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Fire crews struggle with burden of fat patients

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Published Date: 07 April 2009
TEAMS of firefighters are spending up to an hour helping paramedics move morbidly obese patients in the Lothians, it emerged today.
Details released under freedom of information laws have revealed one incident where five Lothians firefighters spent 30 minutes helping a patient stuck in a bath following a request by NHS 24.

And in one of the more extreme cases, another team of
firefighters took 64 minutes to help lift a patient after being called for help by ambulance crews.

The incidents today led to calls by the Fire Brigade Union for ambulance crews to be better equipped to deal with severely overweight patients to keep fire crews free to deal with their core duties.

It is also understood concerns have been sparked after a number of Lothians firefighters have been hurt while lifting patients as crews carry no specialist equipment.

Bryan Banks, of the Lothian and Borders branch of the FBU, said more could be done and the fire service was in talks with the NHS about the best way to deal with obese people falling.

He said: "We need to move away from a position where the fire service is considered the primary candidate for helping these people. This needs to be medically-led because we are not in a position to make judgements on wether people should be moved or not.

"We have called on our managers to press the NHS to make sure their staff have the right equipment to deal with these situations."

Fire crews from the Lothian and Borders area attended 13 incidents in recent years where they had been asked to assist with so-called bariatric patients.

Last year, the Chief Fire Officers Association Scotland (CFOAS) issued guidelines that fire crews were only to help in medical emergencies after fears were raised the lifting were diverting firemen from their core duties.

Lothian and Borders Fire and Rescue Service today said all its firefighters receive the correct training on lifting people.

The Scottish Ambulance Service said it had invested in reinforced ambulances and trolleys for morbidly obese patients, and said it only called on fire brigade assistance in extreme cases.

CFOAS estimates there are around 200 call-outs a year across Scotland involving grossly obese people, many of whom are unable to get themselves back off the toilet or have fallen out of bed.

In 2005, Linlithgow man Bob Paterson – known locally as "Big Bob" – was helped out of his second-floor flat in the town on an extendable platform after suffering a stroke. A window had to be removed after paramedics ruled he was too heavy to be taken down the stairs.

A spokeswoman for Lothian and Borders Fire and Rescue Service, said: "We will always do our best to respond to calls for assistance .

"We ensure all our firefighters receive training on moving and handling."





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  • Last Updated: 07 April 2009 11:31 AM
  • Source: Edinburgh Evening News
  • Location: Edinburgh
  • Related Topics: Obesity
 
1

Fifi la Bonbon,

07/04/2009 12:17:13
"He said: "We need to move away from a position where the fire service is considered the primary candidate for helping these people."

I thought it was the Fire And Rescue Service now?
2

alfonsa pedrosa,

embra 07/04/2009 12:17:26
You heard it here first fat folk,dont have a bath stay dirty and free.
3

Native Guide,

DC 07/04/2009 12:23:44
How interesting, not one but at least two stories today about the externalities of being very fat. We have remarkable societies that can produce so many over-fed poor people.
4

Local Granny,

07/04/2009 12:36:48
It's not just obese patients and not always to help the Ambulance Service but has been instead of an Ambulance!
NHS24 offer this to families of older people if they fall and the family member can't pick them back-up themselves.
I'm not sure that the old lady I heard about having fallen in her bedroom and wearing her nightie would have been happy with Firefighters appearing?
The Ambulance service sometimes refuse to repsond. But as mentioned in the article how do others know if the patient is injured etc?
5

Ecto,

07/04/2009 12:51:48
Us fatties pay more tax in VAT so we are entitled to more services.
6

totally indecent,

07/04/2009 13:03:14
Why don't the police do it?
It would keep them off the streets.
7

The real dracula,

07/04/2009 13:22:42
#4 the ambulance service are for life and limb threatening emergencies , that is what the 999 service is for. They do assist people who have fallen but is that really their remit , if the person is uninjured then why is 999 dialled ???
Ambulance crews are subject to moving and handling restrictions , to protect THEM from injury and quite rightly so , no way should any amb crew risk injury moving very heavy people.

So whose responsibility is it ,,,,,,,I dont know but I sure dont think the responsibility can be laid at the door of the amb and fire crews.

As I said the amb service 999 system is for life or limb threatening EMERGENCY not a system that you use when you cant think of something else.
8

Dorian,

Here 07/04/2009 13:34:49
Morbidly Obese
Grossly Obese
Titantically Obese(one of my personal favourites)

If you can't remeber the last time you saw your own private parts without using a mirror, it's time to get on a treadmill.

9

,

07/04/2009 13:38:12
Comment Removed By Administrator
Reason:
10

Tynieweeguy,

07/04/2009 14:07:13
1# Yes, they can't have it both ways. They either have rescue in their title and rescue people (not just from RTC's) or take it out of the title and we have a dedicated emergency rescue service.

How does Bryan Banks expect 2 paramedics to move these patients when it is obviously too much for the crew of 5 fire officers?

3# In my experience it is not only poor people who are fat.
11

Cod,

07/04/2009 14:08:14
It's a little known fact that Pedigree Chum contains 18.6% fat people.
12

Local Granny,

07/04/2009 14:26:21
#7 Tell that to the family of yet another old lady who fell & died the day after waiting for hours on medical assistance that refused to go to her! You can't always tell if the person is injured, that was one of the points made! When someone has fallen, firstly why did they fall and secondly, did they injure themselves? I think it does need to be someone with some experience who deals with this.........
It is not the Ambulance crews, they do a great job, but the system of NHS24 and the Ambulance service that are in question?
13

elayne,

07/04/2009 14:28:01
#10,maybe so,but poor people tend to eat less healthy food (no excuse as healthy food is affordable to all,plus the fact that there are many programmes,adverts,articles etc teaching people about adopting a healthy lifestyle theres no excuse!)
14

Starkravingsane,

Edinburgh 07/04/2009 15:22:00
Chinnook helicopter and a long sling.......
15

Starkravingsane,

Edinburgh 07/04/2009 15:25:38
Strikes me that if the person is deemed too heavy for the NHS to handle then they must be too heavy for the firemen too. they're not superhuman - and there's a limit to what can be done in a confined space. If this really is a massive (sorry) problem, then surely there's a business opportunity here for an enterprising private company. Rotund rescue or something, where specialist equipment could be just a phone call away, thus freeing up the ambulances AND the fire brigades for the emergencies they should be attending to.
16

Dragonlord,

07/04/2009 16:57:52
For years the fire service tried to take over the reponsability of medics. When they failed they changed their name to the fire and rescue service.( to make them look like they are busy all the time) If they can't help fellow civil servants, when they are idle 70% of the day, then they should change their name back to the fire service, because that is all they will be doing.
17

krusty the klown,

07/04/2009 21:32:02
The struggle is probably because the firefighter blokes are mostly lardy porkers themselves and toil in order to pass the fitness tests; however, the female firefighters never seem to have a problem. Definate need to go back to puting out fires and set up private companies to deal with cats up trees and panicking horses; gerbils or broken smoke alarms
18

Smooth Operator,

10/07/2009 04:22:11
All these fatties need to get out and exercise more often.

 

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