How To Manage Trauma Patient In Radiology Department ?
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A) Blunt Trauma:- Blunt Trauma is define as a direct contact of a blunt object with in a body. A blunt impact of significant force to repture capillaries underneath the skin surface and scraping of the superficial epidermis.
B) Penetrating Trauma: It is a condition in which foreign object enter the body and creating a wound. In penetrating trauma the object passes through the tissues and exists the body.
C) Explosive Trauma: – A blast injury is a complex type of physical trauma caused by direct or indirect exposure to an explosion.
To performing Radiographs On A Trauma Patient In Radiology Department Are Follows :-
1. The correct patient Name, Husband or Father name, ID Number and Age must be present on or associated with all images.
2. The correct marker are applied to all images.
3. The radiographer should reduce to minimum the dose received by patient.
4. In all images procedure, trauma procedure require a patient history.
5. If patient is conscious, the radiographer should explain what he or she is doing in detail and in terms the patient can understand.
6. Radiographer are responsible for the total care of trauma patient while performing diagnostic imaging procedure.
7. In trauma radiographer must be well versed in taking vital signs and knowing normal ranges.
8. Trauma patient require special attention to patient care.
9. Careful precautions must be taken to ensure that performance of the imaging procedure.
10. The radiographer should position the tube and the IR, rather then the patient, to obtain the desired projection.
11. The radiographer should wear gloves, mask, eye shield, and gown when handle trauma patient.
12. All equipment and accessory devices should be kept clean and ready for use.
13. The radiographer should never remove any immobilization device without physician order.
14. The radiographer should provide proper immobilization and support to increase patient comfort and to minimize risk of motion.
15. The radiographer should never leave a trauma patient unattended during imaging procedure.
16. The patient condition may change at any time and it is the radiographer responsibility to note these changes and report them immediately to the attending physician.
17. The trauma patient reaches the x-ray department in following ways, A wheel chair, A stretcher.
18. If patient does not co-operate in standing with assistance lifted up with chair .
19. Patient is lifted by placing the arms in the axilla and lifting the corresponding thigh by each radiographer , while other hand of radiographer are clinched with each other across the patient back to provide support.
20. In stretcher patient can be done by drawing the sheets over which lies on the x-ray table, if stretcher is at the same height as the x-ray table and there is no side fitting to the table.
21. The most preferable way of lifting patient from stretcher is by placing stretcher at right angle or parallel to the patient.
22. Special transport trolleys or tables from accident or trauma department are designed to facilitate radiography and patient need to be lifited.