Tonight at work we get a EMS call out for a code blue. We are informed via the radio that the patient is a male in his early 60s and weighs in excess of 750 pounds. The local fire department will be on hand to assist getting him to the hospital.
He arrives wrapped in a heavy duty fire department tarp laying on the floor of the ambulance because he will not fit on a stretcher. CPR in progress. With the help of 9 fire men we manage to move him to the “big boy” bed and continue with CPR. We manage to revive him, intubate him and stablize him enough to transfer to our ICU. Normally someone this sick is transfered to Oahu were we have specialists. But he is too big for our air ambulance and too sick for the coast quard, so we must keep him. He is also too big for our CT scanner.
I had to call the fire department back when it was time to move him to ICU as we were unable to push the bed. Again our local boys came to the rescue…above and beyond….and helped us transfer him to the unit.
We needed four men to hold his pannas back (belly) using a sheet so that we could try and find his penis to put a catheter in him. We did not find it but our urologist was able to put in a subra public line. The smell was horrid. His panna alone is the size of a grown man…..did I mention the smell?
This man is going to die….he will die tonight. He has a son and family in the ICU waiting room crying and grieving. They love him dearly, he will not live to see his grand child grow up or his youngest son marry…he will die tonight. They want him cremated, we cannot..he is too big for our crematorium…
He will die tonight, and a family has lost a father and a grand father….
Because he weighs 750 pounds…excuse me while I go and throw away my stash of potato chips and text my son to tell him I love him…