HOW TO X-RAY an UPPER EXTREMITY TRAUMA | radiology program | humerus | elbow | forearm | positioning

Hey! My name is Rey and i'll be taking your x-rays. In this video i'll be demonstrating how to take x-rays on an upper extremity. However, the patient has trauma to their elbow and limited range of motion of their shoulder. The routine approach of imaging a frozen elbow, imaging the distal and proximal portion separately, was not an option. They were not able to erect their arm. So for the first time on my channel, i'll be showing you (how to tip?) critical thinking, or XRAY VISION, if you will, to get the views needed for a humerus, elbow, and forearm.
How I see it, when dealing with a trauma patient. You simply use your knowledge and experience of the countless prior routine exams you've done and apply it to this puzzle you now have in front of you. I'll be honest, if you do well with visualizing angles and thinking outside the box, you will excel more than others. I personally look forward to these exams, because I enjoy problem solving and challenging myself. However, if you have trouble with such things, don't fret. It just helps. You should be by now competent or somewhat comfortable with knowing the positioning and radiographic criteria of the views ordered. So now... How do you get them when your patient isn't able to move into the ideal position you need? Well, keep watching to find out.
Hit that like button if you appreciate these positioning videos. I put a lot of time into them, and a like goes a very long way. Don't forget to wait till the end for some words of motivation. Thank you for all the love and support. Hope you're doing well. And without further a du, let's go!
Timestamps
0:00 Intro
1:54 Getting Patient History
2:38 Humerus AP
4:00 Humerus lateral
5:18 Elbow Lateral
6:26 Elbow Radial Head Axial (Coyle Method)
7:01 Elbow AP Cross-Table
9:40 Forearm AP
11:39 Forearm Lateral
***WHAT AM I THINKING?
13:33 Getting Patient History
14:09 Humerus AP
15:37 What to do When a Trauma Patient is Being Difficult to Position
16:22 Humerus Lateral
17:40 Elbow Lateral
18:49 Elbow Radial Head Axial (Coyle Method)
20:00 Elbow AP Cross-Table
22:39 Forearm AP
24:38 Forearm :Lateral
26:28 Outro
#xraytech #xrayprogram #xraytrauma

[@vraw239]

Rey, I think your channel is DEF one of the most INFORMATIVE AND HELPFUL channels out there for aspiring rad techs..not hating, but other rad tech channels just talk about b.s. like how their day went and what they got from Starbucks but you are ALL BUSINESS. Keep em coming brother. Thank you💪🏽🙏

[@XRAYREY]

I appreciate the feedback! Just wanted to give valuable material to the up and coming that I knew I would have enjoyed. But that is too funny LOL I may know who you're referring to

[@KDog4487]

Just found this channel more informative this others! Great content man! Super appreciate. I’m just starting my prereq. In order to start the program next year. It’s been 12 years since being in college, I’m married with kids now and man what a handful. Anything helps and your channel is awesome!! Thank you!

[@harryclark4376]

Great to see you pushing out adaptive technique videos Rey. Keep em' coming!! Harry from UK!

[@XRAYREY]

Harry! Greetings from US. Thank you for noticing. I appreciate the feedback

[@Jason-si9xv]

Hey, Rey. Your video is some of the best demonstration video out there, keep up the good work!

[@XRAYREY]

definitely appreciate the feedback. Thank you so much!

[@jimmyg645]

Man you doing God's work for us upcoming Rads! God bless you my friend. I'm liking that shirt!

[@XRAYREY]

I appreciate that Jimmy! God bless you as well. And thanks! Get yours on the website =) I'll be posting another style similar to it this weekend.

[@Tekniix403]

Started following your channel in late 2019 when I was upgrading my high school marks and deciding what I wanted to do. Now I'm writing my FINAL exam in my Rad Tech program, and I've got a full-time job lined up for September. Crazy how things work out when you actually apply yourself. Thanks for the inspiration you provided and informative videos. Hope all well is on your end G. Peace!

