Iowa and Nebraska EMT’s consider a Crane to Transport the Morbidly Obese Bureaucrats

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Posted by Steve LombardiAugust 03, 2009 10:03 AM

America the obese is weighing down government budgets for things like cranes and forklifts to move 800-pound EMT patients. The cost of ambulances and equipment is increasing with America’s waist line. In 2008 27 percent of Iowa and Nebraska’s population was obese; that was up from 23 percent in 2005. Omaha recently spent $200,000 for an ambulance just to make it easier to transport obese patients. It’s reported some departments need equipment to lift up to 1,600 pounds up from 700 pounds.

Is HIPPA to protect the patient or to keep the taxpayers from having the facts?

I have to wonder how much of this is fact and how much is budgetary foul play; hocus pocus so they can continue to waste tax dollars. Let’s just say there are a total of 5 - 800 pound patients in both Iowa and Nebraska. Why couldn’t the rescue departments, when the time arises, rent a forklift or crane from a rental or construction company? Why do we need each and every EMT department purchasing a brand new crane or forklift to sit around some fire station? Ridiculous if you ask me. Pure poppycock is my guess.

They say lawsuits waste money, but for every dollar taken from the injured I see $10 being spent on needless expense with a fictious need created by the lobbyists.

Clark County Fire Department in Las Vegas is making a special purchase of a new ambulance that can handle a patient weighing 500 pounds or more. It’s more likely in Las Vegas that overweight heart attack patient will come out of the casinos so why not make the casinos pay for the special ambulance? Why Clark County’s Fire Department?

Why do the injured need to prove their case beyond a reasonable doubt, but legislators need only whine in front of a camera lens to get billions?

Here is part of the special reporting we see from Bio-Medicine,

Ray Carrol, the manager at American Medical Response, said that in the last six months, the company has handled 75 calls where they needed extra manpower to lift patients onto ambulances. He also said that moving someone that large in a regular ambulance poses safety problems for patients, paramedics and ambulance crewmembers.

The $250,000 (?144,000) vehicle, developed by the American Medical Response group, looks like a standard ambulance. But it is wider, with an especially large wheeled stretcher trolley. The vehicle, called a Bariatric Unit, also has a special ramp and a winch that can handle loads of 1,600lb (114 stone), and be operated by just one crewmember.

Is it the PI lawyers who are ruining this country, or ruining the gravy train for those who want to waste your tax dollars?

How many counties are there in the United States? There are 3,140 counties in the United States. $200,000 X 3,140 = $628,000,000.00. That's $628 million.

Do I smell lobbyists all over this one? That statement couldn’t be any vaguer in terms of the reality of why this expense is necessary.

Kansas City’s EMT’s state they need to get creative to move all that human lard. How about getting more creative, designed to save money. If we can pay terrorist response teams, why not obesity EMT response teams; why not make the terrorists responders’ obesity responders. Tell me where all those terrorist response team members are and what are they doing when the terrorists aren’t causing trouble? Perhaps we can take some of those TSA statues and power happy irritating excuses for human beings at the airport and make them do something between flights?

That might work. Let’s try it. Or is the idea not to save money and drive down the deficit?

3 Comments

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David Coursey, NREMT
Posted by David Coursey, NREMT
August 06, 2009 12:13 PM

This is just moronic. Only a lawyer could think emergencies occur so conveniently that medics can rush out and rent a crane whenever they need one (and in time to save the patient's life). Further, these people live in homes with roofs and narrow hallways and stairs. When they are well, they are mobile. When they are sick, they require extrication.

Steve LombardiInjuryBoard Attorney Member
Posted by Steve Lombardi
August 06, 2009 2:54 PM

Mr. Coursey: Moronic? Hardly. My opinion has nothing to do with being a lawyer, so you arguing it has no merit because it’s a lawyer advancing it is hardly persuasive. My opinion is based on having done physical work for most of my teen and adult life along with having a fairly good knowledge of how tools work. How will a crane assist with quickly moving a patient out of a second story bedroom, down a narrow stairwell and out of a house? Do piano movers buy cranes? No. Do safes require cranes when removing from a house? No. So what makes you think moving a patient would require a crane?

Do governmental agencies like to waste money? Yes. Do governmental agencies return money every to the treasury? No. Do these same agencies have the mentality to keep on spending to justify their very existence and to become more and more bloated? Yes.

And so after reading your comment I’m left with nothing more than what appears to be one more request to spend money without justification. If you have a basis for your argument and practical solution as to how to quickly extract a patient from a house, tenement or tenement using a crane, then I’m all ears. What’s your basis for wanting to spend thousands of dollars on equipment that to me has no practical value? What are you guy’s doing building sheds, cabins and additions on your homes using government equipment?

JILL PAUL RN
Posted by JILL PAUL RN
August 06, 2009 4:43 PM

Steve, the statement that Mr. Coursey made saying "When they are well, they are mobile", is laughable. How do you imagine we can handle these patients when they do get to the hospital? In the 500 lb range, they are over the weight limit for Cat Scans and MRI's, as well as our Xray tables. Sometimes it takes 6 nurses to turn a patient of this size and on and on. To modify an ambulance to carry anything over 500 lbs, is ridiculous in my opinion. At our hospital, we cannot accomodate them - even if the EMT's can, we cannot. Thanks.

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