From: "Fraser Levey" <[EMAIL PROTECTED]> Try the RANZCR Imaging Guidelines book, the UK's College of Radiologists do= es a similar book as well, both contain useful information on what is viewe= d by radiologists as clinically relevant. I strongly recommend the use of the RANZCR Imaging Guidelines though. Fraser.
>>> [EMAIL PROTECTED] 02/03/03 11:41am >>> From: "Izan Gill" <[EMAIL PROTECTED]> I'd be very interested to see the rationale for supine only. I get=20 rather a lot of=20 "routine" erect/ supine AXRs with CXR and would like some way of=20 cutting back,with=20 literature (not necessarily from textbooks) to back this up. I've heard=20 this viewpoint=20 before. For shaky/ frail patients I used always sit them with their back to the=20 erect bucky,=20 (provided they could sit up that is) and do an erect film that way.=20 The thighs did tend=20 to get in the way a little, but it worked well. However, where I work=20 now, the tube=20 does not come low enough to do that. So it's either risk standing the=20 patient up or a=20 decubitus. Izan GiIl >>> [EMAIL PROTECTED] 02/02/03 04:48pm >>> From: "Rita Richter" <[EMAIL PROTECTED]> Very valid point about the radiation dose with the extra erect abdo=20 film. Does that mean therefore that most places do only a supine film=20 and AP chest in the bed? Rita -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Fraser Levey Sent: Friday, 31 January 03 1:37 PM To: [EMAIL PROTECTED] Subject: Re: [AIRNEWS] Risk Management From: "Fraser Levey" <[EMAIL PROTECTED]> Interesting point from a radiation safety perspective too. Many UK=20 hospitals do not routinely perform Erect Abdomens as they are seen as=20 clinically irrelevant. Most pathology demonstrated is either clinically obvious or=20 radiologically=20 ambiguous. The elimination of such examinations would reduce a patients skin=20 entrance dose by about 3.5 mGy, which is a fair old amount, which equates=20 to about 35 PA chest exposures worth of radiation. This, combined with the far greater risk of patients keeling over,=20 would make me wish to ensure that the referral is justified before=20 exposing patients. Fraser. >>> [EMAIL PROTECTED] 01/31/03 09:33am >>> From: "Garry Cain" <[EMAIL PROTECTED]> do you really need an erect abdo at all. we have one radiologist that insists we do not. Is it then possible to eliminate this exam and thus the risk (we haven't been able to eliminate due to referral base and other radiologists non acceptance) +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= This message is being broadcast by AIRNEWS, the Australian Institute of Radiography list Server Send messages to [EMAIL PROTECTED] For assistance send mail to [EMAIL PROTECTED] Commands should be sent to [EMAIL PROTECTED] Opinions expressed on this list are not necessarily those of the moderator, his assistants or those of the A.I.R.
