Do Surgical Residents, Emergency Medicine Physicians, and Nurses Experience Significant Radiation Exposure During the Resuscitation of Trauma Patients?

Ciraulo, David L.; Marini, Corrado P.; Lloyd, George T.; Fisher, Jane

doi:10.1097/00005373-199405000-00018

Cited by 18 publications

(6 citation statements)

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“…The ionizing radiation to which our staff members were exposed was significantly less than the recommended occupational dose limit, and is in keeping with previous studies 2,3 . This is despite an increase in the use of radiological investigations.…”

Section: Discussionsupporting

confidence: 88%

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Staff exposure to ionizing radiation in a major trauma centre

Tan

Every

2005

ANZ Journal of Surgery

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Section: Discussionsupporting

confidence: 88%

“…A further study by Ciralo et al. looking at trauma resuscitation where the only radiological examination performed was the standard trauma series as per ATLS/EMST protocol, showed that the radiation dose received was again low 3 . The authors could not find Australasian studies of a similar nature.…”

Section: Introductionmentioning

confidence: 98%

Staff exposure to ionizing radiation in a major trauma centre

Tan

Every

2005

ANZ Journal of Surgery

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“…The organization was reorganized in 1950 and changed its name to the current name or ICRP. It has held committee meetings every 4 years and has published many recommendations to reduce the damage caused by radiation (6)(7)(8)(9)(10)(11)(12). This study followed up the 5-year individual doses of radiation workers based on the recommendations of the ICRP and compared the mean exposure doses according to occupation, department and scale of medical institutions (primary, secondary and tertiary) as well as between dental hospitals and hospitals.…”

Section: Discussionmentioning

confidence: 99%

Five-year follow-up study on individual doses of Korean radiation workers based on ICRP 103 (2006–2010)

Lee

Ryu

Dong

et al. 2012

Radiation Effects and Defects in Solids

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This study examined individual doses of Korean radiation workers divided into deep and surface doses based on the dose limits recommended by the International Commission on Radiological Protection (ICRP) or ICRP 103 (approved on March 2007) for 5 years from 2006 to 2010. In addition, the exposure doses were compared according to occupation, departments and scale of the medical institutions (primary, secondary and tertiary) as well as between dental hospitals and hospitals, which is currently an issue, using 116,220 sets of data on the quarterly and yearly exposure doses of 5811 Korean radiation workers measured over a 5-year period (January 2006 to December 2010). For the mean exposure doses according to occupation, both deep and surface doses were higher in radiological technicians than in the other occupations and there was a significant difference between radiological technicians and others (researchers and assistants) (p < 0.05). The results showed that none of the Korean radiation workers were exposed to radiation doses exceeding the maximum tolerant dose or 20 mSv/year recommended by the ICRP. When the mean exposure doses were compared according to the departments, both deep and surface doses were significantly higher (p < 0.05) in the department of nuclear medicine than in the other departments (the department of biomedical engineering and the management team). For the mean exposure doses according to the scale of the medical institutions, the doses were highest in tertiary medical institutions followed in order by secondary and primary medical institutions (p < 0.05). A comparison of the mean exposure doses in dental hospitals and hospitals revealed both deep and surface doses to be higher in hospitals than in dental hospitals (p < 0.05). This study is considered to be used as basic data to establish a system for exposure dose management of radiation workers and more accurate studies on the radiation exposure are necessary in the future.

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“…There have been many studies measuring the radiation exposure to medical and nursing staff in non‐ED settings, 6,8,9,28–33 and a smaller number of studies measuring exposure to trauma personnel 12–17 in the current clinical environment. The 2005 Australian study by Tan and Van Every found a yearly mean effective dose of 6.3 μSv for doctors and 54.3 μSv for nursing staff from a dosimeter worn under PPE 17 .…”

Section: Discussionmentioning

confidence: 99%

“…A number of studies 12–16 have demonstrated that personal protective equipment (PPE) is effective in the context of the ED resuscitation, where ionizing radiation exposure is likely, but have not examined the need for dosimetry monitoring based on regulatory requirements or potential risk of exposure. A recent Australian study 17 has similarly concluded that the lead gown confers adequate protection from ionizing radiation for the torso.…”

Section: Introductionmentioning

confidence: 99%