We have several options for transporting large patients safely and comfortably. If all you’ll need is manpower assistance from the Fire Department, you are certainly authorized to call for that as necessary. But if you think the stretcher in your ambulance is insufficient for your patient (due to either the patient’s weight or width), contact a field supervisor (EMS-1, EMS-2, or EMS-3) for assistance. Options to consider include:
- Using a stretcher with XPS Siderails (“wings”)
- Using an ambulance that has a Power-LOAD installed
- Using a VB EMS “Bari Kit”
What is a Bari Kit?
We have assembled “Bari Kits” (bariatric kits) that currently include:
· A bariatric stretcher (rated for up to 850 pounds in the up position, 1600 pound in the down position)
· A mounting bracket
· An orange plasticized carrying tarp for transferring the patient to and from the bariatric stretcher
· An orange plasticized carry bag
When should you use a Bari Kit?
A Bari Kit is an option of last resort, and you should always have a field supervisor’s concurrence before using one. Remember, most patients – even those weighing up to 450 pounds — can be managed using extra manpower, gear that’s already on your ambulance, a stretcher with wings, and a Power-LOAD system.
Where are the Bari Kits?
We have two Bari Kits, and they are pre-positioned at Rescue 8 and Rescue 15:
Will a Bari Kit work in any ambulance?
No. Only ambulances with a “legacy receiver plate” on the floor of the patient compartment can accept a Bari Kit. Supervisors can check in OscarTRACK to see which ambulances have this capability. As I write this message, 18 of our ambulances have this capability, and our goal is for all future new ambulances to have it as well.
How does a Bari Kit make it to a scene?
There are multiple ways to get a Bari Kit to a scene, so always coordinate with a field supervisor (EMS-1, EMS-2, or EMS-3).
What else should you know about the Bari Kits?
Always keep all parts of a Bari Kit together. Any small loose parts (like the mounting bracket knob’s storage retaining nut) should be kept in the orange carry bag when not in use. Bariatric transports are time-consuming evolutions. After each use, a Bari Kit must be thoroughly cleaned and returned as you found it. Bari Kits that are parked in a station are not storage or work areas. Bari Kits must be kept ready and easily accessible for immediate deployment.
— Division Chief Kevin Lipscomb, NRP
— Regulation & Support Services
— Va Beach EMS Department