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We use the mega mover for our heavy patients or the fire departments "carry all". Everyone calls these whale movers. They are just heavy duty tarps with 4-8 handles on them. We run on 2 males often that weigh over 350lbs. Our gurneys hold up to 660lbs. So we are like UPS "if it fits it ships". Our Bari unit could take up to 2 hours to get to us.
On one of the guys who weighs 378lbs (last weigh in) we easily loaded him into the ambulance with a manual gurney with no lift assist. We did a dual person lift and had the patients family member move the wheels up to the frame.
We have a lift test in order to start working where we have to lift 150lbs from the ground and place it on a box that is the height of the gurneys. So each person should be able to safely lift 150lbs at a minimum (hence why staying fit should be mandatory).
Haha I like the "if it fits it ships" line, though isn't that the post office? For non-emergent patients I'll wait for the bari stretcher, if the patient needs to go to the hospital now and ways less than 700 pounds then we'll strap the "fat corset" on them and break out the extra 9' straps in the c-spine bag.