Plain Films - Skull
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The main challenge when imaging babies' heads is immobilisation.
- Explain to caregivers why this will be necessary and how it will be done.
- Ensure tube centred and positioned, cassette in place and exposure set before you start.
- Remove from child any clothing that might impinge on x ray (T shirts with shoulder buttons, clothes with collars, hoods, etc)
- Wrap baby firmly in draw sheet and tuck ends under baby. Have parent hold baby's head with head holders while leaning arm on baby's body to keep him/her still - or one parent to each job. Have them talk soothingly to baby.
- It can be useful to place Pb apron over baby's body to aid immobilisation - also good for radiation protection.
- Images can be taken in the bucky or, for smaller babies,
non-bucky with head directly on the cassette.
Routine views are:
LAT SXR brow up with horizontal ray
Toddlers and some older children may still have to be restrained as above, but if the child is co-operative, views can be taken erect against the upright bucky. Use AEC.
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- Date last published: 28 October 2017
- Document type: Imaging Protocol
- Services responsible: Paediatric Radiology
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Visit the Alliance for Radiation Safety in Paediatric Imaging to learn about the 'image gently' campaign