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Abstract
Diagnostic radiology plays an important role in the evaluation of disaster casualties;
these are referred to X-ray departments, shortly after their arrival at hospital,
in large numbers, frequently overwhelming facilities and resources of the department.
The study of relevant literature and the experience of the authors suggest that there
are implications for design, planning and organization of X-ray departments to be
considered in disaster-prone areas. Departments should be sited as near as possible
to triage areas, on the same floor, with broad, unobstructed passages. There should
be provision for easy passage of equipment and trolleys through doors and corridors
and large circulation areas, working rooms and waiting spaces with plugs, for electricity,
piped oxygen and suction and devices for hanging infusion sets. Two entrances to the
department would enable one-way flow through the department.
All work should be done in the department and examinations performed with mobile units
avoided. A radiologist at the entrance to the department and a control post at the
exit ensure adequate processing of casualties. Interpretation and reporting should
be done by assigned radiologists dictating directly to typists; films and reports
should accompany casualties.
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Article info
Publication history
Accepted:
November 24,
1986
Identification
Copyright
© 1987 Published by Elsevier Inc.