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Clark's Positioning in Radiography
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Note
A metal marker placed over the puncture site is commonly usedto aid localization
of the foreign body.
110
Talonavicular jointNeck of talusTibiaFibulaPosterior
malleolus
of tibiaPosteriortalocalcaneal jointCalcaneumLongitudinalplantar archCuboidHead
of 5th metatarsalSesamoidbone of the halluxProximal and distalphalanges of theha
lluxNavicularMid-tarsal jointCuneiform bonesMetarsal bones
Normal lateral radiograph of footLateral radiograph of foot showing metallic for
eign body
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111
4
Foot
Lateral
erect
This projection is used to demonstrate the condition of the lon-gitudinal arches
of the foot, usually in pes planus (flat feet).Both feet are examined for compa
rison.
Position of patient and cassette
The patient stands on a low platform with a cassette placedvertically between th
e feet.
The feet are brought close together The weight of thepatient s body is distributed
equally.
To help maintain the position, the patient should rest theirforearms on a conven
ient vertical support, e.g. the verticalBucky.
Direction and centring of the X-ray beam
The horizontal central ray is directed towards the tubercle of the fifth metatar
sal.
Dorsi-plantar
erect
This projection can be used to show the alignment of themetatarsals and phalange
s in cases of hallux valgus. Bothforefeet are taken for comparison.
Position of patient and cassette
The patient stands with both feet on the cassette.
The cassette is positioned to include all the metatarsals andphalanges.
The weight of the patient s body is distributed equally.
To help maintain the position, the patient should rest the fore-arms on a conven
ient vertical support, e.g. the vertical Bucky.
Direction and centring of the X-ray beam
The vertical ray is centred midway between the feet at thelevel of the first met
atarso-phalangeal joint.
Dorsi-plantar erect projection of both feet showing hallux valgusNormal erect la
teral projection of foot
Lateral (basic)
hallux
Direction and centring of the X-ray beam
The vertical ray is centred over the first metatarso-phalangeal joint.
First metatarsal-phalangealsesamoid bones
The sesamoid bones are demonstrated on the lateral foot projec-tion. However, wh
en requested specifically, a modified lateral andan axial projection may be nece
ssary for further demonstration.
Lateral
Position of patient and cassette
The patient lies on the unaffected side, and the medial aspect of the affected l
eg and foot is placed in contact with the table.
The cassette is placed under the foot to include the phalangesof the hallux and
the distal part of the first metatarsal.
The hallux is then dorsiflexed with the aid of a bandage andheld by the patient.
Direction and centring of the X-ray beam
Centre with the vertical ray perpendicular to the cassette,over the first metata
rso-phalangeal joint.
Axial
Position of patient and cassette
There is a choice of two positions for this projection:
1
The patient is positioned as for the lateral projection of thefoot. The foot is
raised on a support and the cassette is sup-ported vertically and well into the
instep. A horizontal beamis used in this case.
2
The patient sits on the X-ray table, with legs extended. Thehallux is then dorsi
flexed with the aid of a bandage and held bythe patient. The cassette is raised
on a support and positionedfirmly against the instep.
Direction and centring of the X-ray beam
Centre to the sesamoid bones with the central ray projectedtangentially to the f
irst metatarso-phalangeal joint.
Normal lateral basicprojection of halluxLateral projection of first metatarsalse
samoids, note exostosis onmedial sesamoidNormal axial projection of firstmetatar
sal sesamoids
Position of patient and cassette
From the dorsi-plantar position, the foot is rotated mediallyuntil the medial as
pect of the hallux is in contact with thecassette. A bandage is placed around th
e remaining toes (pro-vided that no injury is suspected) and they are gently pul
ledforwards by the patient to clear the hallux. Alternatively,they may be pulled
backwards; this shows the metatarso-phalangeal joint more clearly.
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138277414 Radiographers
masood72
Diagnostic Anatomy Radiographic
masood72
nice book
Farr-_s Physics for Medical Imaging
Zuhra Jabeen
Basic Physics Radiation
Malik Muhammad Sabir Shahzad
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The base of the fifth metatarsal ossifies from the accessoryossification centre,
which is oriented parallel to the long axisof the bone. This should not be conf
used with a fracture,which usually runs transversely.
If the accessory ossification centre is not parallel to themetatarsal, then this
may be due to an avulsion injury.
Lisfranc fracture dislocations at the bases of the metatarsalsare difficult to s
ee, except on oblique projections, and will bemasked by underexposure.
Distal phalanxSesamoid bonesMetatarsals 1 to 5
Cuneiform bones
MedialIntermediateLateralNavicularTalonavicular jointHead of talusAnkle jointTib
iaFibulaCalcaneumCalcaneo-cuboid jointCuboid3rd tarso-metarsal jointBaseShaftHea
d
5th metatarsal
5th metatarso-phalangeal jointProximalMiddleDistal
Phalanges of 4th toeGreat toe (hallux)
Proximal phalanx
Normal dorsi-plantaroblique radiograph of footRadiographs showing normal fifth m
etatarsal ossification centreon the left, and fracture base fifth metatarsal on
right (arrow)
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4
Foot
Lateral
This is used in addition to the routine dorsi-planter projectionto locate a fore
ign body. It may also be used to demonstrate afracture or dislocation of the tar
sal bones, or base of metatarsalfractures or dislocation.
Position of patient and cassette
From the dorsi-plantar position, the leg is rotated outwardsto bring the lateral
aspect of the foot in contact with thecassette.
A pad is placed under the knee for support.
The position of the foot is adjusted slightly to bring the plan-tar aspect perpe
ndicular to the cassette.
Direction and centring of the X-ray beam
The vertical central ray is centred over the navicular cuneiform joint.
Essential image characteristics
If examining for a suspected foreign body, the kVp selectedshould be adequate to
show the foreign body against the soft-tissue structures.
Note
A metal marker placed over the puncture site is commonly usedto aid localization
of the foreign body.
110
Talonavicular jointNeck of talusTibiaFibulaPosterior
malleolus
of tibiaPosteriortalocalcaneal jointCalcaneumLongitudinalplantar archCuboidHead
of 5th metatarsalSesamoidbone of the halluxProximal and distalphalanges of theha
?
24-cm high-resolutioncassette. A lateral projection is taken for fractures of th
e halluxphalanx. A lead-rubber mask can be used to mask off each half of the cas
sette not in use.
Dorsi-plantar
basic
Position of patient and cassette
The patient is seated on the X-ray table, supported if neces-sary, with hips and
knees flexed.
The plantar aspect of the affected foot is placed on the cas-sette. This cassett
e may be supported on a 15-degree pad.
The leg may be supported in the vertical position by theother knee.
Direction and centring of the X-ray beam
The vertical central ray is directed over the third metatarso-phalangeal joint,
perpendicular to the cassette if all the toesare to be imaged.
For single toes, the vertical ray is centred over the metatarso-phalangeal joint
of the individual toe and collimated toinclude the toe either side.
Dorsi-plantar oblique
basic
Position of patient and cassette
From the basic dorsi-plantar position, the affected limb isallowed to lean media
lly to bring the plantar surface of thefoot approximately 45 degrees to the cass
ette.
A 45-degree non-opaque pad is placed under the side of thefoot for support, with
the opposite leg acting as a support.
Direction and centring of the X-ray beam
The vertical ray is centred over the first metatarso-phalangeal joint if all the
toes are to be imaged and angled sufficiently toallow the central ray to pass t
hrough the third metatarso-phalangeal joint.
For single toes, the vertical ray is centred over the metatarso-phalangeal joint
of the individual toe, perpendicular to thecassette.
112
Normal dorsi-plantar projection of all toesCollimated dorsi-plantar oblique proj
ection of fifth toe, showing fractureof the proximal phalanx
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113
4
Toes
Lateral (basic)
hallux
Direction and centring of the X-ray beam
The vertical ray is centred over the first metatarso-phalangeal joint.
First metatarsal-phalangealsesamoid bones
The sesamoid bones are demonstrated on the lateral foot projec-tion. However, wh
en requested specifically, a modified lateral andan axial projection may be nece
ssary for further demonstration.
Lateral
Position of patient and cassette
The patient lies on the unaffected side, and the medial aspect of the affected l
eg and foot is placed in contact with the table.
The cassette is placed under the foot to include the phalangesof the hallux and
the distal part of the first metatarsal.
The hallux is then dorsiflexed with the aid of a bandage andheld by the patient.
Direction and centring of the X-ray beam
Centre with the vertical ray perpendicular to the cassette,over the first metata
rso-phalangeal joint.
Axial
Position of patient and cassette
There is a choice of two positions for this projection:
1
The patient is positioned as for the lateral projection of thefoot. The foot is
raised on a support and the cassette is sup-ported vertically and well into the
instep. A horizontal beamis used in this case.
2
The patient sits on the X-ray table, with legs extended. Thehallux is then dorsi
flexed with the aid of a bandage and held bythe patient. The cassette is raised
on a support and positionedfirmly against the instep.
Direction and centring of the X-ray beam
Centre to the sesamoid bones with the central ray projectedtangentially to the f
irst metatarso-phalangeal joint.
Normal lateral basicprojection of halluxLateral projection of first metatarsalse
samoids, note exostosis onmedial sesamoidNormal axial projection of firstmetatar
sal sesamoids
Position of patient and cassette
From the dorsi-plantar position, the foot is rotated mediallyuntil the medial as
pect of the hallux is in contact with thecassette. A bandage is placed around th
e remaining toes (pro-vided that no injury is suspected) and they are gently pul
ledforwards by the patient to clear the hallux. Alternatively,they may be pulled
backwards; this shows the metatarso-phalangeal joint more clearly.
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8Emergency Room Orthopaedic Procedures
St
ep 5: Wrist Block-Radial Nerve
Pronate the hand and place it on a sterile drape.
Insert the needle 2 cm proxima
l to the tip of the radial styloid along the radial aspect of the distal forearm
(Fig. 1.6). Inject 7 to
10 cc of anesthetic along the radial and dorsal aspect of the wrist and distal f
orearm, between the ?rst and third dorsal compart-ments (the tendons of the abdu
ctor pollicis longus, and extensor pollicis brevis and the extensor pollicis lon
gus).
SUGGESTED READINGS
1. Chale S, Singer AJ, Marchini S, et al. Digital versus local anesthesia for ?n
ger lacerations: A randomized controlled trial. Academic Emergency
Medicine. 2006;13(10):1046-50.
2. Chiu D?. ?ransthecal digital block: Flexor tendon sheath used for anesthetic infusion. J Hand Surg Am. 1990;15(3):471-3.4.
3. Egol Kenneth A, Kenneth J Koval, Joseph D Zuckerman. Handbook of
Fractures, 4th edn. Philadelphia, PA: Lippincott Williams & Wilkins; 2010. pp. 6
8-9.
