Bedside X-ray in the ICU: Workflow and Safety | DS.Med
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Bedside X-ray in the ICU: Workflow and Safety

Radiography · DS.Med editorial

Patients on ventilation, in traction or on ECMO cannot travel to the X-ray room — the room must come to them. Bedside radiography with a portable unit and a wireless detector has become the ICU standard, and its quality depends on workflow more than on hardware.

A clean bedside routine

  • The wireless detector goes into a disposable cover and is positioned under the patient without cables
  • The portable unit is aimed with a collimator light; exposure parameters come from a stored protocol
  • Staff step back to the safety distance; the exposure takes milliseconds
  • The image lands on the workstation in seconds — the intensivist reads it before the machine leaves the bed
  • The detector cover is discarded, surfaces are disinfected — the panel itself never touches the patient

Radiation safety in an open ward

Scattered dose falls with the square of distance: at two meters it is already negligible for staff. Standard practice — a two-meter perimeter during exposure, lead aprons for the positioning assistant, and a personal dosimetry program. Battery-powered units remove cable runs across the ward floor entirely.

Frequently asked questions

Is bedside X-ray dangerous for neighboring patients?
No — at typical bedside distances the scattered dose to a neighboring bed is a small fraction of natural daily background.
How is infection control handled?
Disposable detector covers, surface disinfection of the unit between patients and a no-touch imaging workflow.
How many bedside exams can one unit handle per shift?
A battery portable with a Wi-Fi detector routinely covers 20–30 bedside examinations per shift.
Related equipment: DS.Xray portable units Wi-Fi detectors

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