[ RadSafe ] In utero dose

[North, David]

That applies only to occupational doses. There are absolutely no dose limits
whatsoever for patients.

David L. North, Sc.M., DABR
Associate Physicist
Medical Physics
Main Bldg. Rm 317
Rhode Island Hospital
593 Eddy St.
Providence, RI 02903
(401)444-5961
fax: (401)444-4446
dnorth at lifespan.org



> ----------
> From: 	radsafe-bounces at radlab.nl on behalf of Flanigan, Floyd
> Sent: 	Tuesday, April 18, 2006 10:44
> To: 	Keith Welch; radsafe at radlab.nl
> Subject: 	RE: [ RadSafe ] In utero dose
> 
> There should be an HP on site at most hospitals. The general rule of
> thumb for In Utero Dose is 500 millirem for the term of the pregnancy,
> but of course all exposure should be kept ALARA. 10CFR20 has additional
> federal limits.
> 
> Floyd W. Flanigan B.S.Nuc.H.P.
> 
> -----Original Message-----
> From: radsafe-bounces at radlab.nl [mailto:radsafe-bounces at radlab.nl] On
> Behalf Of Keith Welch
> Sent: Tuesday, April 18, 2006 8:49 AM
> To: radsafe at radlab.nl
> Subject: [ RadSafe ] In utero dose
> 
> I have some questions for you medical experts.  I'm curious what 
> guidelines are used when there is a case requiring x-rays of a pregnant 
> female.  Let me give you a hypothetical case.  Let's say a woman is 
> injured in an auto accidedent, has some internal injuries and broken 
> bones.  She's 12 weeks pregnant.  To treat her injuries, she needs 
> surgery and a series of radiographs.  Are there generally accepted and 
> well known standards that physicians refer to in order to advise 
> patients and determine a course of treatment?  ARe there risk-based 
> guidelines in place and widely known to general surgeons and 
> practicioners?  How common is it for a surgeon to seek the advice of an 
> HP or MP to assess the risks of such procedures?   My impression of the 
> handling of "routine" x-rays is that if a woman is pregnant, x-rays are 
> always postponed, just to be conservative.  But in a case where there is
> 
> a pressing need to preserve health, how is the decision to conduct the 
> x-rays arrived at?  How are these risks weighed?  What is the typical 
> "standard of care"?  Is there an agreed dose at which the patient is 
> advised to terminate the pregnancy?
> 
> Thanks.
> Keith Welch
> 
> _______________________________________________
> You are currently subscribed to the RadSafe mailing list
> 
> Before posting a message to RadSafe be sure to have read and understood
> the RadSafe rules. These can be found at:
> http://radlab.nl/radsafe/radsaferules.html
> 
> For information on how to subscribe or unsubscribe and other settings
> visit: http://radlab.nl/radsafe/
> _______________________________________________
> You are currently subscribed to the RadSafe mailing list
> 
> Before posting a message to RadSafe be sure to have read and understood
> the RadSafe rules. These can be found at:
> http://radlab.nl/radsafe/radsaferules.html
> 
> For information on how to subscribe or unsubscribe and other settings
> visit: http://radlab.nl/radsafe/
> 
>