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Erschienen in: Irish Journal of Medical Science (1971 -) 2/2015

01.06.2015 | Original Article

Radiation safety knowledge and practices among Irish orthopaedic trainees

verfasst von: M. Nugent, O. Carmody, S. Dudeney

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 2/2015

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Abstract

Introduction

Fluoroscopy is frequently used in orthopaedic surgery, particularly in a trauma setting. Exposure of patients and staff to ionising radiation has been studied extensively; however, little work has been done to evaluate current knowledge and practices among orthopaedic trainees.

Aims

This study aimed to investigate the knowledge and practices of Irish orthopaedic trainees regarding use of ionising radiation.

Methods

A confidential internet-based survey on workplace radiation safety practices was distributed via email to 40 higher specialist trainees. Questions included related to radiation safety training and regular work practices.

Results

A total of 26 trainees completed the questionnaire (65 % response rate). All reported regular exposure to ionising radiation. Compliance with body shields was high (25, 96 %), however, other protective measures such as thyroid shields were less frequently employed. The ‘as low as reasonably achievable principle’ was practised regularly by 14 (54 %). Radiation safety training was variable—while just over half (14) respondents felt adequately trained in radiation safety, 17 (65 %) had attended a radiation protection course. Use of dosimeters was particularly poor, with only 4 (15 %) using them regularly and most citing lack of availability as the main barrier.

