• Emerg. Med. Clin. North Am. · Nov 2020

    Review

    The Crashing Obese Patient.

    • Sara Manning.
    • Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address: smanning@som.umaryland.edu.
    • Emerg. Med. Clin. North Am. 2020 Nov 1; 38 (4): 857-869.

    AbstractThe obesity pandemic now affects hundreds of millions of people worldwide. As obesity rates continue to increase, emergency physicians are called on with increasing frequency to resuscitate obese patients. This article discusses important anatomic, physiologic, and practical challenges imposed by obesity on resuscitative care. Impacts on hemodynamic monitoring, airway and ventilator management, and pharmacologic therapy are discussed. Finally, several important clinical scenarios (trauma, cardiac arrest, and sepsis), in which alterations to standard treatments may benefit obese patients, are highlighted.Copyright © 2020 Elsevier Inc. All rights reserved.

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