Exposure of emergency medicine personnel to ionizing radiation during cervical spine radiography

Craig M. Singer, Larry J. Baraff, Stanley H Benedict, Eric L. Weiss, Brett D. Singer

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

We studied the potential hazard of ionizing radiation exposure to health care workers who routinely stabilize the necks of trauma patients during cervical spine radiography. A clinical trauma model was developed using an Alderson RANDO Phantom® artificial torso to simulate an actual patient. A radiation monitor was placed where a health care worker's fingers, hands, arms, and thyroid gland would be, and standard cervical spine radiographs were taken. The exposures to the finger positions then were repeated with the monitor inside a 0.5 mm lead-equivalent glove. The mean exposure to the finger for a single cross-table lateral radiograph was 174.5 mrem. The use of leaded gloves reduced this exposure to 0.3 mrem (a 99.9% reduction). For a single series of lateral, anteroposterior, odontoid, and swimmer's views, the total mean measured unprotected exposure to the finger of the hand positioned nearest the radiographic tube was 581 mrem and the exposure to the finger of the opposite hand was 230 mrem. If these simulated exposures are indicative of actual patient situations, a health care worker who holds the head of a trauma patient four times each week with unshielded hands would receive more than twice the maximum allowable annual occupational radiation exposure to the extremities recommended by the National Council of Radiation Protection and Measurements. We conclude that health care workers who routinely stabilize the necks of trauma patients during cervical spine radiography may incur a radiation exposure risk and that 0.5-mm lead-equivalent gloves provide an effective barrier to ionizing radiation.

Original languageEnglish (US)
Pages (from-to)822-825
Number of pages4
JournalAnnals of Emergency Medicine
Volume18
Issue number8
DOIs
StatePublished - 1989

Fingerprint

Emergency Medicine
Ionizing Radiation
Radiography
Fingers
Spine
Hand
Delivery of Health Care
Wounds and Injuries
Neck
Torso
Radiation Protection
Occupational Exposure
Craniocerebral Trauma
Thyroid Gland
Arm
Extremities
Radiation
Radiation Exposure
Lead

Keywords

  • radiation, ionizing, protection

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Exposure of emergency medicine personnel to ionizing radiation during cervical spine radiography. / Singer, Craig M.; Baraff, Larry J.; Benedict, Stanley H; Weiss, Eric L.; Singer, Brett D.

In: Annals of Emergency Medicine, Vol. 18, No. 8, 1989, p. 822-825.

Research output: Contribution to journalArticle

Singer, Craig M. ; Baraff, Larry J. ; Benedict, Stanley H ; Weiss, Eric L. ; Singer, Brett D. / Exposure of emergency medicine personnel to ionizing radiation during cervical spine radiography. In: Annals of Emergency Medicine. 1989 ; Vol. 18, No. 8. pp. 822-825.
@article{67b02e4eb9b14b05b787501c14a9cd0d,
title = "Exposure of emergency medicine personnel to ionizing radiation during cervical spine radiography",
abstract = "We studied the potential hazard of ionizing radiation exposure to health care workers who routinely stabilize the necks of trauma patients during cervical spine radiography. A clinical trauma model was developed using an Alderson RANDO Phantom{\circledR} artificial torso to simulate an actual patient. A radiation monitor was placed where a health care worker's fingers, hands, arms, and thyroid gland would be, and standard cervical spine radiographs were taken. The exposures to the finger positions then were repeated with the monitor inside a 0.5 mm lead-equivalent glove. The mean exposure to the finger for a single cross-table lateral radiograph was 174.5 mrem. The use of leaded gloves reduced this exposure to 0.3 mrem (a 99.9{\%} reduction). For a single series of lateral, anteroposterior, odontoid, and swimmer's views, the total mean measured unprotected exposure to the finger of the hand positioned nearest the radiographic tube was 581 mrem and the exposure to the finger of the opposite hand was 230 mrem. If these simulated exposures are indicative of actual patient situations, a health care worker who holds the head of a trauma patient four times each week with unshielded hands would receive more than twice the maximum allowable annual occupational radiation exposure to the extremities recommended by the National Council of Radiation Protection and Measurements. We conclude that health care workers who routinely stabilize the necks of trauma patients during cervical spine radiography may incur a radiation exposure risk and that 0.5-mm lead-equivalent gloves provide an effective barrier to ionizing radiation.",
keywords = "radiation, ionizing, protection",
author = "Singer, {Craig M.} and Baraff, {Larry J.} and Benedict, {Stanley H} and Weiss, {Eric L.} and Singer, {Brett D.}",
year = "1989",
doi = "10.1016/S0196-0644(89)80204-5",
language = "English (US)",
volume = "18",
pages = "822--825",
journal = "Annals of Emergency Medicine",
issn = "0196-0644",
publisher = "Mosby Inc.",
number = "8",

