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Bariatric casualty

Hazard Knowledge

A bariatric casualty presents a range of amplified hazards for fire and rescue service personnel, and for the casualty (HSE, 2007):

  • Manual handling
  • Difficult access, weight, size, shape or mobility of casualty
  • Slips and trips
  • Cluttered environment, loose carpeting, uneven floor surfaces etc.
  • Crushing
  • Hands or limbs pinned between person and hard surface
  • Fatigue
  • Lifting aids unavailable, limited space, distance carried
  • Biohazards
  • Blood or other bodily fluids. Refer to the Operations guidance
  • Altered physiological states
  • Difficult to maintain an airway
  • Respiratory reserve is small
  • Cardiac function is compromised

The casualty often has multiple medical conditions associated with obesity