Fig. 1.6 Super?cial radial nerve block performed by injecting local anes
thetic 2 cm proximal to the tip of the radial styloid along the radial aspect
of the distal forearm
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Basic Surgical Skills Manual
Ratings: (1)|Views: 1,062|Likes: 1
Published by Valerie Gonzaga
learning about surgery
See more
BASIC SURGICAL SKILLS MANUAL
Principles and Applications
2nd Edition
Electronic Version
PHILIPPINE COLLEGE OF SURGEONS
Committee on Surgical Training
Cenon R. Alfonso
, MD - Committee Chairman
Miguel C. Mendoza
, MD - Editor-in-Chief
Shirard L.C. Adiviso
, MD,
Jose Joey H. Bienvenida
, MD,and
Renato Cirilo A. Ocampo
, MD
Armando C. Crisostomo
, MD - Regent-in-Charge.
PCS S
CIENTIFIC
P
UBLICATION
N
O
. 12
Foreword
2nd Edition . . .
Cenon R. Alfonso
, MD, FPCS, ChairmanCommittee on Surgical Training, Philippine College of Surgeo
ns2003
Foreword
1st Edition . . .
Gabriel L. Martinez
, MD, FPCS, Chairman,Committee on Surgical Training, Philippine College of Surge
ons1999
Message from the 2003 PCS President
Fernando A. Lopez
, MD, FPCS
Preface
2nd Edition . . .
Armando C. Crisostomo
, MD, FPCS,Regent-In-Charge (2003), Committee on Surgical Training,Philippine Co
llege of Surgeons
Preface
1st Edition . . .
Jose Y. Cueto
, MD, FPCS, Regent-In-Charge(1999), Committee on Surgical Training, Philippine C
ollege ofSurgeons
?
Chapter I
Learning & Assessing Psychomotor Skills inSurgery
Jose Y. Cueto, Jr.
, MD, MHPEd, FPCS (1st edition) Self-Assessment Questions
?
Chapter II
The Use of Simulation in Surgical Training
Shirard L.C. Adiviso
, MD, MHPEd, FPCS Self-assessment Questions
?
Chapter III
Suture Materials
Jose Antonio M. Salud
, MD, FPCS and
Jerome G. Baldonado
, MD, FPCS (1st edition)
Joey H. Bienvenida
, MD, FPCS (2nd edition) Self-assessment Questions
?
Chapter IV
Surgical Needles
Cenon R. Alfonso
, MD, FPCS and
Nilo C. de los Santos
, MD, FPCS (1st edition)
Renato A. Ocampo
, MD, FPCS (2nd edition) Self-assessment Questions
Table of Contents
?
Chapter V
Knot Tying
Jose Antonio M. Salud
, MD, FPCS (1st edition)
Miguel C. Mendoza
, MD, FPCS (2nd edition) Self-assessment Questions
?
Chapter VI
Suturing Techniques
Cenon R. Alfonso
, MD, FPCS,
Shirard L.C. Adiviso
, MD, MHPEd, FPCS,
Jose Joey H. Bienvenida
, MD, FPCS,
Miguel C. Mendoza
, MD, FPCS, and
Renato Cirilo A. Ocampo
Radiocapitellar line
a line drawn along the centre of the shaft of the proximal radius should pass thr
ough the capitellum(?g 4.32). if the line does not pass through the capitellum the
n either the radial head or the capitellum isdisplaced (?g 4.33).
Figure 4.30
Anterior humeral line. Thenormal line bisects thecapitellum at the junctionof th
e anterior and middlethirds.(modi?ed from Lee Rogers
Radiology of Skeletal Trauma
2nd Ed, ChurchillLivingstone 1992)(a)(b)
Figure 4.31
Supracondylar fractures in children. (a) minimal displacement; (b) markeddisplac
ement. Note that the anterior humeral line is abnormal in both cases.
Figure 4.32
Normal radiocapitellar line on the AP and lateral views.(from Raby, Berman & de
Lacey,
Accident & Emergency Radiology: a survival guide
, Saunders, London, 1995,with permission)
Figure 4.33
There is a fracture of the proximal third of the ulna associatedwith dislocation
of the proximal radius. The radiocapitellarline is disrupted (Monteggia fractur
e).
TRAUMA
47
Supracondylar fractures
the commonest fracture of the elbow in children. transverse fracture of the distal
humeral metaphysis. Approximately 50% are greenstick fractures(?g 4.34). posterior
displacement of the distal fragment with the anterior humeral line passing thro
ugh theanterior third or completely anterior to the capitellum (?g 4.31) severely
displaced fractures may be associated with brachial artery compression.
Condylar and epicondylar fractures
there is a spectrum of avulsion injuries of the humeral condyles and epicondyles
ranging fromthose with only minor displacement to those with major displacement
(?gs 4.35 and 4.36).
Figure 4.34
Greenstick supracondylar fracture. Note that the anteriorhumeral line is normal.
Figure 4.35
Avulsion of the lateral epicondyle in a child with minordisplacement.
48
THE WHO MANUAL OF DIAGNOSTIC IMAGING
avulsion of the medial epicondyle may be displaced into the joint mimicking the t
rochlea ossi?cationcentre.
Capitellar fractures
commonest purely intra-articular fracture of the elbow. fracture usually identi?ed
on lateral projection with fragment rotating anteriorly (?g 4.37). AP ?lm may appe
ar normal or show increased density due to the capitellar fragment overlying the
lateral epicondyle.
(a)(b)
Figure 4.36
(a) avulsion of the lateral epicondyle in a child withmarked displacement.(b) th
e lateral projection shows the radiocapitellar lineis disrupted indicating that
there is a dislocation of thehead of radius as well as the avulsion fracture.
Figure 4.37
Fracture of the capitellum. The capitellumhas rotated 90 degrees anteriorly.
