Bariatric, Psychologic, Gynecologic

Between 2017 and 2019, Missouri's Christian Hospital EMS (CHEMS) provided care to a patient weighing approximately 1,625 lbs. During this time we provided in-home treatment in collaboration with medical direction from Washington University, state resources, hospital administration, hospice, behavioral health, and our mobile integrated health team. In addition CHEMS provided complex transportation of the patient multiple times to and from the hospital and ultimately postmortem care and transportation to the cemetery. Using video footage and photographs, we will discuss how we provided in-home treatment, demonstrate the role EMS played, identify resources needed, list barriers to care and solutions, explain the multisystem approach for transportation, and share our lessons learned.