How to cope with the challenges presented by the moving and safe handling of larger persons.
Presented by:

2. INTRODUCTION STEVE CLARK SALES & MARKETING DIRECTOR
Spectrum Healthcare (UK) Ltd
1, KINGSTHORPE BUSINESS CENTRE
63, STUDLAND ROAD
KINGSTHORPE
NORTHAMPTON
NN2 6NE

3. DEFINITIONS TO CONSIDER AND RELATED CONFUSION!

4. DEFINITION
BARIATRICS IS THE BRANCH OF MEDICINE THAT DEALS WITH THE STUDY AND TREATMENT OF OBESITY

5. DEFINITIONS OF BARIATRIC
PATIENTS WITH A BODY MASS INDEX OVER 40 (PORTSMOUTH)

6. DEFINITIONS OF BARIATRIC
PATIENTS WITH A BODY MASS INDEX OVER 40 (PORTSMOUTH)
A PATIENT WHO WEIGHS OVER 159KG OR HAS A BODY MASS INDEX OVER 30 (NEWCASTLE)

7. DEFINITIONS OF BARIATRIC
PATIENTS WITH A BODY MASS INDEX OVER 40 (PORTSMOUTH)
A PATIENT WHO WEIGHS OVER 159KG OR HAS A BODY MASS INDEX OVER 30 (NEWCASTLE)
BARIATRIC REFERS TO ALL PATIENTS OVER 158KG OR A BODY MASS INDEX OVER 40 (SHETLAND)

11. INITIAL CONCLUSIONS
With the variation in definitions of the term “Bariatric” and the quite obvious variations in size of patients within this broad categorization it is immediately apparent that no single piece of equipment will meet the needs of all patients!

12. CLINICAL CONSIDERATIONS
BREATHING: Patient may have difficulty breathing normally in certain positions.

13. CLINICAL CONSIDERATIONS
BREATHING: Patient may have difficulty breathing normally in certain positions.
PRESSURE ON INTERNAL ORGANS: Undue pressure may be placed on internal organs in certain positions.

14. CLINICAL CONSIDERATIONS
BREATHING: Patient may have difficulty breathing normally in certain positions.
PRESSURE ON INTERNAL ORGANS: Undue pressure may be placed on internal organs in certain positions.
PRESSURE ON ULCERATED AREAS: Depending upon the method of transfer being used extra care is required to avoid damage to ulcers etc.

15. DIGNITY OF TRANSFER
With the likely number of carers required for non motorised movement of patients it is important to consider the personal dignity of each individual patient!

16. INTEGRITY OF PREMISES
Depending upon the size (possibly unknown!) and number of Bariatric Patients there may be a need to reinforce floors and staircases.

17. INTEGRITY OF PREMISES
Depending upon the size (possibly unknown!) and number of Bariatric Patients there may be a need to reinforce floors and staircases.
Thought needs to be given to the most appropriate part of the building to house Bariatric Patients.

18. INTEGRITY OF PREMISES
Depending upon the size (possibly unknown!) and number of Bariatric Patients there may be a need to reinforce floors and staircases.
Thought needs to be given to the most appropriate part of the building to house Bariatric Patients.
Further thought has to be given to gaining access to other parts of the premises such as operating theatres, x-ray clinics etc.

19. NUMBER OF AVAILABLE CARERS
For a number of reasons, including moving & handling, transfer of patients and evacuation in an emergency, the availability of carers to assist such procedures may be of paramount importance.
Detailed planning needs to be undertaken to ensure that all of these situations can be accommodated and conducted safely.

20. TRANSPORT OF BARIATRIC PATIENTS
London: Three bariatric vehicles and stretchers which can take patients up to 70 stone (444.5kg). For emergencies, it uses a third party provider.
East Midlands: 225 bariatric capable vehicles for patients up to 50 stone (317.5kg). Six have hoists and lifts.
East: Eight vehicles, with 16 bariatric stretchers, at a cost of £432,000 over three years.

21. TRANSPORT OF BARIATRIC PATIENTS
South Central: Has 10 bariatric vehicles arriving this year.
South West: All ambulances have bariatric capability, including one 'Megasus trolley' for patients up to 60 stone (381kg).
West Midlands: All 420 A&E ambulances are bariatric capable, but there are eight specialist vehicles and seven on the way, costing £114,000.
Yorkshire: All ambulances are bariatric capable and the service has 109 bariatric stretchers.

22. BARIATRIC VIDEO Time required v standard patient evacuation
LINK TO VIDEO

23. NON CLINICAL ENVIRONMENT
The Regulatory Reform (Fire Safety) Order 2005 Summary: Responsibility to provide the means of safe egress lies with the operator (not necessarily the owner!) of the building. Evacuation Plans should NOT be reliant on the involvement of Fire & Rescue Services to work.

24. NON CLINICAL ENVIRONMENT
Equality Act 2010
Summary: People of ALL mental and physical capabilities are owed the same duty of care when it comes to the evacuation of a building.
It therefore follows that to evacuate a 400Kg person in an emergency is of equal importance to anyone else of a lower weight!

25. BARIATRIC EVACUATION EQUIPMENT

26. BARIATRIC EVACUATION EQUIPMENT
EZ GLIDE POWERTRAXX - Max Load 227kg (35st)
LINK TO VIDEO

27. BARIATRIC EVACUATION EQUIPMENT
BARIATRIC EVACMAT – Max Load 350kg (55st)
LINK TO BARIATRIC EVACMAT VIDEO

28. BARIATRIC EVACUATION EQUIPMENT
MED SLED – Max Load 450kg (70st)

29. BARIATRIC EVACUATION EQUIPMENT
HOVERJACK – Max load 544kg (85st)

30. CONCLUSIONS
There are no exceptions when it comes to making provisions for larger people
Careful planning is required in advance of occupancy of premises
Consideration must be given to ALL areas of premises where larger persons may be present
What do you do if the lift/elevator fails? Back-up plan essential!

31. 1, KINGSTHORPE BUSINESS CENTRE
63 STUDLAND ROAD
KINGSTHORPE
NORTHAMPTON
NN2 6NE
Tel: