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by the NFCC

Control measure

Request and deploy bariatric management resources

Control measure knowledge

Bariatric management or lifting equipment may reduce hazards; it is important to know what equipment is available from fire and rescue services and emergency medical services. The availability of some resources may be limited to normal working hours.

For trauma and medical situations, understanding the clinical issues associated with casualties with complex requirements can be helpful. Requesting early deployment of advanced medical support can assist with the increased risk of complications of:

  • Airway management
  • Respiratory or ventilation support
  • Cardiovascular compromise
  • Managing pre-existing medical conditions and comorbidities
  • Managing medical equipment

Consideration should be given to requesting specialist teams and equipment, such as:

  • Technical rope teams
  • Aerial ladder platforms
  • Urban search and rescue (USAR)
  • Hazardous area response teams (HART) or special operations response teams (SORT)
  • Specialist transportation, such as bariatric ambulances

Strategic actions

Fire and rescue services should:
  • Make arrangements for the mobilisation of bariatric management equipment, and be aware of availability limitations

  • Ensure that relevant personnel understand the available advanced medical support that may be required and how to request it

Tactical actions

Incident commanders should:
  • Consider requesting specialist teams and equipment to assist with the rescue of a casualty with complex requirements

  • Consider requesting fire and rescue service technical rescue teams to assist with the rescue of a casualty with complex requirements

  • Request deployment of advanced or specialist medical support for the rescue of a casualty with complex requirements

  • Request specialist bariatric ambulances if required

  • Plan for the distance and the environment when moving or transporting casualties with complex requirements