TRAUMA
49
Radial head fractures
account for approximately one third of all elbow fractures. commonest in young adul
ts. spectrum of injury from minimally displaced to comminuted with displacement (?
g 4.38). in children tend to appear as a greenstick fracture of the radial neck ra
ther than a fracture of theradial head (?g 4.39).
Figure 4.38
Fracture of the radial head with minordisplacement.
Figure 4.39
Greenstick fracture of the neck of radius in a child.
Olecranon fractures
result from either a direct blow to the tip of the elbow or avulsion by contracti
on of the tricepsmuscle against a ?xed ?exed elbow. the action of the triceps freq
uently causes marked displacement of the olecranon at the fracturesite (?g 4.40)
.
Figure 4.40
Displaced fracture of the olecranon.
50
THE WHO MANUAL OF DIAGNOSTIC IMAGING
Elbow dislocation
third commonest site of dislocation in the adult after shoulder and ?ngers. commone
st site of dislocation in children under 10 years of age. 85% posterior or postero
lateral in direction (?g 4.41). 50% associated with fractures (?g 4.42).
Figure 4.41
Posterior dislocation of the elbow. (a) AP (b) lateral view.(a)(b)(a)(b)
Figure 4.42
Posterior dislocation of the elbow with a displaced fracture of the radial head.
Note that because of the severe trauma it is notalways possible to obtain ideal
AP (a) and lateral projections (b).
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DERMAL INSTRUMENTS
47
SCHAMBERG COMEDONE EXTRACTOR
KM 29-580KM 29-5823
3
/
4
?
(95mm) 3
3
/
4
?
(95mm)standardextra finecrimped loopscrimped loops
1
/
11
/
11
/
11
/
11
/
11
/
1
DERMAL INSTRUMENTS
48
KEYES PUNCH
4
?
(102mm)KM 29-5112mmKM 29-5145mmKM 29-5123mmKM 29-5156mmKM 29-5134mmKM 29-5178mm
FOX CURETTE
5
1
/
2
?
2mm3mm4mm5mm6mm8mm1mm2mm3mm4mm5mm6mm
1
/
11
/
1
KM 29-505
1
/
1
KM 29-507
1
/
1
KM 29-503
1
/
1
KM 69-320KM 69-322KM 69-3264
?
(102mm)4
1
/
2
?
(114mm)5
?
(127mm)heavy jawKM 69-327KM 69-3405
?
(127mm) 6
?
(152mm)narrow jaw
1
/
1
DERMAL INSTRUMENTS
49
TISSUE NIPPERNAIL NIPPER
heavy
NAIL NIPPER
KM 69-410KM 69-4124
1
/
2
?
(114mm) concave5
1
/
2
?
(140mm) concavechromechromebarrel springbarrel spring
INGROWN NAIL FORCEPS
KM 69-3485
?
(127mm) anvil patternnarrow blade
FINGER RING CUTTER
KM 29-430KM 29-4346
1
/
2
?
(165mm) chromesaw blade onlywith saw blade
KM 69-2924
1
/
2
?
(114mm),11mmcutting edgeKM 69-2945
?
(127mm),14mmcutting edge
1
/
11
/
11
/
11
/
11
/
1
KM 69-4305
1
/
2
?
(140mm)concaveKM 69-4325
1
/
2
?
(140mm)straight
EYE INSTRUMENTS
50
BARRAQUER EYE SPECULUM
1
3
/
4
?
(44mm)KM 54-108KM 54-110small bladeslarge blades10mm wide15mm wide
GRAEFE EYE SPECULUM
KM 54-0803
1
/
2
?
(89mm)
DESMARRES LID RETRACTOR
5
1
/
2
?
(140mm)KM 54-358#111mmKM 54-360#213mmKM 54-362#315mmKM 54-364#417mm
MEYHOEFFER CURETTE
5
?
(127mm)KM 54-307#2/01.0mmKM 54-309#01.5mmKM 54-311#11.7mmKM 54-313#22.0mm
GRAEFE STRABISMUS HOOK
5
1
/
2
?
(140mm)KM 54-330smallKM 54-332mediumKM 54-334large
BOWMAN LACRIMAL PROBES
5
?
(127mm) sterling
NEEDLE
KM 54-2805
?
(127mm)2 x 5mm blade
DAVIS
KM 54-2824
3
/
4
?
(121mm)0.8mm blade
ELLIS
KM 54-2844
1
/
2
?
(114mm) curved1.2mm bladeKM 53-058KM 53-062
1
/
11
/
11
/
1
EYE INSTRUMENTS
52
BISHOP HARMAN FORCEPS
3
3
/
8
?
(86mm)KM 53-426extra delicate serrated 0.7mmKM 53-428delicate serrated 1.0mmKM 5
3-440delicate 1x2 teeth 1.0mm
TROUTMAN-BARRAQUER FORCEPS
KM 53-4603
?
(76mm) 1x2 teeth0.12mm with tying platform
DOUGLAS CILIA FORCEPS
KM 53-5603
1
/
2
?
(89mm) fine serrations
LITTAUER CILIA FORCEPS
KM 53-5643
1
/
2
?
(89mm) fine serrations
1
/
11
/
11
/
11
/
1
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Atlas of Emergency Trauma
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Figure 4.4 (A) Radiograph showing fractures of the right lower ribs (arrows) (le
ft). Injuries to intra-abdominal solid organsare common and CT scan evaluation s
hould be considered. (B) Intraoperative photograph of the associated liver injur
yin the same patient.
