Emergency chest X-ray procedure at bed

This is an automatically translated article.

This article is professionally consulted by Master, Resident Doctor Tran Duc Tuan - Department of Diagnostic Imaging - Vinmec Central Park International General Hospital.
Emergency bedside chest X-ray is a technique indicated in urgent cases where it is necessary to take X-rays in critically ill patients who are unable to move or move will aggravate the disease, even may even die. This is a popular, minimally invasive technique that is very valuable in diagnosing heart-lung, thoracic, spine,... through X-ray images.

1. What is a chest X-ray?

Cardiopulmonary x-ray is a diagnostic technique based on images taken from an X-ray machine based on the principle of X-rays. In the film, the doctor will see images of the heart, lungs, and airways. breathing, blood vessels and lymph nodes. In addition, this technique also shows the spine and thoracic bones, including the sternum, ribs, collarbone and upper spine. This scan is often used to look for abnormalities inside the chest. Principle of X-ray film: X-ray machine emits X-ray beams - which are high-energy radiation that penetrates soft tissues and body fluids easily with different densities, capable of blocking energy. (X-ray barrier) to produce a relative image of the organization under investigation on film. X-ray films produce "bright-opaque" images that represent solid, liquid or gaseous tissues with different densities that will have different levels of X-ray interference, thereby detecting lesions in many diseases. An emergency chest X-ray at the bed is the use of X-ray equipment that moves to the hospital bed, taken in the lying position of the patient instead of the patient. The bedside emergency X-ray device is a compact, portable device that can be easily moved to the emergency room or patient room. The stand can be moved flexibly.

2. In what cases is an emergency cardiopulmonary X-ray indicated?

Investigation of lung diseases such as suspected pneumonia, lung abscess, pulmonary tuberculosis, chronic obstructive pulmonary disease, effusion, pneumothorax, lung tumor,... in patients with respiratory failure must be mechanically ventilated, breathing oxygen, people who are not able to move. Suspected thoracic-related injuries in closed chest trauma or open chest trauma causing pleural effusion, hemothorax, pneumothorax, rib injury, lung contusion... in patients Multiple trauma, severe respiratory failure,... Investigation of cardiovascular diseases such as congestive heart failure causing acute pulmonary edema, survey of heart size and shape, blood vessels, aortic aneurysm, malformations Congenital, Check the placement of the machine in cardiac interventions such as pacemakers, defibrillators, catheters, ..
X-ray is a quick, convenient, painless, fast, convenient, and painless paraclinical imaging test, which helps to survey simply but also very effectively the body's organs and lesions. bone injury.

3. Note to patients when taking emergency cardiopulmonary X-ray

Patients need to be undressed and put on hospital clothes, need to remove jewelry, watches, glasses or metal objects because it can affect the radiographs. Female patients who are suspected of being pregnant or are pregnant are not allowed to have X-rays because X-rays can affect the development of the fetus, causing birth defects. However, if it is absolutely necessary to take a scan with a pregnant woman to diagnose the disease, the doctor will ask the radiograph technician to take protective measures to reduce the risk of exposure. In addition to the imaging technician, other subjects need to be moved out of the ward to avoid being affected by X-rays. Patients should not be too worried when taking X-rays about the side effects of X-rays due to the amount of X-rays. X is small, not significantly affected.

4. How is the emergency cardiopulmonary X-ray procedure performed?

Preparation
The shooting technician needs a lead shirt, lead apron, lead collar for protection, The patient takes off his shirt, removes jewelry, metal objects, the patient needs to lie still during the scan Yes plan to take emergency chest X-ray at bed The doctor needs to explain the purpose of X-ray to the patient. X-ray to the patient's bedside, introduce, explain to the patient Place the film vertically behind the patient's chest so that the entire patient's chest is in the correct position for the clearest image. Instruct the patient to lie still, back Close to the film, 2 legs straight, 2 legs extended to the sides, adjust the top edge of the cassette 5 cm above the top of the shoulder, align the spine to the center of the film vertically

The distance between the ball and the film is 1m Mark left and right, ask the patient to inhale and then hold their breath if possible to increase the sharpness of the film Carry out beam emission Take the cassette back to the imaging room, shrink the device Proceed Mark your name, adjust your image, print film

6. Where is the best place to take chest X-ray?

Currently, chest X-ray is done for almost all patients when hospitalized for treatment, the film provides a lot of useful information for doctors in treatment. Especially for patients who are severe, difficult or unable to move, performing emergency chest radiographs at bed is very necessary and has many benefits for patients.
In addition, the hospital also has the strength of a team of experienced and qualified medical doctors who not only accurately diagnose the disease but also promptly treat the patient.

Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space. Customers when choosing to perform tests here can be completely assured of the accuracy of test results.
Master, Doctor Tran Duc Tuan is well-trained in the country and many centers have prestigious medical background in the world such as: Australia, Singapore, Thailand... The doctor has many years of experience in the field of medicine. imaging and endovascular and extravascular interventions. Currently, the doctor is working at the Department of Diagnostic Imaging and Interventional Vascular Unit - Vinmec Central Park International General Hospital.
Customers can directly go to Vinmec Health system nationwide to visit or contact the hotline here for support.