25 provides technologists with the necessary technical and professional skills to practice in our dynamic profession. Incorporation of high impact practices within our curriculum will allow for deeper student learning, higher student engagement, and increased application which will benefit patient care. 8. GENERAL RADIOGRAPHY 8.1. Radiographer in field hospital Presenter: Nina Nieminen, Päijät-Hämeen Sosiaali-ja terveysyhtymä, Lahti, Finland Author: Nina Nieminen Introduction: The International Red Cross assists in many different situations. Help is often needed after an earthquake, tsunami or war. I have been part of the Finnish Red Cross International Reserve since 2006. In January 2010, a massive earthquake rattled Haiti. The International Red Cross decided to send field hospital to Haiti. Part of the hospital equipment and staff flew on a charter flight from Helsinki via Berlin to Haiti. Our hospital was quite large (started with 120 beds) and it had everything: outpatient department, intensive care unit, wards, laboratory, x-ray, pharmacy, operating room and sterilization. The hospital grounds also included sleeping tents for the staff. The x-ray tent had its own detailed layout and the logistics team helped me set it up. The x-ray machine I used was a Siemens Polymobil III. The developing system (table model) was old-fashioned, but it worked. The developing system was integrated into a “darkroom”, which was actually just a dark tent. Radiation protection was also taken care of. The process for treating patients was simple. Patients first went to registration, then to see a doctor and finally to the x-ray area. Usually only ap/pa was taken (for example thorax, hip, leg). Hip and pelvis fractures were extremely common. People in Haiti do not speak English, so I had my own interpreter. I stayed in Haiti close to five weeks. Our hospital was open 24 hours a day, 7days a week with no days off. I carried a radio with me at all times because I was the only radiographer at the hospital. Not very many radiographers are interested in working and living in these types of difficult and extreme conditions. It is very challenging, but at the same time rewarding. Methods: In field hospital radiographer is responsible for x-ray tent and ultrasound machine. Radiographers job is to take basic x-rays and be part of hospital staff. Results: To be part of Red Cross International reserve is one way to help people. Working in field hospital is really team work: everybody helps each other. In this way you can connect your work and free time. Radiographer needs many skills to get good x-ray. Basic knowledge from anatomy and good technical skills gives you good basic to work. Working in difficult and different conditions is challenging, but when you get good photo, it is rewarding for everybody. 8.2. Practicing Forensic Radiology after a Natural Disaster: A Radiographer’s experience in Haiti Presenter: James Temme, University of Nebraska Medical Center, U.S.A Author: James B. Temme Introduction: On January 12, 2010 a 7.0 earthquake devastated the city of Port au Prince, Haiti, leaving at least 230,000 dead, 200,000 injured and one million homeless. The aftermath overwhelmed the Haitian government of this impoverish country. Massive aid poured into Haiti from many countries, including the USA. Many of the dead were United States citizens who needed to be recovered and identified. To help in the process of recovering and identifying the remains of American citizens, the Disaster Mortuary Operational Response Team (DMORT), a unit of the National Disaster Medical System (NDMS) of the United States government was deployed. DMORTs are composed of private citizens, each with a particular field of expertise, who are activated in the event of a disaster. The Radiographer plays a major role as a member of this team. DMORT’s role in Haiti, the interdisciplinary team members and their responsibilities with specific emphasis on the role of the Radiographer will be discussed in this presentation. The difficulties poised in performing this type of US government operation in another country in the immediate aftermath of a natural disaster are presented. The personal experiences of a radiographer during his two week experience in Haiti as a member of DMORT are discussed. The types of radiographic equipment, imaging receptors and positioning techniques utilized will be presented. Conclusions: Using radiography to help identify deceased individuals or human remains is a landmark contribution to forensic science. For many years forensic pathologists have used radiography to acquire a permanent record of part of a deceased person’s anatomy and pathology before performing an autopsy. Radiographic images are a representation of the patient’s anatomic structures and serve various purposes. Comparison of ante mortem and postmortem images may be useful. 8.3. Radiology in Haiti: Challenges and Rewards in a Developing Country Presenter: Barb Tomasini, Saint Alphonsus Regional Medical Center, U.S.A Author: Barb Tomasini Introduction: In 1997, I assessed radiology capabilities at Saint Damien's Hospital in Port au Prince, Haiti. Because of extreme poverty, donated equipment and a volunteer team of experts were utilized to establish a radiology department at St Damien's. Since that time x-ray has expanded from portable film x-ray and chemical processing to digital imaging. Digital radiology remains successful at Saint Damien’s, Haiti. There are now multiple, diagnostic modalities and the number of digital procedures has increased significantly. Through the generosity of radiologists, teleradiology services were donated after 2010 earthquake. Methods: The successful progression of portable x-ray to digital imaging in Haiti required a combination of clinical skill, generosity, trust, fortuitous construction, and shared commitments in the face of technological, cultural and natural challenges. Results: Radiology is possible in developing countries. Challenges including the 2010 earthquake are discussed. Subsequent rewards are outlined. Radiology has provided a better diagnostic healthcare experience at St. Damien's Hospital. Critical thinking with a passion to help in developing countries is a positive option for radiographers. Ongoing commitment to radiographer education in Haiti is a future goal that will help provide sustainability for Haiti’s radiology future. 8.4. The technical studies of measurement and calculation method of coordinate localization of intraocular foreign bodies with DR Presenter: Xinpei Chen, The First People's Hospital of Xuzhou, China Authors: Chen Xinpei ,Dai Xiuhong Introduction: Eye foreign body is a kind of common traumatic eye disease. In recent years, along with the increase in individual companies and for insufficient recognition of safety protection work with the eye, eye foreign body has a tendency to increase. There are multiple ways of ocular foreign body positioning, such as CT, DR, B can be fixing the eye foreign body check to wait. DR ocular foreign body positioning can provide clinical foreign bodies in the corneal limbus, up and down depending on the shape axis, such as nasal temporal side is before and after the axis and the relevant values, especially use of DR image post-processing workstation advanced image post-processing software, can be adjusted for density and magnification, etc., also can carry on the measurement and calculation of the foreign body image, make the previous low density smaller foreign bodies are able to better show up, make up for the deficiency of the traditional X-ray. Methods: Taken the eye socket is lateral slice in the patients after the implementation of the ocular surface anesthesia put starting after the balloon inside the locator, measure the coordinate values of foreign bodies in the image workstation. Results: The coordinates positioning effect of intraocular foreign bodies with DR whether positioning diagnostic data information, X-ray radiation dose, deformation and distortion of foreign bodies, and screening patients expenditures, DR inspection techniques are not as inferior as CT examination technology, therefore DR which used to check the metallic eye foreign body positioning should be as the preferred method to promote and applications.
ISRRT | Book Of Abstracts
To see the actual publication please follow the link above