Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
The bleeding frogs
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
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
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
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
*
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
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
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
