Care of patients with obesity in the Emergency Department: a joint position statement from the Brazilian Association of Emergency Medicine (ABRAMEDE) and the Brazilian Association for the Study of Obesity and Metabolic Syndrome (ABESO).

IF 1.6 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM
Rafael Lima McGregor von Hellmann, Simone van de Sande-Lee, Maria Edna Melo, Ana Carolina Nader Vasconcelos Messias, Ian Ward Abdalla Maia, Maria Camila Lunardi, Lucas Oliveira Junqueira E Silva, Bruno Halpern
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Abstract

This document presents a joint position statement from the Brazilian Association of Emergency Medicine (ABRAMEDE) and the Brazilian Association for the Study of Obesity and Metabolic Syndrome (ABESO) regarding the management of patients with obesity in the Emergency Department. It aimed to provide recommendations for healthcare professionals and policymakers to ensure the provision of appropriate care for patients with obesity, considering their unique needs and the challenges that arise in emergency settings. The position statement addresses key issues such as the need for structural adaptations, specific equipment, and specialized training for healthcare teams. It emphasizes the complexity of emergency care for patients with obesity due to factors such as difficulties in physical examination, imaging, vascular access, and airway management. The document also discusses the prevalence of obesity, its classification, and its impact on health outcomes. It highlights the association of obesity with numerous comorbidities, including type 2 diabetes, hypertension, cardiovascular diseases, and sleep apnea. Moreover, the statement underscores the need to combat stigma and promote a supportive and respectful healthcare environment for patients with obesity. Recommendations include enhancing Emergency Department infrastructure, ensuring adequate training for professionals, and implementing public policies that support the management of obesity and its comorbidities in emergency settings.

急诊科对肥胖患者的护理:巴西急诊医学协会(ABRAMEDE)和巴西肥胖和代谢综合征研究协会(ABESO)的联合立场声明。
本文件提出了巴西急诊医学协会(ABRAMEDE)和巴西肥胖和代谢综合征研究协会(ABESO)关于急诊科肥胖患者管理的联合立场声明。它旨在为医疗保健专业人员和决策者提供建议,以确保为肥胖患者提供适当的护理,考虑到他们的独特需求和紧急情况下出现的挑战。立场声明解决了一些关键问题,如结构调整、特定设备和医疗团队专业培训的需求。它强调了由于体格检查、影像学、血管通路和气道管理等因素导致的肥胖患者急诊护理的复杂性。该文件还讨论了肥胖的流行程度、分类及其对健康结果的影响。它强调了肥胖与许多合并症的关联,包括2型糖尿病、高血压、心血管疾病和睡眠呼吸暂停。此外,该声明强调有必要消除耻辱感,促进为肥胖患者提供支持和尊重的医疗环境。建议包括加强急诊科的基础设施,确保对专业人员进行充分的培训,并实施支持在紧急情况下管理肥胖及其合并症的公共政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Archives of Endocrinology Metabolism
Archives of Endocrinology Metabolism Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.90
自引率
5.90%
发文量
107
审稿时长
7 weeks
期刊介绍: The Archives of Endocrinology and Metabolism - AE&M – is the official journal of the Brazilian Society of Endocrinology and Metabolism - SBEM, which is affiliated with the Brazilian Medical Association. Edited since 1951, the AE&M aims at publishing articles on scientific themes in the basic translational and clinical area of Endocrinology and Metabolism. The printed version AE&M is published in 6 issues/year. The full electronic issue is open access in the SciELO - Scientific Electronic Library Online e at the AE&M site: www.aem-sbem.com. From volume 59 on, the name was changed to Archives of Endocrinology and Metabolism, and it became mandatory for manuscripts to be submitted in English for the online issue. However, for the printed issue it is still optional for the articles to be sent in English or Portuguese. The journal is published six times a year, with one issue every two months.
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