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Chapter 17 - Radiology in the Austere or Disaster Environment

Published online by Cambridge University Press:  23 June 2020

By
David Besachio  and
Daniel Sutton
Edited by
Joseph McIsaac
Edited in association with
Kelly McQueen  and
Corry Kucik
Joseph McIsaac
Affiliation:
University of Connecticut
Kelly McQueen
Affiliation:
University of Wisconsin School of Medicine and Public Health
Corry Kucik
Affiliation:
United States Navy
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Summary

Radiology in the austere environment is an evolving entity. The extent to which the anesthesiologist will have to be aware of issues related to radiology is highly dependent upon the environment in which he or she will work. Capabilities may be limited to a portable ultrasound (US) carried by the provider in a backpack with an imaging screen the size of a modern smartphone to full magnetic resonance imaging (MRI) capabilities that may be seen in higher echelons of care, typically in a military setting. Each modality has its uses and limitations for the anesthesiologist and awareness of the capabilities, safety issues, and limitations of each modality allows maximal extraction of imaging in providing quality care in the “disaster” or austere environment. This chapter will focus on issues related to radiation safety in plain radiography (X-ray) and fluoroscopy, radiation protection, US familiarization, and image quality, and some issues surrounding computed tomography (CT) and MRI.

Type
Chapter
Information
Essentials of Disaster Anesthesia , pp. 157 - 163
Publisher: Cambridge University Press
Print publication year: 2020

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