This past weekend I was invited to present the findings of a study I did with my friend and colleague, Emanuel Kanal. Among his many accolades and credentials, Manny Kanal is the Chair of the ACR MR Safety Committee, a fellow of the ACR and ISMRM, and a neuroradiologist at the University of Pittsburgh Medical Center. The study had a two-part mission, first to review and categorize 18 months of the FDA’s MRI accident data, and second to compare each of these adverse events against existing best-practice standards for MRI safety. The results of the analysis were both stunning, and disheartening…
Posts Tagged ‘video’
I have a serial weakness for medical dramas. I get sucked-in and watch for a couple of seasons before the absurdity catches up with me. With respect to MRI, it seems that 99% of the time the shows are so wildly off-base that it seems that each must outdo its own crazy scenarios (and those of the other medical dramas) to come up with a new MRI-related plot gimmick.
But then, typically after I’ve lost all hope of seeing anything that approaches reality, something plausible and even downright real is shown on one of these programs…
You know, they’d be funny if they didn’t so often result in injuries to patients, Technologists, or housekeeping personnel. Yes, I’m talking about the plethora of MRI missile effect accident images that you can find scattered across the internet.
As everyone who’s spent more than an hour or two around an MRI knows, these super high-strength magnets have a reputation for ‘sucking-in’ ferromagnetic materials that are so prevalent in wheelchairs, gurneys, gas cylinders, fire extinguisher, and carts.
In the last few years, there’s been a spate of floor polishers that have found their way into MRI scanners across the country…
But while there’s a nearly universal urge to snicker at these images, it is important to realize two crucial things about each and every projectile accident.
First: Each and every MRI missile effect accident is theoretically 100% avoidable. By prospectively identifying the ferromagnetic nature of materials before they’re brought into the MRI suite, none of these need to happen. By following best practices including the ACR’s Guidance Document, or the Joint Commission Sentinel Event Alert, and deploying ferromagnetic detection screening of all people and materials approaching the MRI scanner, it is possible to prevent projectile accidents.
Second: Each and every ferromagnetic projectile incident has all the ingredients for injury. While there is only one official account of a projectile-related fatality, there are many, many reports of injury, a good number of which have been severe. And given the abysmal rates of MRI accident reporting, it’s entirely believable that other anecdotal accounts of MRI-projectile fatalities are more fact than fiction.
These projectile accidents are more commonplace, and more dangerous than many are aware. So what can you can do to avoid becoming a part of the MRI missile accident scrapbook? Start by reviewing all of your MRI safety protocols, and consider deploying ferromagnetic detection screening for each and every MRI.Tobias Gilk, President & MRI Safety Director Mednovus, Inc. Tobias.Gilk@Mednovus.com www.MEDNOVUS.com
PS: If you’d like to find more pictures, and even a video or two, on MRI accidents, I encourage you to check out www.SimplyPhysics.com/flying_objects.html
A new computer animation on MRI screening has been making the rounds in both the 3D animation realm and the MRI safety arena. The more interesting (to me at least) is the virtual MRI accident with a floor polisher…
The full video (from which the still above was taken) is available at the Imagylis website (http://www.patiencys.com/mri-safety/). The MRI patient screening video is also available at the same website, but on its own page (http://www.patiencys.com/mri/).
Maybe, with all of the recommendations for the use of ferromagnetic detection, they’ll recreate the accident video to demonstrate how how such an accident might be averted with the effective use of ferromagnetic detection.Tobias Gilk, President & MRI Safety Director Mednovus, Inc. Tobias.Gilk@Mednovus.com www.MEDNOVUS.com
The single accident that really galvanized the very existence of the MRI safety movement was an accident that occurred in 2001 at Westchester Medical Center in New York State. In that tragedy, a steel oxygen cylinder was brought into the MRI room while Michael Colombini, a six-year old boy, was receiving a post-operative MRI to confirm they doctors had successfully removed his brain tumor.
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