Dr Orth And Goske Pediatric Radiation Protection

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Introduction
Radiation protection is a vital topic and when it comes to children, it’s necessity cannot be stressed enough. As a result of the quantity of CT scans on children multiplying 20-fold since 1980, the subject of pediatric radiation protection has expanded into a more public domain (Orth & Goske, 2009). Dr.Orth and Dr.Goske discuss the topic of pediatric radiation protection in regards to computed tomography. They are just a minor part of a great campaign called “Image Gently” that encourages awareness of pediatric radiation protection (Orth & Goske, 2009). Dr,Orth and Dr.Goske do an excellent job of highlighting some of the key topics of this subject from why children are more sensitive to how radiation it affects parents. This essay …show more content…

According to Orth & Goske, 2009, the effective dose of a pediatric chest CT exam is 300 times that of a plain chest radiograph. The author poses the point that pediatric patients receive a higher dose than necessary if an adult technique is set; Children likely receive a higher dose from an adult technique due to the larger size setting (National Cancer Institute, n.d.). This was confirmed by a study that simulated the doses on phantom subjects. Due to the way CT delivers radiation in a rotating fashion, the dose at the center of a patient’s body is less than the dose received at the surface (Orth & Goske, 2009). This would mean the thicker a patient is, the more dose is absorbed before it reaches the midpoint or core of the body, effectively lowering a patient’s core dose. Pediatric patients are naturally smaller than their adult counter-parts, so they likely receive a higher core dose of radiation from each CT study. The specific pediatric organs susceptible to radiation are outlined well by the authors. The audience will find it easy to process information on radiation, because the authors compare it to everyday background …show more content…

This can be a difficult subject to discuss with anyone due the complexity of CT physics and radiation. It is important to discuss the very real risk with a parent without scaring them. It is important to stress that while the risk is real it is still unlikely. Having something to compare the risk to may make it easier for parents to understand. The authors offer up statistics regarding car and plane accidents as an example. You can also explain to a parent the benefit of scanning a patient who is clearly injured to determine the extent of the damage versus alternatives like exploratory surgery. The authors share a valid point that you can share with parents, that regardless of radiation exposure there is a baseline risk of 40% for people in the United States to develop cancer (Orth & Goske, 2009). As recommended at the end of the presentation, the audience should take a look at the Image Gently brochure to improve their ability to answer questions regard pediatric CT. For example, after looking over the brochure, you can explain that although a scan may be negative the parent did not make a bad decision. There is still benefit to performing a CT scan, because it can avoid additional unnecessary procedures (Image Gently, n.d.). The brochure has additional information about pediatric CT in a format that would be easy

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