AB
Figure 4.5 Flail chest. (A) Double fractures of at least three adjacent ribs are
required in order to produce a
??
ail chest.(B) Chest x-ray showing a left
??
ail chest with underlying lung contusion. (C) Patient with a
??
ail sternal segment; Note themidsternal depression (right).
80 Thoracic Injury
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normal chest wall motion, and the patient may bein respiratory distress. All pat
ients with ?ail chestshould have a thoracostomy tube inserted and bemonitored in
an ICU setting with serial blood gasesand continuous pulse oximetry. Analgesia
by meansof PCA or epidural anesthesia should always beused. Mechanical ventilati
on is necessary forrespiratory failure or imminent failure. Internal,operative f
racture ?xation may be useful in selectedcases without underlying lung contusion
and inpatients having dif?culty weaning off mechanicalventilation.
4.3 Hemo-Pneumothorax
Pneumothorax
A pneumothorax may be due to blunt or penetra-ting trauma. Small pneumothoraces
are usuallyasymptomatic and can safely be managed withouta chest drain, provided
the patient does not needmechanical ventilation or air transportation. Inthese
cases, any size pneumothorax should betreated with a thoracostomy tube to avoid
thecreation of tension pneumothorax. Large pneu-mothoraces may cause respiratory
distress, andtension pneumothoraces can cause cardiorespira-tory failure. The d
iagnosis of simple pneumo-thorax is usually made by plain chest ?lm orCT scan. A
n erect chest x-ray in deep expirationis the most suitable ?lm to identify small
pneumothoraces.
Tension Pneumothorax
In tension pneumothorax, air leaks into the pleuralcavity with no escape route o
n account of a one-way valve effect. It is a life-threatening conditionbecause o
f the severe cardiorespiratory failure thatensues. The patient is panicky and ha
s dyspnea,cyanosis, shock, and distended neck veins. Thetrachea is shifted to th
e opposite side, there are
C
Figure 4.5 (
cont
.)
4.3 Hemo-Pneumothorax 81
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no breath sounds and there is hyperresonance onpercussion in the affected hemith
orax. Immediatelife-saving therapy is needle decompression of the chest, followe
d by formal thoracostomy tubeinsertion. The mere suspicion of a tension pneumo-t
horax is an absolute indication for a needledecompression whenever a thoracostom
y tubecannot be inserted immediately (prehospital stage,
ABC
Figure 4.7 Tension pneumothorax. (A) Illustrationshowing mechanism of tension pn
eumothorax.Extrapulmonary air under tension collapses the lung,depresses the dia
phragm, and pushes the heart towardthe opposite side. The normal lung is compres
sed in thecontralateral pleural cavity. These changes causecardiorespiratory fai
lure. (B) Chest x-rays showing a largetension pneumothorax on the left side, med
iastinal shiftto the opposite side, and downward displacement of theleft hemidia
phragm. Arrows point to tensionpneumothorax. (C) Tension pneumothorax on the CTs
can (arrow). Note the deviation of the heart to the right.
AB
Figure 4.6 Pneumothorax. (A) Large right pneumothorax on chest x-ray. Arrow poin
ts to collapsed lung. (B) Bilateralpneumothoraces on CT scan (arrows).
82 Thoracic Injury
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EVENIMENT
GALERIE FOTO Trei raniti, printre care si un copil, la spital dupa ce un sofer n
u a acordat prioritate
Trei raniti, printre care si un copil, la spital dupa ce un sofer nu a acordat p
rioritate
Accident de circula?ie, duminica dupa-amiaza, n centrul localita?ii timi?ene Chi?
oda. Trei persoane, printre care ?i un copil, au ajuns la spital dupa ce ma?inil
e n care se aflau s-au ciocnit violent din cauza unui ?ofer care nu a acordat pri
oritate.
Trei raniti, printre care si un copil, la spital dupa ce un sofer nu a acordat p
rioritate
ROMNIA
STIRE DE ULTIMA ORA Dacian Ciolos si-a ales guvernul
Dacian Ciolos si-a ales guvernul
Premierul desemnat, Dacian Ciolo?, ?i-a prezentat duminica dupa-amiaza, la Parla
ment, guvernul. Luni ?i mar?i ar urma audierile mini?trilor propu?i n comisiile d
e specialitate din Parlament, apoi votul de investitura n plenul reunit al Camere
i Deputa?ilor ?i Senatului. Lista mini?trilor.
ADMINISTRATIE
GALERIE FOTO Sensul giratoriu de la stadion e gata, dar nu poate fi folosit. Pro
bleme pe santierul Podeanu
Sensul giratoriu de la stadion e gata, dar nu poate fi folosit. Probleme pe sant
ierul Podeanu
Sunt probleme pe nca un ?antier din Timi?oara. De?i ar fi trebuit sa fie gata nca
din luna septembrie, strada Podeanu nu va fi deschisa circula?iei prea curnd. Nou
l sens giratoriu de la stadion, inclus n proiect, este amenajat, dar nu va putea
fi folosit pna cnd nu va fi nchis ?antierul de pe Podeanu. 2
Probleme pe santierul de pe PodeanuProbleme pe santierul de pe Podeanu II
LOCAL
Societatea lui Titu Bojin a vandut catre Dedeman un teren pentru 1,2 milioane de
euro
Societatea lui Titu Bojin a vandut catre Dedeman un teren pentru 1,2 milioane de
euro
Compania Dedeman, specializata n domeniul magazinelor de bricolaj, pare sa fie ex
trem de multumita de cum merg afacerile n Banat. Societatea a anuntat ca a batut
palma cu cei de la Lugomet, pentru a prelua o parte din terenul fabricii, pentru
a deschide o unitate ?i la Lugoj. Marele beneficiar al tranzactiei de 1,2 milio
ane de euro ar urma sa fie Titu Bojin, seful Consiliului Judetean Timis, princip
alul actionar al companiei lugojene. O alta parte din teren va ajunge la produca
torul de ncaltaminte Rieker. 1
INVATAMANT
Rezidentiat 2015: viitorii medici, in examen la Timisoara
Rezidentiat 2015: viitorii medici, in examen la Timisoara
Emotii pentru viitoarea genera?ie de medici la Timisoara. Duminica, acestia s-au
aflat n fata unuia dintre cele mai importante examene din viata lor: Rezidentiat
ul. Candidatii au trebuit sa raspunda unui test grila cu 200 de ntrebari.
