2.
X-ray equipment
Figure 9: Portable positioning x-ray cushions
What can be used as a positioning cushion?
Positioning cushions must be made of radiolucent material specifically designed for use in
an x-ray department and covered in a material that can easily be cleaned with warm, soapy
water. While it may be possible to support a body part with another item found in the
hospital or x-ray room, these items are rarely completely radiolucent. As their purpose is to
directly support the body in an area within the x-ray beam, a non-radiolucent support can
cover anatomy on a radiograph or produce artefacts that can be interpreted as pathology. A
set of positioning cushions designed for medical use are described in the MSF medical
catalogue.
Several positioning cushions should be available in each x-ray department in different
shapes and sizes. The following dimensions can be used as a guide:
– 18 x 12 x 18 cm
– 7.5 x 7.5 x 18 cm
– 18 x 7.5 x 18 cm
– 18 x 18 x 48 cm
2.4.4 Immobilisation device
When do I use an immobilisation device?
An immobilisation device, such as a sandbag, can be used to limit the movement of a patient
when taking an x-ray. As the object is heavier than a positioning sponge, it can apply
adequate pressure to hold a body part in place.
Figure 10: Immobilisation device
Why are there no immobilisation devices in the MSF medical catalogue?
Sandbags can easily be made locally and as they are placed outside of the x-ray beam, there
are fewer restrictions to their material or design. Ensure that the sandbags are adequately
sealed and use a cover material that can easily be cleaned with warm, soapy water. The
material does not have to be made of radiolucent material as they should always be used
outside of the x-ray beam.
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