[@waitstillloading157]

Just purchased my technique chart and it’ll be here on Saturday. I am so happy!

[@dearlybelovedeathbat]

Thank you, thank you, THANK YOU for all of the videos you do. I'm in my 2nd year of rad tech and my 1st year was all online because of Covid. Your videos have been informational and educational for my classmates and I. Trauma x-rays are still new to me so this helps.

[@XRAYREY]

Glad to help! Best of luck this year and thank you for the feedback.

[@aracelysee9665]

Love that x table AP elbow! I work in ortho and we have over the elbow casts all the time and getting the proximal and distal in the two parts doesn't always work so that's an awesome alternative! Love watching your videos! I learn stuff every time even though I've been doing this for a few years already.

[@XRAYREY]

thanks for the feedback and I'm glad I can assist in showing you an alternative way to get your views.

[@snape-itachiel6167]

thank you so much this is so informative!!!! you're fluent, articulate, easy to understand and great thank you so much!

[@user-ck1td1xy4v]

Thank you for making the practical video ! I learned more knowledge of upper extremity from your videos , I will continue to practice myself in positioning .

[@cutebow909]

Please keep these videos coming! They help a lot!

[@XRAYREY]

will do!

[@alanolea1388]

Thanks for your videos Rey! I've learned so much from your positioning videos and your tips, you've helped me a bunch in getting through clinicals😅 I've been doing clinicals now since May so I feel like your tips have helped me in getting used to the hospital environment and have helped me establish meaningful friendships with the techs and other staff! However, at our site we rarely get trauma, In a couple months i'll be a senior in my program and I'll be starting my 40 hour week clinicals and i'll be getting switched to a different location that most likely may be a trauma center so it's great to see what to do in situations like these! Keep making amazing content man!!👌🏽🔥🔥

[@XRAYREY]

ayeee love to hear it bro! Glad I can be your preceptor from a far and help you through this. Next year should be fun =) Best of luck

[@TheRadiologicTechnologist]

Keep up the strong work Rey!

[@XRAYREY]

🙏🏽

[@mintymomma4570]

Thanks for making this video! I'm sure it helps a lot of people learn. However, I was hoping to see more technique for patients with limited movement that we have to x ray in a stretcher.

[@buyogvlogs8440]

Hello ray just wanted to say your videos help me throughout my Rad Posi subject in college! Thanks so much I hope you keep making videos

[@XRAYREY]

glad to hear that! Another trauma one uploading THIS TUESDAY

[@evelynhernandez4071]

I’m in my trauma rotation now and this helps so much! So informative

[@XRAYREY]

yes ma'am! Love to hear it

[@travisf2660]

Rey it's been 10 months since your last upload! Hope you're doing well! I start my RT program August 15th 2022. Your technique card will finally get some use! I have had it since you offered it! Cheers. Ps: 2 years ago I started my journey at 39 years old. I was unsure what field to choose. I came across your channel when you first started and decided RT was my destination. There's Greatness with in and you spread it all around Rey. Thanks for I inspiring myself and many others.

[@Tekniix403]

32 years old here, finishing my RT program next week! Similar story for me, his channel helped me decide on which medical program to apply to. Best of luck Travis, have fun and study hard!

[@travisf2660]

@@Tekniix403 thanks for the comment! I appreciate it! I'm happy to hear you are wrapping up your program! Good luck on your ARRT boards! Any other tips for learning materials?

[@GoogleTheBoss]

Thank you for these videos. Although I'm not in a program yet nor understand what you're doing completely. I love watching your videos just so that it keeps me motivated towards my dream of becoming a RT!

[@XRAYREY]

that's awesome! definitely setting yourself up for success

[@jacobrodriguez7365]

I just found your channel and I am interested in x-rays for some reason you're channel name has a good ring to it

[@akshitagulati9790]

Thank you that was extremely helpful Rey. Would love more such content :)

[@XRAYREY]

More to come!

