Document Detail

Radiation dose from initial trauma assessment and resuscitation: review of the literature.
MedLine Citation:
PMID:  19399211     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Trauma care benefits from the use of imaging technologies. Trauma patients and trauma team members are exposed to radiation during the continuum of care. Knowledge of exposure amounts and effects are important for trauma team members.
METHODS: We performed a review of the published literature; keywords included "trauma," "patients," "trauma team members," "wounds," "injuries," "radiation," "exposure," "dose" and "computed tomography" (CT). We also reviewed the Board on Radiation Effects Research (BEIR VII) report, published in 2005 and 2006.
RESULTS: We found no randomized controlled trials or studies. Relevant studies demonstrated that CT accounts for the single largest radiation exposure in trauma patients. Exposure to 100 mSv could result in a solid organ cancer or leukemia in 1 of 100 people. Trauma team members do not exceed the acceptable occupation radiation exposure determined by the National Council of Radiation Protection and Management. Modern imaging technologies such as 16- and 64-slice CT scanners may decrease radiation exposure.
CONCLUSION: Multiple injured trauma patients receive a substantial dose of radiation. Radiation exposure is cumulative. The low individual risk of cancer becomes a greater public health issue when multiplied by a large number of examinations. Though CT scans are an invaluable resource and are becoming more easily accessible, they should not replace careful clinical examination and should be used only in appropriate patients.
Catherine M Hui; John H MacGregor; Homer C Tien; John B Kortbeek
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  52     ISSN:  1488-2310     ISO Abbreviation:  Can J Surg     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-28     Completed Date:  2009-05-21     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  147-52     Citation Subset:  IM    
Division of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary, Alta.
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MeSH Terms
Fetus / radiation effects
Neoplasms, Radiation-Induced
Occupational Exposure
Radiation Dosage*
Tomography, X-Ray Computed
Wounds and Injuries / radiography*

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