ANUNTURIOpel Astra
Opel Astra
Vw Golf
Vw Golf
Opel Vectra
Opel Vectra
MAPAMOND
Atacurile teroriste de la Paris: sase complici au fost arestati in Franta
Atacurile teroriste de la Paris: sase complici au fost arestati in Franta
Autoritatile franceze au arestat preventiv sase persoane din anturajul teroristu
lui kamikaze Omar Ismail Mostefai, care a fost identificat drept unul dintre aut
orii atentatelor de la Paris. Premierul francez a declarat ca Fran?a este n razbo
i ?i va distruge re?eaua terorista Stat Islamic.
EVENIMENT
GALERIE FOTO Accident la iesire din Timisoara: un sofer beat a ajuns cu masina i
ntr-un sens giratoriu
Accident la iesire din Timisoara: un sofer beat a ajuns cu masina intr-un sens g
iratoriu
Diminea?a cu ghinion pentru un timi?orean de 31 de ani care a decis sa se urce l
a volan, de?i nainte consumase mai multe pahare cu vin. Acesta se ndrepta spre Tim
i?oara, cnd la intrare n ora?, pe Calea Aradului, nu a mai vazut sensul giratoriu
?i a intrat direct n el. 2
Accident la iesire din Timisoara
LOCAL
VIDEO Peripetiile unei calatorii cu tramvaiul Armonia, prin camera video a unei
timisorence
Peripetiile unei calatorii cu tramvaiul Armonia, prin camera video a unei timiso
rence
Tramvaiele modernizate ale Timi?oarei circula deja de ceva vreme pe liniile RATT
. Peste 500.000 de euro a costat recondi?ionarea unui tramvai, iar calatorii au
remarcat deja probleme. 7
SANATATE
Sectie noua la Maternitatea Bega - Terapie Intensiva Pediatrica
Sectie noua la Maternitatea Bega - Terapie Intensiva Pediatrica
Clinica de Obstetrica Ginecologie Bega (Maternitatea Bega) din Timisoara nu a avut
pna acum o sectie de Anestezie si Terapie Intensiva (ATI) destinata celor mici.
Dar, acum s-au alocat fonduri pentru ca aceasta sectie sa fie dotata cu aparatur
a necesara acestui compartiment din Maternitatea Bega, care tine de Spitalul Jud
etean Timisoara.
POLITIC
PNL Timis vrea alegeri anticipate: parlamentarii sa-si dea demisia in bloc
PNL Timis vrea alegeri anticipate: parlamentarii sa-si dea demisia in bloc
Conducerea PNL Timi? considera ca na?ional liberalii au o ?ansa reala la alegeri
le de anul viitor. Unul dintre liderii filialei este de parere ca un guvern de t
ehnocra?i nu trebuie sa fie unul de cursa lunga, iar parlamentarii ar trebui sa?i dea demisia n bloc ?i sa fie organizate alegeri anticipate. 6
ANUNTURI
yorkshire mini toy
yorkshire mini toy
Samsung Note 4
Samsung Note 4
Vand bratara barbati aur 14 K
Vand bratara barbati aur 14 K
LOCAL
Soarta comunitatilor maghiare dispersate, dezbatuta la Timisoara
Soarta comunitatilor maghiare dispersate, dezbatuta la Timisoara
La Timisoara se desfasoara duminica, 15 noiembrie, Ziua Diasporei Maghiare. Nu m
34
Bilantul terorii de la Paris: cel putin 120 de morti in mai multe atacuri terori
ste
MAPAMOND
Cel putin cinci persoane au murit dupa ce un tren a deraiat in Franta
Cel putin cinci persoane au murit dupa ce un tren a deraiat in Franta
nca un incident ?ocant n Fran?a. Cel pu?in cinci persoane au murit, smbata dupa-ami
aza, dupa ce un tren a deraiat n nordul ora?ul francez Strasbourg.
