Communicating with the family: The risks of medical radiation to conceptuses in victims of major blunt-force torso trauma

Frederick A. Mann, Avery Nathens, Steve G. Langer, Stanford M. Goldman, C. Craige Blackmore

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

Background: Trauma surgeons must balance the risk and benefits of diagnostic radiographic procedures on potentially pregnant patients and should know the range and likelihood of effects that radiation might have on pregnancy. Methods: We present guidelines for assessing such radiation risks. Knowledge of a patient's pregnancy status and an estimate of radiation dose to the conceptus (low, < 10 mGy [milligray]; intermediate, 10-250 mGy; high, > 250 mGy) allow provisional assessment of radiation- induced risks. Results: Dose estimates may be estimated at 2 mGy per exposure (radiographs), 5 mGy per slice (computed tomography), and 10 mGy per minute of fluoroscopy, when the conceptus is within the x-ray field. A formal radiation exposure assessment is appropriate when provisional estimates exceed 10 mGy. Conclusion: A simple qualitative dose assessment can inform clinical decisions and guide appropriate triage to more formal quantitative assessment.

Original languageEnglish (US)
Pages (from-to)354-357
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume48
Issue number2
DOIs
StatePublished - Feb 2000

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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