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CTDave · Posted: Wed May 24, 2006 10:47 am Post subject: head or feet first

I agree!!
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peacemaker · Joined: 08 Sep 2007 Posts: 5 Location: ohio

IMO, you would have to put the patient head first for a head ct because you need the patient's head in the head holder. You would need to put the patient feet first if you were doing a lower extremity. Most other exams can go either way.

ScrmnWoody · Joined: 22 Aug 2007 Posts: 40 Location: Bellingham, WA

For Head, Neck, and upper extremity scanning we put the patient in head first. It's less table travel and for lack of a better term, it just makes sense. Everything else is scanned feet first.

Our exceptions to this would be in situations where a patient has MULTIPLE IVs, ventilator hoses, monitoring equipment, etc. In those cases, I don't care what body part I'm scanning, the patient is going in feet first. It's easier, quicker, and safer than threading all that stuff through the gantry in order to scan the patient head first, then hoping none of it is pulled out of the patient during table movement.
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papa · Posted: Tue Oct 02, 2007 8:43 am Post subject:

a lot of it is also personal preference. when i'm at the hospital, i tend to scan everybody head first, simply for the reason that my room is always ready no matter what kind of patient comes into my room (stroke, ICU, out patient, etc). basically whatever is easier for you.

but to answer the question, i agree, your head and neck scans should be done head first

papa
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Radtechredneck · Joined: 06 Jan 2008 Posts: 5

For the facility at which I work, our couch can only approach so far into the gantry. If I tried to do an A&P head first, I'd probably get cut off before the symphysis pubis, on an adult, at least.

We often have to move pts down with their feet hanging off for a chest, if they are feet first. Our protocol for chests is for feet first...

BTW, my first post here Razz

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