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8lg Challenges ln LMS

!e 8eeson
CbeslLy
Lxcesslve proporuon of adlpose ussue
lncreaslng prevalence
Worldwlde 1.1 bllllon
8ody mass lndex (8Ml)
unlLed SLaLes Lpldemlc
ercenLages
Men doubled
Women lncrease 30
31 of adulLs are obese
64 of Amerlcans are overwelghL
aLhophyslology
Calorlc lnLake
hyslcal acuvlLy
MeLabollsm
lnsulln sensluvlLy
8ody Mass lndex
CverwelghL 23-29 kg/m
2

Class 1 30 - 34.9 kg/m
2

Class 2 33 - 39.9 kg/m
2

Class 3 40 - 49.9 kg/m
2

Class 4 >30 kg/m
2

Co-Morbld Condluons
PearL ulsease
ulmonary ulsease
neurologlcal
8enal ulsease
sychlaLrlc
lmmune
ArLhrlus
PearL ulsease
lncreased
ALherosclerosls
Pyperllpldemla
CAu
PyperLenslon
CPl
Sudden cardlac deaLh
ulmonary ulsease
uecreased volumes
lncrease work of breaLhlng
Plgher reslsLance
ChesL wall mass
uecreased compllance
ulaphragm pressure
ulmonary ulsease
ulmonary PyperLenslon
Pypoxla
ulmonary Lmbollsm
lckwlcklan Syndrome
10 of morbldly obese
PearL fallure
CSA
Pypoxla
Pypercapnea
uayume somnolence
8esplraLory acldosls
neurollglcal
SLroke
SAP
lvP
Lmbollc
suedoLumor
8enal ulsease
8enal blood ow
8enal lnsumclency
ulabeuc nephropaLhy
kldney sLones
osL-obsLrucuve nephropaLhy
sychlaLrlc
uepresslon
Sulclde
lmmune SysLem
lmmunocomprlmlsed
MusculoskeleLal
uegenerauve [olnL dlsease
CompllcaLed cases
Cancers
Men
SLomach
rosLaLe
Women
8reasL
uLerus/Cervlcal
Cvarlan
1rauma
remorbld condluons
lnLerference wlLh AuL
Ankle/Llbow ln[urles
SeaLbelLs/8esLralnLs
SubC hldes ln[urles
1rauma
Pead proLecuon
ChesL ln[urles
elvlc fracLures
LMS Challenges
Lducauon
LqulpmenL
SLreLchers
8 monlLorlng
Splnal precauuons
Alrway equlpmenL
Alrway ManagemenL
ulmculues
Cxygen curve
osluonlng
osluonlng
8olled Lowels
Slmng up
ShorL handle
8lade ad[usLmenL
8ougle
vldeo
Alrway ManagemenL
ulrecL
lndlrecL
AlLernauves
8lood ressure
ApproprlaLe slze cu
8auo 2:3
8ladder 80 of arm clrcumference
Arm/Leg/Ankle
ulse CxlmeLry
1lssue Lhlckness
AlLernauves
Larlobe
CLher dlglLs
nose
Llp
1emporal arLery
venous Access
Landmarks noL vlsuallzed
Muluple auempLs
uelays
Compllcauons
needle lengLh
lnLra-Csseous

LlecLrocardlogram
Landmarks
Leads
volLage
llaL/lnverLed 1 waves lnferlor
lncreased LvP
rolonged C1
LMS Lducauon
LM1 currlculum
8aslc lnLroducuon
Accommodauons
ApproprlaLe slze dlagnosucs
rofesslonallsm
MosL provlders need more
Challenges
Loglsucs
Labor lnLenslve
LqulpmenL
AnLler
Ambulance oor
Medlcauons
ersonal blas
Ambulance ueslgn
Movlng Cbese auenLs
Access
uoor wldLhs
1o ambulance
lrom ambulance
PosplLal
ollcy
8arlaLrlc equlpmenL
When Lo use
AuLomauc ulspaLch
CAu marklng
LqulpmenL
Concluslons
SafeLy
undersLandlng
lannlng

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