I am a Paramedic in New South Wales, Australia. We currently have a "unit" that specifically deals with the transportation of Bariatric Patients, we have two day shift crews (2 people per truck) and we have on call facilities out of hours. We currently have 5 specialised vehicles in NSW alone, with multiple in other states. The largest patient in NSW we have come across so far is around 430kgs. (950lbs)
Moving forward with our ideas to make things easier, we have an electric/hydraulic stretcher that takes up to 500kgs (1100lbs)our 2 newest vehicles have these. We have hovermats for manouvering in their houses on flat surfaces and hoverjacks that will lift them up to chest height ( I'm 5"9'), we are looking into portable lifters as well, but over here, I am battling to find anything over 270kgs (595lbs).
Our vehicles are something a little different to our standard ambulances. Obviously, they are trucks, but we also do intensive care transfers ie when people are on ECMO (lung bypass), balloon pumps etc, because we have the extra room in our vehicle it makes life so much easier!
I am interested in seeing what everyone else does to manage these types of patients....we are now doing up to 8 jobs a day, that is just in New South Wales, and as people are learning what we have available, we are getting alot busier. They are even looking for the rural transfers at upgrading their fixed wing aircraft to take 260kgs (573lbs).
I will add some pics of our equipment as time goes on..