Conclusion

Although most Irish orthopaedic trainees have some knowledge regarding radiation safety, many do not regularly use all available measures to reduce exposure to ionising radiation. Barriers to use of protective mechanisms include lack of availability and perceived impracticality.
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Literatur
1.
Zurück zum Zitat Kesavachandran CN, Haamann F, Nienhaus A (2012) Radiation exposure of eyes, thyroid gland and hands in orthopaedic staff: a systematic review. Eur J Med Res 17:28CrossRefPubMedCentralPubMed Kesavachandran CN, Haamann F, Nienhaus A (2012) Radiation exposure of eyes, thyroid gland and hands in orthopaedic staff: a systematic review. Eur J Med Res 17:28CrossRefPubMedCentralPubMed
2.
Zurück zum Zitat Linet MS, Slovis TL, Miller DL, Kleinerman R, Lee C, Rajaraman P, Berrington de Gonzalez A (2012) Cancer risks associated with external radiation from diagnostic imaging procedures. CA Cancer J Clin. doi:10.3322/caac.21132 Linet MS, Slovis TL, Miller DL, Kleinerman R, Lee C, Rajaraman P, Berrington de Gonzalez A (2012) Cancer risks associated with external radiation from diagnostic imaging procedures. CA Cancer J Clin. doi:10.​3322/​caac.​21132
3.
Zurück zum Zitat Worgul BV, Kundiyev YI, Sergiyenko NM, Chumak VV, Vitte PM, Medvedovsky C et al (2007) Cataracts among Chernobyl clean-up workers: implications regarding permissible eye exposures. Radiat Res 167(2):233–243CrossRefPubMed Worgul BV, Kundiyev YI, Sergiyenko NM, Chumak VV, Vitte PM, Medvedovsky C et al (2007) Cataracts among Chernobyl clean-up workers: implications regarding permissible eye exposures. Radiat Res 167(2):233–243CrossRefPubMed
4.
Zurück zum Zitat Rehani MM, Ciraj-Bjelac O, Vano E, Miller DL, Walsh S, Giordano BD et al (2010) ICRP Publication 117. Radiological protection in fluoroscopically guided procedures performed outside the imaging department. Ann ICRP 40(6):1–102CrossRefPubMed Rehani MM, Ciraj-Bjelac O, Vano E, Miller DL, Walsh S, Giordano BD et al (2010) ICRP Publication 117. Radiological protection in fluoroscopically guided procedures performed outside the imaging department. Ann ICRP 40(6):1–102CrossRefPubMed
5.
Zurück zum Zitat Soylemez H, Sancaktutar AA, Silay MS, Penbegul N, Bozkurt Y, Atar M et al (2013) Knowledge and attitude of European urology residents about ionizing radiation. Urology 81(1):30–35CrossRefPubMed Soylemez H, Sancaktutar AA, Silay MS, Penbegul N, Bozkurt Y, Atar M et al (2013) Knowledge and attitude of European urology residents about ionizing radiation. Urology 81(1):30–35CrossRefPubMed
6.
Zurück zum Zitat Friedman AA, Ghani KR, Peabody JO, Jackson A, Trinh QD, Elder JS (2013) Radiation safety knowledge and practices among urology residents and fellows: results of a nationwide survey. J Surg Educ 70(2):224–231CrossRefPubMed Friedman AA, Ghani KR, Peabody JO, Jackson A, Trinh QD, Elder JS (2013) Radiation safety knowledge and practices among urology residents and fellows: results of a nationwide survey. J Surg Educ 70(2):224–231CrossRefPubMed
7.
Zurück zum Zitat Khan F, Ul-Abadin Z, Rauf S, Javed A (2010) Awareness and attitudes amongst basic surgical trainees regarding radiation in orthopaedic trauma surgery. Biomed Imaging Interv J 6(3):e25CrossRefPubMedCentralPubMed Khan F, Ul-Abadin Z, Rauf S, Javed A (2010) Awareness and attitudes amongst basic surgical trainees regarding radiation in orthopaedic trauma surgery. Biomed Imaging Interv J 6(3):e25CrossRefPubMedCentralPubMed
8.
Zurück zum Zitat Hafez MA, Smith RM, Matthews SJ, Kalap G, Sherman KP (2005) Radiation exposure to the hands of orthopaedic surgeons: are we underestimating the risk? Arch Orthop Trauma Surg 125(5):330–335CrossRefPubMed Hafez MA, Smith RM, Matthews SJ, Kalap G, Sherman KP (2005) Radiation exposure to the hands of orthopaedic surgeons: are we underestimating the risk? Arch Orthop Trauma Surg 125(5):330–335CrossRefPubMed
9.
Zurück zum Zitat Sanders R, Koval KJ, DiPasquale T, Schmelling G, Stenzler S, Ross E (1993) Exposure of the orthopaedic surgeon to radiation. J Bone Joint Surg Am 75(3):326–330PubMed Sanders R, Koval KJ, DiPasquale T, Schmelling G, Stenzler S, Ross E (1993) Exposure of the orthopaedic surgeon to radiation. J Bone Joint Surg Am 75(3):326–330PubMed
10.
Zurück zum Zitat Goldstone KE, Wright IH, Cohen B (1993) Radiation exposure to the hands of orthopaedic surgeons during procedures under fluoroscopic X-ray control. Br J Radiol 66(790):899–901CrossRefPubMed Goldstone KE, Wright IH, Cohen B (1993) Radiation exposure to the hands of orthopaedic surgeons during procedures under fluoroscopic X-ray control. Br J Radiol 66(790):899–901CrossRefPubMed
11.
Zurück zum Zitat Mehlman CT, DiPasquale TG (1997) Radiation exposure to the orthopaedic surgical team during fluoroscopy: “how far away is far enough?”. J Orthop Trauma 11(6):392–398CrossRefPubMed Mehlman CT, DiPasquale TG (1997) Radiation exposure to the orthopaedic surgical team during fluoroscopy: “how far away is far enough?”. J Orthop Trauma 11(6):392–398CrossRefPubMed
12.
Zurück zum Zitat Dewar C (2013) Occupational radiation safety. Radiol Technol 84(5):467–486 (quiz 87–9)PubMed Dewar C (2013) Occupational radiation safety. Radiol Technol 84(5):467–486 (quiz 87–9)PubMed
13.
Zurück zum Zitat (1999) Occupational radiation protection. IAEA Safety Standards Series: International Atomic Energy Agency, Vienna (1999) Occupational radiation protection. IAEA Safety Standards Series: International Atomic Energy Agency, Vienna
14.
Zurück zum Zitat Best PJ, Skelding KA, Mehran R, Chieffo A, Kunadian V, Madan M et al (2011) SCAI consensus document on occupational radiation exposure to the pregnant cardiologist and technical personnel. EuroIntervention 6(7):866–874CrossRefPubMed Best PJ, Skelding KA, Mehran R, Chieffo A, Kunadian V, Madan M et al (2011) SCAI consensus document on occupational radiation exposure to the pregnant cardiologist and technical personnel. EuroIntervention 6(7):866–874CrossRefPubMed
Metadaten
Titel
Radiation safety knowledge and practices among Irish orthopaedic trainees
verfasst von
M. Nugent
O. Carmody
S. Dudeney
Publikationsdatum
01.06.2015
Verlag
Springer London
Erschienen in
Irish Journal of Medical Science (1971 -) / Ausgabe 2/2015
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-014-1121-4

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