Paediatric Radiography Flashcards
Who is part of the paediatric team?
- Band 6 radiographers
- Radiologists
- Healthcare Support Worker
- Anaesthetists
- Anaesthetic Nurse
- Medical Physicist
What are qualities of a paediatric team
- Patience
- Team Player
- Problem Solver
- Good Communicator and Listener
- Empathetic and Kind
- Creative
- Able to switch off
How should the paediatric imaging department be prepared?
- Have fun activities prior to the X-ray
- Child friendly environment
- Happy, Welcoming Staff
- Avoid Delays if Possible
- Have a Plan Before the Child Enters
- Have “Tools of the Trade” to hand
- Rewards at the Ready!
Describe immobilisation of Paediatrics
- Differs depending on the age of the child
- May require holding by parent or staff memeber
- Be conscious of previous trauma
- Make the child feel safe
- Keep the environment calm
- Positive Affirmations
Why is Radiation Protection in Paediatrics
A child’s cells grow more rapidly therefore their tissues are more sensitive to radiation damage
- Lead protection is not often used
How to reduce radiation in paediatrics
- Justification
- Minimal Repetition
- Alternative imgaeing modalities: MRI and Ultrasound
Why is PA chest instead of AP
the heart size cannot be measured and scapulae are not off lung field
Describe the Lateral Decubitus
Instead of an erect CXR in babies when looking for free air under the diaphragm, the baby will lie on a pad on their left side with the cassette at their back and horizontal beam projected to the chest
State paediatric chest pathologies
- Cystic Fibrosis
- Congenital Diaphragmatic Hernia
- Tuberculosis
- Malignancy
Describe the Frog Leg Lateral Position
- The affected limb is flexed at the knee approximately 30 to 40 degrees and the hip is abducted 45 degrees
- If unilateral the heel of the affected limb should rest against the medial aspect of the contralateral knee
-Both knees are to be resting on sponges, giving the appearance of “Frog Legs”
State pelvic pathologies in paediatrics
- Development Dysplasia Hip (DDH)
- Slipped Upper Femoral Epiphysis
- Perthes disease
State common paediatric fluoroscopy procedures
- Barium / Water Soluble Enemas / Meals / Swallows
- Micturating Cystourethrogram: reflux in their ureters / watch child pee out to see if they have anything
- Intussusception Reduction: Air blown up the bum
What are Paediatric theatre considerations
- ID check
- Justification
- LMP
- Radiation Protection
What are the 2 roles in child protection
- Safeguarding
- Imaging
Define child abuse
When someone causes or fails to prevent significant harm to a child
- Physical
- Sexual
- Emotional
- Neglect