LOCAL
GALERIE FOTO Mitropolitul Banatului si-a celebrat ziua de nastere cu nevoiasii,
la cantina din Iosefin
Mitropolitul Banatului si-a celebrat ziua de nastere cu nevoiasii, la cantina di
n Iosefin
Mitropolitul Banatului PSS Ioan si-a aniversat ziua de nastere alaturi de saracii
Timi?oarei, la cantina sociala din Parohia Iosefin, care a fost inaugurata smbat
a, dupa ce a trecut prin mai multe renovari. 2
Mitropolitul Banatului si-a celebrat ziua de nastere cu nevoiasii, la cantina di
n Iosefin
ADMINISTRATIE
Mii de timisoreni pusi pe drumuri pentru taxa de poluare. Robu: vina este a Dire
ctiei Fiscale
Mii de timisoreni pusi pe drumuri pentru taxa de poluare. Robu: vina este a Dire
ctiei Fiscale
Nu mai pu?in de 8.000 de timi?oreni au primit soma?ii de la Direc?ia Fiscala, fi
ind chema?i la sediul institu?iei sa achite taxa de poluare, de?i au firme cu ac
tivita?i care nu produc impact asupra mediului. Cum pot scapa de plata taxei? 8
Vrei sa iti scoti copilul minor din tara? Iti trebuie cazier judiciar
LOCAL
Vrei sa iti scoti copilul minor din tara? Iti trebuie cazier judiciar
Daca inten?iona?i sa pleca?i n vacan?a n strainatate alaturi de minori, Poli?ia Ro
mna anun?a ca pe lnga celelalte documente prevazute de lege, persoana care i nso?e?t
e pe copii trebuie sa aiba la ea certificatul de cazier judiciar. 3
LOCAL
Atentionare meteo: doua zile de vant puternic in Banat
Atentionare meteo: doua zile de vant puternic in Banat
Meteorologii au transmis, smbata, o aten?ionare de vnt puternic valabila pentru ac
est sfr?it de saptamna n mai multe regiuni ale ?arii, inclusiv Banat. Astfel, vntul
va atinge, la rafala, viteze de pna la 60 km/h.
LOCAL
Mitropolitul Banatului despre atentatele de la Paris: Inima Frantei a sangerat
Mitropolitul Banatului despre atentatele de la Paris: Inima Frantei a sangerat
ntreaga lume a fost socata n urma tragediei petrecute n capitala Frantei, vineri se
ara. Cel pu?in 120 de persoane au murit ?i alte cteva sute au fost ranite, dintre
care 99 sunt n stare grava, n urma atentatelor. Mitropolitul Banatului PS Ioan a u
rmarit evenimentele petrecute n capitala Frantei si a ramas nmarmurit n fata aceste
i tragedii. 3
LOCAL
Timisoara intra in #Colectiv la concertul #ImpreunaRezistam
Timisoara intra in #Colectiv la concertul #ImpreunaRezistam
Smbata, ntreaga Romnie va comemora, prin muzica, victimele tragicului accident din
Colectiv. Concertul #mpreunaRezistam va avea loc, simultan, n diferite ora?e din ?
ara. Desigur, Timi?oara se numara printre ele, iar to?i banii ob?inu?i de pe urm
a evenimentului vor ajunge la victimele incendiului din capitala. Publicul va pu
tea sa faca ?i dona?ii. 1
ADMINISTRATIE
GALERIE FOTO Inaugurare marca primarie: Robu merge cu troleibuzul la Dumbravita,
calatorii inca nu
Inaugurare marca primarie: Robu merge cu troleibuzul la Dumbravita, calatorii in
ca nu
A fost nchis n sfr?it ?antierul de pe Calea Lipovei. De?i troleibuzul 14 ar fi treb
uit sa circule pna la Dumbravi?a nca de la nceputul saptamnii, acest lucru nu se va n
tmpla prea curnd. RATT nu a terminat de implementat proiectul pe fonduri europene.
27
Robu merge cu troleibuzul la Dumbravita, calatorii inca nu
ROMNIA
Doi cetateni romani au murit la Paris in urma atacurilor teroriste
Doi cetateni romani au murit la Paris in urma atacurilor teroriste
Ministerul Afacerilor Externe anun?a ca doi ceta?eni romni ?i-au pierdut via?a n u
rma atacurilor de vineri de la Paris.
Bilantul terorii de la ParisExplozii si atacuri la Paris
SPORT LOCAL
ASU Politehnica Timisoara isi consolideaza prima pozitie in clasamentul Ligii 3
ASU Politehnica Timisoara isi consolideaza prima pozitie in clasamentul Ligii 3
Alb-violetii de la ASU Politehnica Timisoara si-au consolidat prima pozitie din
clasamentul seriei a patra a Ligii 3, dupa ce au nvins n deplasare echipa celor de
la Cetate Deva.
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Inaugurare marca Primaria Timisoara: Robu merge cu troleibuzul la Dumbravita, c
alatorii inca nu 27
Vaporase ca in Amsterdam, la Timisoara. Stim cand vine prima ambarcatiune 17
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TionTV: Tanar ucis de un elev la cativa pasi de o scoala din Timisoara
TionTV: Criminalii din Complexul Studentesc, dusi la reconstituire
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TionTV: Detalii socante in dosarul crimei din Complexul Studentesc
ramas fara ele n urma actiunilor neobositilor hoti de biciclete din Timisoara. In
diferent de anotimp, campania Ti s-a furat bicicleta, TION te ajuta sa o gasesti!
continua!
LOCAL
Bicicleta furata de sub fereastra apartamentului, la Timisoara
Hotii de biciclete actioneaza asiduu n aceste zile la Timisoara. Unui locuitor al
urbei de pe Bega i-a fost furata bicicleta chiar de sub geam. Campania Ti s-a fu
rat bicicleta, TION te ajuta sa o gasesti! continua.
LOCAL
Bicicleta furata in urma cu un an, reperata in trafic. Proprietarul ofera recomp
ensa
La un an dupa ce bicicleta i-a fost furata, a vazut-o din nou, n trafic. Acum, pa
gubitul are din nou sperante ca o va regasi, mai ales ca nu sunt multe astfel de
modele n oras. Campania Ti s-a furat bicicleta, TION te ajuta sa o gasesti! pune u
marul, mpreuna cu dumneavoastra, la depistarea vehiculului cu doua roti care a fo
st furat de lnga proprietar n urma cu un an.
