![]() ![]() Surprisingly, 62% of respondents did not believe any additional protection was required in pregnancy. 96% of respondents used lead aprons, but a much lower percentage used thyroid shields or dosimeters. 69% were aware of the As Low As Reasonably Achievable (ALARA) principle to reduce radiation exposure. Only 65% of trainees reported attending a radiation safety course at some point in their training. A recent survey of Irish Orthopaedic trainees demonstrated low compliance with several important techniques in reducing radiation exposure. ![]() Radiation safety and proper c-arm use instruction varies greatly from residency training site to residency training site. Current protocols for intraoperative radiation safety in orthopaedic training This review article will outline the basics of fluoroscopy and educate on how to best utilize this tool. Many training sites have no orthopaedic training in radiation safety. Furthermore, there is no standardized curriculum in orthopaedic residency training in teaching radiation safety. Currently, there are no universally accepted guidelines for minimizing radiation exposure in the operating room. Effective communication with the technician allows efficient acquisition of images with decreased risk to the patient and staff. By learning the basics of how a c-arm operates, one may better understand how to obtain useful images. Although fluoroscopy is utilized on a daily basis, there is a paucity of knowledge by the average orthopaedic trainee in terms proper usage and safety. One of the most valuable tools in an orthopaedic surgeon’s armamentarium is the fluoroscopic imaging (c-arm) unit. This review article will outline the basics of fluoroscopy and educate the reader on how to safe fluoroscopic image utilization. In Europe, studies have also exhibited a lack of standardized teaching on the basics of radiation safety in the operating room. Currently, in the United States, guidelines for teaching radiation safety in orthopaedic surgery residency training is non-existent. This knowledge ensures that the amount of radiation exposure is as low as reasonably achievable. Personal protective equipment, proper positioning, effective communication with the radiology technician are just of few of the ways outlined in this article to decrease the amount of radiation exposure in the operating room. There is a paucity of knowledge by the average orthopaedic resident in terms proper usage and safety. The benefits of fluoroscopy are not without risk of radiation to patient, surgeon, and operating room staff. The use of fluoroscopy has become commonplace in many orthopaedic surgery procedures. ![]()
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