[@terrywelch4757]

Thank you for these videos!!!! This has really helped me be a better tech ❤️

[@kb24crazylaker]

Thank you Rey. Supine trauma upper extremities are the hardest for me

[@yoh_ii]

This is what I wanna go to school for, it's so interesting! Thank you so much for this

[@XRAYREY]

You're so welcome!

[@sherinajohn720]

omg Thank you this video is so helpful please do more trauma cases!

[@vongdaracharette6484]

This is great! Keep the trauma positioning coming😀😀

[@tinahall6284]

Thank you, Rey!

[@XRAYREY]

you're very welcome

[@iamkeria9027]

you made me feel so comfortable now. i know nothing about x-ray and i just got into the program. we started on our hands and my collimation was off so it hit the ulna. I wish we would practice on eachother instead of phantoms

[@XRAYREY]

oh you did find out I posted it LOL That's great to know, that's my soul purpose of these videos. But you hit the ulna? You should have some of the radius and ulna in your hand x-ray.

[@alijanjua72]

Sir U have a new goods Technics's ... Good job ❣️

[@biancavargas6662]

Hey Rey! Thanks for these videos. The videos are very helpful… I’m in my 2nd year and I’m still have problems with skull projections/positions. If you could doing a skull video it would be helpful! ☢️

[@laura1609]

Great video. Very helpful.

[@XRAYREY]

Glad to hear it!

[@oswaldopadilla3128]

I just took an Ortho job and these patients are so limited in their movements due to fx and surgeries… your videos are very helpful

[@ilm_huntress0048]

A newbie tech here! Having trouble with A pedia trauma elbow just before this video was posted 😬 thanks alot for this video

[@XRAYREY]

I'm sure you'll see another soon lol

[@shainaestallo6154]

Looking for other upper extremities projection with different methods. This video is very helpful specially to Rad Tech students like us. Keep it up

[@XRAYREY]

Glad it was helpful! More to come

[@jaynealcafaras221]

Omg what do you keep your markers on? Also thank you for this video! Very helpful and appreciated 🤗

[@tomasguzman3278]

Ayo rey, been bingeing your videos and all the sudden I get to this one and it's your last?? what's good my g, why ain't you post nothing in the last eight months?

[@melissamcelroy1778]

Please do more trauma imaging. I need a lot of help with how to manipulate the tube to get the images I need.

[@SamBWinning]

You sure know your positioning haha I don’t k anything yet I’m taking prerequisites I’m only 4 more classes until I can get in the program I’m excited tho!!

[@LilKath]

hi there! learning some trauma technique from u..thanks for all your vids.🥰❤ -xray tech from the philippines

[@XRAYREY]

Thanks for watching!

[@7rlalko]

I HAVE BEEN PRACTING AS IF MY PATIENT WAS IN THE STRECHER AND CANT MOVE, AS YOU SAID ANGLES. PT ON MEDS.

[@Lifeof-a-shortgirl]

Do more exams pls. Thanks a lot

[@davidrajan8749]

Would you please explain why you gave tube angulation for elbow lateral

[@danishraza6404]

Long time there is no new videos release about related alternatives and supplementary positioning

[@sajjadN1]

thank you very much also thanks for subtitle

[@XRAYREY]

You're welcome 😊

[@victorgonzalez2927]

Love your videos man! Question though, if you are doing an AP/Lat humerus and forearm, why would you need the elbow as well? Would it not be redundant? Just curious.

[@XRAYREY]

you could argue it's against ALARA, but it's what the doctor ordered. The specific view of the elbow, however, gets more detailed views. You also have to think about the divergent beam

[@Samson-dn4eo]

Can you do videos of x rays on body parts like trauma elbow in a gurney please

[@kb24crazylaker]

Gosh, that tape trick with the $80,000 IR is brave, man

[@tylermartin4619]

What kind of marker holder do you use? It looks like they are clipped onto something when you take them off before putting them on the IR. I would like to purchase one if you could let me know. Thank you in advance and for your time.

