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Alex Gehring
               Kristen Howe
                               Kelly Foster
*




      http://www.mtv.com/photos/rob-dyrdeks-fantasy-factory-season-4-ep-3-the-bleeding-frogs/1662172/6045825/photo.jhtml
*
* March 17th at 1834
 hours


* Patient received by
 Emergency Department

  * TRAUMA ALERT:
    shrapnel wound to
    lower leg. Transport
    by air. ETA 10 mins




                           http://www.rwjuh.edu/news/trauma-center-06-26-09.html
*
* Always prepare for the worst
* Trauma team geared up..
  * Shoe covers
  * Gowns
  * Gloves
* Begin setting up for protocol trauma xrays
  * Chest, Pelvis
* Prepare for additional exams
*
* Pilots bring patient to trauma exam room

* Nurses transfer patient to trauma table

* 2nd pilot states medical history

* Nurses begin cutting off clothes and gather vitals

* Sedatives and analgesics administered
* Pilot informed the nurse of
 patients medical history
  * 23 year old male
  * Victim of bomb explosion
  * Received shrapnel wound to lower
    left leg
  * 2 large lacerations – lateral and
    posterior leg
  * No visible shrapnel still in leg, large
    piece appearing to go completely
    through found at site
  * Possible Tib/Fib fracture
  * Not on any medications               *
  * Moderate blood loss

                                              http://www.cleveland.com/healthfit/index.ssf/2010/10/post_45.htm
*
                              * Emergency room physician
                                 ordered…
                                   * Chest, Pelvis                 and Tib/Fib
                                       Xrays




http://www.hollywoodmemorabilia.com/authentic-memorabilia/george-clooney-autographed-8x10-photo-er-doctor-actor.htm
*
* 14x17 in cassette

* Crosswise

* 72 inches

* Top of IR placed just above shoulders

* 120 KVP @ 4 mAs




                                          http://www.med-ed.virginia.edu/courses/rad/cxr/technique3chest.html
*
    http://www.radpod.org/2007/01/06/trauma-chest-xray/
* 14x17 in cassette
* Crosswise
* Top of IR placed 1” above illiac crest
* 80 KVP @ 60 mAs



                                           *


                                           http://www.radiology-equipment.com/prod-info.CFM?LineItemID=1509
*
* AP and Cross Table Lateral
* 14x17 in cassettes used
  * Placed in plastic bag
  * Lengthwise
* Centered to tib/fib and to image plate
* Collimated to sides of the legs
* 75 KVP @ 4 Mas

                            *
*
* Multiple pieces of shrapnel in lower
                left leg
             * Fractured Tibia and Fibula
             * Requested CT images be taken
                  * Bilateral Tib/Fib
                  * Better look at bone, tissue, and vein
                      damage


                                     *

http://completeinjurymanagementlasvegas.com/what-conditions-can-a-chiropractor-help-me-with/hip-pain
* The origin of the word "tomography" is from
     the Greek word "tomos" meaning "slice" or
     "section" and "graphe" meaning "drawing

    * A CT imaging system produces cross-sectional
     images or "slices" of anatomy

    * Based on the variable absorption of x rays by
     different tissues



*
*
    * Motorized table moves
     the patient through a
     circular opening in the
     CT imaging system


    * Source of x rays rotates
     around the inside of the
     circular opening




                   http://harryallen.info/?p=2826
* Source of x rays rotates around
 the inside of the circular opening


* The x-ray source produces a
 narrow, fan-shaped beam of x
 rays used to irradiate a section of
 the patient's body


* In typical examinations there are
 several phases; each made up of
 10 to 50 rotations of the x-ray
 tube around the patient



http://www.youtube.com/watch?v=M-4o0DxBgZk
                                             http://wn.com/progressive_metal
* Founded in 1970
  * Godrey Hounsfield
  * Allan Cormack- devolved algorithms

* 1972 First EMI CT scanner
  * Wimbleton, England




                                         http://www.impactscan.org/background.htm
*
* Patient brought to CT suite

* Radiologist positioned him on the table

* Straps are utilized to prevent movement

* Patients feet facing gantry
* Patient is placed on CT table

* Scout film (scanogram) is
 obtained




                        *
*

* Technologist then sets the parameters
 and begins scans

  * 1cm above the patella to mid foot
  * 2 mm slices
  * 2mm per second table speed




          http://www.orthobullets.com/pediatrics/4045/leg-length-discrepancy-lld
* Technologist used..




