ReviewFrontiers in public health2025
Obesity: a challenge for emergency medical teams-a narrative review.
Review in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Risk factors for adverse incidents in patients during helicopter emergency medical services transports: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The global rise in obesity presents significant challenges for emergency medical services (EMS), particularly in prehospital care settings. This narrative review examines the multifaceted impact of obesity on emergency interventions, focusing on airway management, resuscitation, vascular access, pharmacological considerations, transport logistics, and point-of-care ultrasound. Evidence indicates that excess adipose tissue alters the biomechanics of chest compressions, increases thoracic bioimpedance during defibrillation, and complicates airway management-especially in cases when advanced airway devices are required. Additionally, pharmacokinetic and pharmacodynamic differences in this population necessitate careful dose adjustment based on drug solubility and body composition. Obtaining vascular access in individuals with obesity is frequently hampered by anatomical constraints, often requiring ultrasound-guided cannulation or intraosseous access. Prehospital transport introduces additional logistical and ergonomic challenges, exacerbated by limited availability of appropriately sized equipment, weight-restricted airframes in Helicopter Emergency Medical Service (HEMS) operations, and difficulty in transferring patients from the scene. Meanwhile, ultrasonographic imaging is technically more demanding and often diagnostically limited in this group due to tissue depth and image degradation. These factors collectively compromise both the speed and quality of emergency care. This review highlights the importance of developing tailored protocols, specialized equipment, and targeted training for Emergency Medical System (EMS) providers who manage patients with obesity. Given the increasing prevalence of patients with obesity in the emergency setting, early identification and anticipatory planning are critical for improving patient outcomes. Addressing these operational and clinical challenges must become a priority for modern EMS.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.