[@abbywiltshire2383]

Can you do a trauma lower extremity video?

[@travisf2660]

Hey Rey it's been 4 months and I'm sure the scene is pretty hectic. Hope you are doing well.

[@naaramaya1238]

Hi I’m curious, it looks to me that you did a Coyle method with the patient’s thumb up? Why? Bc I know that the hand must be flat for Coyle method

[@janete3401]

can you please do more inPORTABLES trauma xrays such as broken femur and your alone and can't do a danny, arms that are in cast and the more difficult xrays that are done in cat 1. like if a tibfib is broken and its in a oblique position how to get an ap and lateral without moving it. stuff that are difficult

[@hollydavidson350]

Hello this is off topic. But can you explain to me what exactly do a radiology assistant or radiology aide do as far as clerical work. Do they work with insurance elgibility, front desk work, schedule appointments etc..?? A bit lost

[@lizzydarcy7257]

How would you do a trauma humerus on the table?

[@kikilee3241]

Yes but what if the shoulder is dislocated or head of humerus is fractured too? Then getting the elbow and forearm views become a little more challenging.

[@louisemaaree]

Not too sure since this was posted a while ago if anyone will respond. But with a lateral trauma elbow or forearm, if the patient cannot rotate their wrist so it is "thumbs up", how do you achieve this image? Would you need to angle for a lateral elbow, or do a horizontal beam lateral wrist for a forearm?

[@Samson-dn4eo]

how would you do a trauma humerus in a gurney?

[@Justshredman]

Hey! Just a quick question, did you run into any rude techs while you were a student? And how did you handle those techs?

[@XRAYREY]

of course! LOL It's a 2.5 year interview. Don't let someone ruin your future. I didn't take it personal, I'm here to get my experience, get my license and create a better future. I can't control how rude they are, but I can control how I react. It never got too extreme, but if it did I would have just told my CP or instructor.

[@jamaicaturner1046]

I’m running into rude techs now as an MA/XT student. You’re definitely not alone in dealing with that. I’m learning to set aside my differences at this point. Ask questions. Nothing wrong with improving in your educational experience. ❤️

[@thejet9011]

Having experience working as a radtech in my home country and abroad, All I can say is that anywhere you go there’s always a rude, stubborn or whatever it is kind of staff/tech you’ll be working with. Its part of the training as a student. So that when you’re already a tech, you already know how to handle those kinds of colleagues. Having said that, Rey is correct, dont take it personal 👍

[@dennisehernandez4022]

Hey Rey, do you know of any good traveling agencies for RT?

[@vincebennett8460]

Whats the device he is attaching to the board?

[@Justshredman]

hey, I am soon to be in my local rad tech program. Any suggestions on what I can do now to prepare for the course?

[@XRAYREY]

save money, be prepared to adjust your weekly schedule to the program, refresh your medical terminology and anatomy, and watch as many YT videos about the program

[@PrincePalmUwU]

I have a huge question can you get a IR (inteventional radiology) with this degree? I know I also need a bachelors and a doctorate degree and 5 years of residency.

[@Samson-dn4eo]

12:50 how is that acceptable for a lateral? you shot it as a pa forearm not a lateral

[@JoeBrannin]

“Trying to dunk” cap 😂

[@misterpants7582]

Is there any possibility of you doing skull?

[@marcegalbo]

last image hand not pronated actually true lateral= pretty good

[@sunsetbutterfly2799]

“Chicken wing this out” lol

[@Usmanbhai0]

i am x-ray technician radiographer

[@jennnnnn]

Is that Nick???

[@XRAYREY]

maybe....

[@jennnnnn]

Hahaha

[@Usmanbhai0]

I have to talk to you

[@Usmanbhai0]

hello my name is usman i am from pakistan