                                                                                 *
  * Multiplanar reconstruction
    * Cornal and Sagital planes

  * Window Settings
    * Soft Tissue
    * Bone




                                  http://www.offenburger.com/copingwithcancer.asp?link=20100713
*
*
* Patient is brought into surgery suite
  * Prepped by nurses
  * Sedated by anesthesiologist
* Technologist brings in C-arm
  * Tech positions C-arm
  * Plugs arm into machine and monitors




                              http://www.medwow.com/articles/c-arm/tips-for-buying-mobile-c-arm-parts/
*
    * C-arm brought into surgery
     suite

    * Image intensifier above patient

    * Xray source located underneath
     patient

      * .5 to 5 mAs used
      * Low mAs used because of long
        exposure times

    * Scout image obtained


                http://www.hgmhospital.org/departments.htm
*
    * Metal fragments identified and removed

    * Open reduction internal fixation
      * http://www.youtube.com/watch?v=qKeJd0j2J4E




              http://www.zimbio.com/pictures/cxxAnEFqAMW/Frontline+Hospital+Deals+Afghan+Combat+Casualties/z2CXdBxObG7
*
*
    * Doctor removed a 10mm x
     15mm piece of skin from
     anterior left thigh


    * Wound was sutured closed

    * Skin was then placed over
     exposed area and stapled




      http://www.nlm.nih.gov/medlineplus/ency/imagepages/19083.htm

         http://www.flickr.com/photos/soldiersmediacenter/542492085
*
* Wheelchair 4 months
* Crutches 2 weeks
* Physical Therapy 6 months




                                           *

                         http://www.usmagazine.com/celebrity-news/news/charlie-sheen-enters-rehab-2011281
*
* http://www.fda.gov/radiation-
 emittingproducts/radiationemittingproductsan
 dprocedures/medicalimaging/medicalx-
 rays/ucm115318.htm