LOCAL
Hoti inventivi la Timisoara - bicicleta furata cu lemnul
O bicicleta a fost furata din zona Printul Turcesc din Timisoara. Hotii au dat d
ovada de inventivitate n cazul acestui furt. Campania Ti s-a furat bicicleta, TION
te ajuta sa o gasesti! continua.
LOCAL
Bicicleta furata de la etajul IV, dintr-un bloc din Timisoara. Pagubitul crede c
a s-a actionat la pont
Furtul de biciclete ia amploare n Timisoara. Acum, cnd vara este aproape de sfrsit,
hotii dau spargeri dupa spargeri si fura vehiculele cu doua roti. Campania Ti sa furat bicicleta, TION te ajuta sa o gasesti! continua!
LOCAL
Hotii au tras cortina peste mersul pe doua roti. Un actor a ramas fara bicicleta
la Timisoara
Hotii actioneaza n continuare n forta n Timisoara, atunci cnd vine vorba de biciclet
e. Recent au furat bicicleta unui actor care colaboreaza cu Teatrul National Tim
isoara. Campania Ti s-a furat bicicleta, TION te ajuta sa o gasesti! continua.
LOCAL
Alte doua biciclete au picat pe mana hotilor, la Timisoara
Hotii de biciclete din Timisoara parca nu mai au astmpar, n ultimul timp. Nu numai
ca fura biciclete, dar reusesc sa faca acest lucru ntr-un timp record. Campania T
i s-a furat bicicleta, TION te ajuta sa o gasesti! continua.
LOCAL
Bicicleta furata din centrul Timisoarei de doi tineri in slapi, chiar sub camere
le de filmat
O alta bicicleta a fost furata n Timisoara. De data aceasta chiar din centrul urb
ei de pe Bega. Campania Ti s-a furat bicicleta, TION te ajuta sa o gasesti! contin
ua.
LOCAL
Bicicleta furata din uscatoria blocului. Ajutati-l sa o gaseasca!
O alta bicicleta s-a furat la Timi?oara. De data aceasta din uscatoria blocului,
din zona Calea ?agului. Campania ?i s-a furat bicicleta, TION te ajuta sa o gase
?ti! continua.
LOCAL
Doua biciclete furate dintr-un foc, dintr-o uscatorie din Timisoara, zona Mircea
cel Batran
Hotii au furat doua biciclete dintr-un foc, la Timisoara, din uscatoria unui blo
c. Campania Ti s-a furat bicicleta, TION te ajuta sa o gasesti! continua.
LOCAL
Bicicleta furata din scara blocului. Ajutati-l sa o gaseasca!
O alta bicicleta a fost furata la Timisoara, de data aceasta din scara blocului.
Campania Ti s-a furat bicicleta, TION te ajuta sa o gasesti! continua.
LOCAL
Bicicleta furata din Complexul Studentesc
Hotii de biciclete din Timisoara nu se lasa. Chiar si n aceste zile ploioase, cnd
nu-ti vine sa scoti afara niciun cine, hotii actioneaza si dau iama n bicicletele lo
cuitorilor urbei de pe Bega. Nici campania Ti s-a furat bicicleta, TION te ajuta
sa o gasesti! nu se lasa! Continua!
LOCAL
Inca o bicicleta furata in zona Lunei
O alta bicicleta a fost furata din Timisoara. De data aceasta, hotii au actionat
n zona Lunei, pe nserat. Campania Ti s-a furat bicicleta, TION te ajuta sa o gases
ti! continua.
LOCAL
Bicicleta furata din centrul Timisoarei. Se ofera recompensa!
O alta bicicleta a fost furata zilele trecute chiar din centrul Timisoarei. Camp
ania `Ti s-a furat bicicleta, TION te ajuta sa o gasesti! continua!
LOCAL
O alta bicicleta furata din Timisoara, chiar din rastel
Furtul de biciclete n Timisoara continua, pe masura ce oamenii pleaca n concediu,
iar hotii deja s-au saturat de soare. Continua si campania Ti s-a furat bicicleta
, TION te ajuta sa o gasesti .
LOCAL
Hotii de biciclete nu-si iau concediu! Doua biciclete furate in ultimele zile di
n Timisoara!
Hotii de biciclete nu si-au luat concediu la Timisoara. Continua sa actioneze si
sa fure bicicletele de peste tot. Nici campania
Ti s-a furat bicicleta, TION te a
juta sa o gasesti! nu intra n concediu! Continua!
LOCAL
Ajutati-l pe Ciprian sa isi recupereze bicicleta furata
Aproape ca nu e zi n care sa nu fie furata o bicicleta, la Timisoara. Desi multe
dintre ele sunt scoase la vnzare de hoti, foarte putine sunt recuperate de propri
etare. De aceea, tion.ro continua campania Ti s-a furat bicicleta? Tion te ajuta
sa o recuperezi . Astazi va rugam sa ne ajutati sa recuperam bicicleta lui Ciprian
.
LOCAL
Bicicleta furata, prezentata in cadrul campaniei Tion, recuperata de proprietar
Dupa ce n ultimele doua zile v-am prezentat cazul lui Lucian, tnarul care si-a rec
uperat bicicleta furata din zona Punctelor Cardinale din Timisoara datorita vigi
lentei unui timisorean, iata ca suntem n masura sa va prezentam un nou caz cu fin
al fericit. O bicicleta furata n urma cu aproape un an, prezentata n cadrul campan
iei Ti s-a furat bicicleta? Tion te ajuta sa o recuperezi! a ajuns napoi la proprie
tar.
LOCAL
Bicicleta furata, recuperata de un timisorean cu un excelent simt al observatiei
O excelenta poveste ne-a fost trimisa, marti seara, pe adresa redactiei de un ci
Trimite
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