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Publication Type: Patient Safety Advisory
Single or Multiple Incident: Multiple
Date: 9/1/2006 12:00:00 AM

"A post cardiac catheterization patient with a sandbag placed on the left groin went to Radiology for an MRI. The patient was placed on the table. When the technician began to advance the table, the magnet pulled the sandbag from the patient's groin to the outer housing of the MRI unit. Manufacturer labels may not indicate that a "sandbag" contains metal pellets or whether it is MRI compatible or the "sandbag" may be covered by a towel, blanket, or sheet concealing it from the staff. This alert describes actions to reduce risk."

Additional Details


“Sandbags” May Not Be What You Think