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Thebleedingfrogs

  • 1. Alex Gehring Kristen Howe Kelly Foster * http://www.mtv.com/photos/rob-dyrdeks-fantasy-factory-season-4-ep-3-the-bleeding-frogs/1662172/6045825/photo.jhtml
  • 2. * * March 17th at 1834 hours * Patient received by Emergency Department * TRAUMA ALERT: shrapnel wound to lower leg. Transport by air. ETA 10 mins http://www.rwjuh.edu/news/trauma-center-06-26-09.html
  • 3. * * Always prepare for the worst * Trauma team geared up.. * Shoe covers * Gowns * Gloves * Begin setting up for protocol trauma xrays * Chest, Pelvis * Prepare for additional exams
  • 4. * * Pilots bring patient to trauma exam room * Nurses transfer patient to trauma table * 2nd pilot states medical history * Nurses begin cutting off clothes and gather vitals * Sedatives and analgesics administered
  • 5. * Pilot informed the nurse of patients medical history * 23 year old male * Victim of bomb explosion * Received shrapnel wound to lower left leg * 2 large lacerations – lateral and posterior leg * No visible shrapnel still in leg, large piece appearing to go completely through found at site * Possible Tib/Fib fracture * Not on any medications * * Moderate blood loss http://www.cleveland.com/healthfit/index.ssf/2010/10/post_45.htm
  • 6. * * Emergency room physician ordered… * Chest, Pelvis and Tib/Fib Xrays http://www.hollywoodmemorabilia.com/authentic-memorabilia/george-clooney-autographed-8x10-photo-er-doctor-actor.htm
  • 7. * * 14x17 in cassette * Crosswise * 72 inches * Top of IR placed just above shoulders * 120 KVP @ 4 mAs http://www.med-ed.virginia.edu/courses/rad/cxr/technique3chest.html
  • 8. * http://www.radpod.org/2007/01/06/trauma-chest-xray/
  • 9. * 14x17 in cassette * Crosswise * Top of IR placed 1” above illiac crest * 80 KVP @ 60 mAs * http://www.radiology-equipment.com/prod-info.CFM?LineItemID=1509
  • 10. *
  • 11. * AP and Cross Table Lateral * 14x17 in cassettes used * Placed in plastic bag * Lengthwise * Centered to tib/fib and to image plate * Collimated to sides of the legs * 75 KVP @ 4 Mas *
  • 12. *
  • 13. * Multiple pieces of shrapnel in lower left leg * Fractured Tibia and Fibula * Requested CT images be taken * Bilateral Tib/Fib * Better look at bone, tissue, and vein damage * http://completeinjurymanagementlasvegas.com/what-conditions-can-a-chiropractor-help-me-with/hip-pain
  • 14. * The origin of the word "tomography" is from the Greek word "tomos" meaning "slice" or "section" and "graphe" meaning "drawing * A CT imaging system produces cross-sectional images or "slices" of anatomy * Based on the variable absorption of x rays by different tissues *
  • 15. * * Motorized table moves the patient through a circular opening in the CT imaging system * Source of x rays rotates around the inside of the circular opening http://harryallen.info/?p=2826
  • 16. * Source of x rays rotates around the inside of the circular opening * The x-ray source produces a narrow, fan-shaped beam of x rays used to irradiate a section of the patient's body * In typical examinations there are several phases; each made up of 10 to 50 rotations of the x-ray tube around the patient http://www.youtube.com/watch?v=M-4o0DxBgZk http://wn.com/progressive_metal
  • 17. * Founded in 1970 * Godrey Hounsfield * Allan Cormack- devolved algorithms * 1972 First EMI CT scanner * Wimbleton, England http://www.impactscan.org/background.htm
  • 18. * * Patient brought to CT suite * Radiologist positioned him on the table * Straps are utilized to prevent movement * Patients feet facing gantry
  • 19. * Patient is placed on CT table * Scout film (scanogram) is obtained *
  • 20. * * Technologist then sets the parameters and begins scans * 1cm above the patella to mid foot * 2 mm slices * 2mm per second table speed http://www.orthobullets.com/pediatrics/4045/leg-length-discrepancy-lld
  • 21. * Technologist used.. * * Multiplanar reconstruction * Cornal and Sagital planes * Window Settings * Soft Tissue * Bone http://www.offenburger.com/copingwithcancer.asp?link=20100713
  • 22. *
  • 23. * * Patient is brought into surgery suite * Prepped by nurses * Sedated by anesthesiologist * Technologist brings in C-arm * Tech positions C-arm * Plugs arm into machine and monitors http://www.medwow.com/articles/c-arm/tips-for-buying-mobile-c-arm-parts/
  • 24. * * C-arm brought into surgery suite * Image intensifier above patient * Xray source located underneath patient * .5 to 5 mAs used * Low mAs used because of long exposure times * Scout image obtained http://www.hgmhospital.org/departments.htm
  • 25. * * Metal fragments identified and removed * Open reduction internal fixation * http://www.youtube.com/watch?v=qKeJd0j2J4E http://www.zimbio.com/pictures/cxxAnEFqAMW/Frontline+Hospital+Deals+Afghan+Combat+Casualties/z2CXdBxObG7
  • 26. *
  • 27. * * Doctor removed a 10mm x 15mm piece of skin from anterior left thigh * Wound was sutured closed * Skin was then placed over exposed area and stapled http://www.nlm.nih.gov/medlineplus/ency/imagepages/19083.htm http://www.flickr.com/photos/soldiersmediacenter/542492085
  • 28.
  • 29. *
  • 30. * Wheelchair 4 months * Crutches 2 weeks * Physical Therapy 6 months * http://www.usmagazine.com/celebrity-news/news/charlie-sheen-enters-rehab-2011281
  • 31. * * http://www.fda.gov/radiation- emittingproducts/radiationemittingproductsan dprocedures/medicalimaging/medicalx- rays/ucm115318.htm