Radiation protection

[myrandom2003]

Attenutech is having that sale.

What is your standard fluoro attire other than lead apron/vests?

Anyone using X-ray gloves or a lead hat?

Favorite lead glasses?

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[RoloTomassi]

Annutech is having that sale.

What is your standard fluoro attire other than lead apron/vests?

Anyone using X-ray gloves or a lead hat?

Favorite lead glasses?

Big step back between shots makes the biggest difference. My numbers are way lower than my partner's and we do same volume, very similar technique, except he doesn't step back.

Nike Brazen glasses. No gloves or hat--hands not sensitive to radiation, hat offers negligible protection if any.

 

[deleted875186]

We have a standing plexiglass lead panel with arm holes I wheel right up to the patient, I wear lead vest and glasses as well behind it.

 

[cowboydoc]

Oakley five squared leaded glasses.

 

[jayel]

We have a standing plexiglass lead panel with arm holes I wheel right up to the patient, I wear lead vest and glasses as well behind it.

Which lead panel with arm holes do you use?

 

[pastafan]

Rolling lead screen used for laterals only.

 

[deleted875186]

Which lead panel with arm holes do you use?

I’ll get the brand name next week, I actually can’t even find a picture online of the one we use.

Would highly recommend though, takes a little while to get used to, but if you take a step back before X-rays anyway, why not just take a step back and go behind a screen?

 

[strike5858]

Annutech is having that sale.

What is your standard fluoro attire other than lead apron/vests?

Anyone using X-ray gloves or a lead hat?

Favorite lead glasses?

Never heard of this company, do you have a link to the website?

 

[geauxg8rs]

Never heard of this company, do you have a link to the website?

Attenutech.com

 

[RoloTomassi]

Anyone know much about lead vs lead-free? Seems like lead-free like Xenolite is lighter and probably more expensive but is there a downside, like less protection?

 

[Orin]

I’ll get the brand name next week, I actually can’t even find a picture online of the one we use.

Would highly recommend though, takes a little while to get used to, but if you take a step back before X-rays anyway, why not just take a step back and go behind a screen?

My Shield Mobile Lead Barrier

My Shield personal mobile barrier features: 24" x 48" clear lead acrylic (0.5LE) with arm "Wrap Around" cutouts. Height adjustable from 62" to 72" Small footprint with locking casters Foot activated height adjustment release Telescoping tube with locking gas spring Maneuvering bar fro mobility...

www.zzmedical.com

Is it this one?

 

[Orin]

Anyone know much about lead vs lead-free? Seems like lead-free like Xenolite is lighter and probably more expensive but is there a downside, like less protection?

In general, the lead-free ones use a mix of lighter metals to get similar protection at low energy but lose the protection at high energy ranges. Most C-arms go up to 120 kVp. I wouldn't stress the differences at high energies as your spine will appreciate you more before the cancer gets you.

Is your thyroid shield protecting you? Tips for selecting the best collars

Thyroid Shields: Are you protected? Your thyroid shield (or thyroid collar) is an essential part of your radiation protection gear Most people reading this wear a thyroid shield almost daily. I’d like to spend some time discussing tips on getting the most out of your shield

burmed.com

 

[afob100]

Lead free products are worse for protecting from scatter. The good lead free ones (see Infab 0.5mm lead equivalent) is nearly as heavy as regular lead (for a reason). There is no escaping the weight if you want full protection. That being said, the exposure for interventional pain procedures is low in general especially if you step away during lateral shots.

 

[deleted875186]

My Shield Mobile Lead Barrier

My Shield personal mobile barrier features: 24" x 48" clear lead acrylic (0.5LE) with arm "Wrap Around" cutouts. Height adjustable from 62" to 72" Small footprint with locking casters Foot activated height adjustment release Telescoping tube with locking gas spring Maneuvering bar fro mobility...

www.zzmedical.com

Is it this one?

Yes, ours is much older, but that is the style.

 

[mid|ine]

I have posted here before, but I place "lead" drapes OVER the patient, above and below the field, to reduce scatter leaving the patient. My levels are undetectable and I do over 300+ procedures per month.

 

[lobelsteve]

I have posted here before, but I place "lead" drapes OVER the patient, above and below the field, to reduce scatter leaving the patient. My levels are undetectable and I do over 300+ procedures per month.

300 procedures a month?
So 15 per day every working day?

 

[mid|ine]

I don't do procedures every day of the week, but on average yes. I have about 3 procedure days a week and do about 32-40 procedures per full day.

 

[myrandom2003]

I have posted here before, but I place "lead" drapes OVER the patient, above and below the field, to reduce scatter leaving the patient. My levels are undetectable and I do over 300+ procedures per month.

Can you post a picture?

 

[mid|ine]

Can you post a picture?

Occupational hand radiation

I am admittedly careless at times with my hands in the path of the x-ray during fluoroscopic procedures. I am otherwise careful with radiation safety, wearing lead glasses, taking a step back during laterals, generally avoiding live fluoro, etc. I was led to believe that incidental exposure to...

forums.studentdoctor.net

 

[myrandom2003]

Occupational hand radiation

I am admittedly careless at times with my hands in the path of the x-ray during fluoroscopic procedures. I am otherwise careful with radiation safety, wearing lead glasses, taking a step back during laterals, generally avoiding live fluoro, etc. I was led to believe that incidental exposure to...

forums.studentdoctor.net

Do you remember where you got the drapes?

 

[deleted875186]

I don't do procedures every day of the week, but on average yes. I have about 3 procedure days a week and do about 32-40 procedures per full day.

You wipe down these drapes after every patient? Or use extra sheets?

 

[Orin]

I have posted here before, but I place "lead" drapes OVER the patient, above and below the field, to reduce scatter leaving the patient. My levels are undetectable and I do over 300+ procedures per month.

Image Intensifier Drape

Image Intensifier drapes secures easily with adhesive hook and loop. Provides 0.5mm Pb equiv protection. Layered split panels to provide flexibility and movement during imaging procedures. . Shown here as 42" wide and 10" long but can customize drapes for any image intensifier circumference...

www.zzmedical.com

If it weren't for the ? sterility issues, I might consider something like this as more reasonable.

If only someone made something like that that was able to be sterilized, see through, and still protective. Maybe a system of transparent lead acrylic beads or long flaps.

With the shielding/draping you're describing mid|ine, I'm confused as to how you significantly drop your own exposure. The lead skirts for sure would help, but the patient draping isn't computing for me.

 

[mid|ine]

We wipe them down and put a chuck pad under them.

They are NOT in the sterile field.

Most exposure for the pain physician is from scatter. Places over the patient, these drapes dramatically reduce the amount of scatter coming out of the TOP and SIDE of the patient to the physician. Drapes below reduce the scatter from below the table.