Hellmann Rafael Lima McGregor von, Sande-Lee Simone van de, Melo Maria Edna, Messias Ana Carolina Nader Vasconcelos, Maia Ian Ward Abdalla, Lunardi Maria Camila, Silva Lucas Oliveira Junqueira E, Halpern Bruno
Emergency Department, Monash Health, Melbourne, Australia.
Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
Arch Endocrinol Metab. 2025 Mar 24;69(1):e240411. doi: 10.20945/2359-4292-2024-0411.
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.
本文档展示了巴西急诊医学协会（ABRAMEDE）和巴西肥胖与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。其目的是为医疗保健专业人员和政策制定者提供建议，以确保为肥胖患者提供适当的护理，同时考虑到他们的特殊需求以及在急诊环境中出现的挑战。该立场声明涉及关键问题，如医疗机构的结构调整需求、特定设备以及医疗团队的专业培训。它强调了由于体格检查、成像、血管通路和气道管理等方面的困难，肥胖患者的急诊护理具有复杂性。该文件还讨论了肥胖的患病率、分类及其对健康结果的影响。它强调了肥胖与多种合并症的关联，包括2型糖尿病、高血压、心血管疾病和睡眠呼吸暂停。此外，该声明强调了消除污名化的必要性，并为肥胖患者营造一个支持性和尊重性的医疗环境。建议包括加强急诊科基础设施建设、确保专业人员接受充分培训，以及实施支持急诊环境中肥胖及其合并症管理的公共政策。