}

TY - JOUR

T1 - Exposure of emergency medicine personnel to ionizing radiation during cervical spine radiography

AU - Singer, Craig M.

AU - Baraff, Larry J.

AU - Benedict, Stanley H

AU - Weiss, Eric L.

AU - Singer, Brett D.

PY - 1989

Y1 - 1989

N2 - We studied the potential hazard of ionizing radiation exposure to health care workers who routinely stabilize the necks of trauma patients during cervical spine radiography. A clinical trauma model was developed using an Alderson RANDO Phantom® artificial torso to simulate an actual patient. A radiation monitor was placed where a health care worker's fingers, hands, arms, and thyroid gland would be, and standard cervical spine radiographs were taken. The exposures to the finger positions then were repeated with the monitor inside a 0.5 mm lead-equivalent glove. The mean exposure to the finger for a single cross-table lateral radiograph was 174.5 mrem. The use of leaded gloves reduced this exposure to 0.3 mrem (a 99.9% reduction). For a single series of lateral, anteroposterior, odontoid, and swimmer's views, the total mean measured unprotected exposure to the finger of the hand positioned nearest the radiographic tube was 581 mrem and the exposure to the finger of the opposite hand was 230 mrem. If these simulated exposures are indicative of actual patient situations, a health care worker who holds the head of a trauma patient four times each week with unshielded hands would receive more than twice the maximum allowable annual occupational radiation exposure to the extremities recommended by the National Council of Radiation Protection and Measurements. We conclude that health care workers who routinely stabilize the necks of trauma patients during cervical spine radiography may incur a radiation exposure risk and that 0.5-mm lead-equivalent gloves provide an effective barrier to ionizing radiation.

AB - We studied the potential hazard of ionizing radiation exposure to health care workers who routinely stabilize the necks of trauma patients during cervical spine radiography. A clinical trauma model was developed using an Alderson RANDO Phantom® artificial torso to simulate an actual patient. A radiation monitor was placed where a health care worker's fingers, hands, arms, and thyroid gland would be, and standard cervical spine radiographs were taken. The exposures to the finger positions then were repeated with the monitor inside a 0.5 mm lead-equivalent glove. The mean exposure to the finger for a single cross-table lateral radiograph was 174.5 mrem. The use of leaded gloves reduced this exposure to 0.3 mrem (a 99.9% reduction). For a single series of lateral, anteroposterior, odontoid, and swimmer's views, the total mean measured unprotected exposure to the finger of the hand positioned nearest the radiographic tube was 581 mrem and the exposure to the finger of the opposite hand was 230 mrem. If these simulated exposures are indicative of actual patient situations, a health care worker who holds the head of a trauma patient four times each week with unshielded hands would receive more than twice the maximum allowable annual occupational radiation exposure to the extremities recommended by the National Council of Radiation Protection and Measurements. We conclude that health care workers who routinely stabilize the necks of trauma patients during cervical spine radiography may incur a radiation exposure risk and that 0.5-mm lead-equivalent gloves provide an effective barrier to ionizing radiation.

KW - radiation, ionizing, protection

UR - http://www.scopus.com/inward/record.url?scp=0024392791&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024392791&partnerID=8YFLogxK

U2 - 10.1016/S0196-0644(89)80204-5

DO - 10.1016/S0196-0644(89)80204-5

M3 - Article

C2 - 2757279

AN - SCOPUS:0024392791

VL - 18

SP - 822

EP - 825

JO - Annals of Emergency Medicine

JF - Annals of Emergency Medicine

SN - 0196-0644

IS - 8

ER -