x Critical care solutions delivered full circle Dramatically Reduce Risks from Excess Radiation to Every NICU Baby presented by Vital Care Products, Inc.

x Critical care solutions delivered full circle The National Cancer Institute reports: “No amount of radiation should be considered absolutely safe” 1 1. “Radiation Risks and Pediatric Computed Tomography (CT): A guide for Health Care Providers.” National Cancer Institute at NIH (updated 12/22/2008)

x Critical care solutions delivered full circle Studies have shown even low levels of radiation: Radiation risks are exponentially higher for neonatal patients

x Critical care solutions delivered full circle Studies have shown even low levels of radiation: + Slightly increase cancer risk for children 2 2. “Radiation Risks and Pediatric Computed Tomography (CT): A guide for Health Care Providers.” National Cancer Institute at NIH Radiation risks are exponentially higher for neonatal patients

x Critical care solutions delivered full circle Studies have shown even low levels of radiation: + Slightly increase cancer risk for children 2 + Diminish intellectual capacity in adulthood 3 3. “Even Low Radiation Doses in Infants May Reduce Future Cognitive Function” Diagnostic Imaging Online, January 26, 2004; CMP United Business Media. Radiation risks are exponentially higher for neonatal patients

x Critical care solutions delivered full circle Studies have shown even low levels of radiation: + Slightly increase cancer risk for children 2 + Diminish intellectual capacity in adulthood 3 + Can cause sterility 4 4. “Do Doctors Discuss Fertility Issues Before they Treat Young Patients with Cancer?” US National Library of Medicine National Institute of Health, 2008 Oct:23 (10): Radiation risks are exponentially higher for neonatal patients

x Critical care solutions delivered full circle Radiation risks are exponentially higher for neonatal patients Studies have shown even low levels of radiation: + Slightly increase cancer risk for children 2 + Diminish intellectual capacity in adulthood 3 + Can cause sterility 4 The organs most sensitive to radiation are blood-forming, reproductive and digestive organs, skin and thyroid “Open Source Radiation Safety Training Information, Module 3: Biological Effects.” Princeton University, Environment Health & Safety: web.princeton.edu/sites/ehs/osradtraining/biologicaleffects/page.htm.

x Critical care solutions delivered full circle Radiation risks are cumulative Most researchers agree that the effects of radiation are cumulative. 6. “Frequency of X-ray Examinations of Neonates Classified According to Their Birth Weight in NICU.” K. Orno, K. Akahane, M. Hada, T. Mitarai, Y. Kato, M. Kai, T. Kusama. “The average child has 7 radiological exams by age 18!” 6

x Critical care solutions delivered full circle Radiation risks are cumulative Most researchers agree that the effects of radiation are cumulative. 6. “Frequency of X-ray Examinations of Neonates Classified According to Their Birth Weight in NICU.” K. Orno, K. Akahane, M. Hada, T. Mitarai, Y. Kato, M. Kai, T. Kusama. “The average NICU baby has 10 x-rays in 20 days!” 6

x Critical care solutions delivered full circle Preemies and infants are routinely overexposed The consistent use of neonatal collimation shields is crucial to avoiding excess exposure because:

x Critical care solutions delivered full circle Preemies and infants are routinely overexposed The consistent use of neonatal collimation shields is crucial to avoiding excess exposure because: + X-ray machines often can’t collimate (focus) the beam tight enough for a tiny preemie

x Critical care solutions delivered full circle Preemies and infants are routinely overexposed The consistent use of neonatal collimation shields is crucial to avoiding excess exposure because: + X-ray machines often can’t collimate (focus) the beam tight enough for a tiny preemie + Higher quality images vastly multiply the level of radiation exposure (especially CTs)

x Critical care solutions delivered full circle Preemies and infants are routinely overexposed The consistent use of neonatal collimation shields is crucial to avoiding excess exposure because: + X-ray machines often can’t collimate (focus) the beam tight enough for a tiny preemie + Higher quality images vastly multiply the level of radiation exposure (especially CTs) + Radiation doses are not always properly scaled back, resulting in adult-sized doses for neonates

x Critical care solutions delivered full circle RADPAD ® is the world leader in radiation protection in the NICU Only the RADPAD ® brand shields and drapes offer: + 95% reduction in radiation

x Critical care solutions delivered full circle RADPAD ® is the world leader in radiation protection in the NICU Only the RADPAD ® brand shields and drapes offer: + 95% reduction in radiation + Clinical proof from 18 independent third-party studies

x Critical care solutions delivered full circle RADPAD ® is the world leader in radiation protection in the NICU Only the RADPAD ® brand shields and drapes offer: + 95% reduction in radiation + Clinical proof from 18 independent third-party studies + Light-weight, flexible and lead-free protection

x Critical care solutions delivered full circle RADPAD ® is the world leader in radiation protection in the NICU Only the RADPAD ® brand shields and drapes offer: + 95% reduction in radiation + Clinical proof from 18 independent third-party studies + Light-weight, flexible and lead-free protection + More shields to better protect the baby’s brain, thyroid & gonads

x Critical care solutions delivered full circle Protect EVERY NICU baby from excess radiation The use of RADPAD ® Neonatal Collimation Shields for every appropriate NICU admission is a recognized and invaluable solution to ensure delivery of the highest level of protection possible. #5700-Y 5.5” x 9.5” Non-Sterile Pkg. of 4 (15 / case)

x Critical care solutions delivered full circle Protect EVERY NICU baby from excess radiation The use of RADPAD ® Neonatal Collimation Shields for every appropriate NICU admission is a recognized and invaluable solution to ensure delivery of the highest level of protection possible. It’s a simple, low cost, high value component for your NICU admission pack. #5700-Y 5.5” x 9.5” Non-Sterile Pkg. of 4 (15 / case)

x Critical care solutions delivered full circle RADPAD ® 5700 Neonatal Collimation Shields Excellent protection during repeated radiology procedures + Used in conjunction with established imaging safety protocol #5700-Y 5.5” x 9.5” Non-Sterile Pkg. of 4 (15 / case)

x Critical care solutions delivered full circle Excellent protection during repeated radiology procedures + Used in conjunction with established imaging safety protocol + 4-shield set offers added protection for the head, gonads & long bones #5700-Y 5.5” x 9.5” Non-Sterile Pkg. of 4 (15 / case) RADPAD ® 5700 Neonatal Collimation Shields

x Critical care solutions delivered full circle Excellent protection during repeated radiology procedures + Used in conjunction with established imaging safety protocol + 4-shield set offers added protection for the head, gonads & long bones + Single-patient use #5700-Y 5.5” x 9.5” Non-Sterile Pkg. of 4 (15 / case) RADPAD ® 5700 Neonatal Collimation Shields

x Critical care solutions delivered full circle RADPAD ® Protection Placement Position shields to protect areas not intended to be radiated. x-ray without collimation shields

x Critical care solutions delivered full circle RADPAD ® Protection Placement Position shields to protect areas not intended to be radiated. x-ray without collimation shields The first shield is placed horizontally below the area intended to be radiated protecting the gonadal area.

x Critical care solutions delivered full circle RADPAD ® Protection Placement Position shields to protect areas not intended to be radiated. The first shield is placed horizontally below the area intended to be radiated protecting the gonadal area. Place the second shield horizontally above the area intended to be radiated to protect the infant’s head.

x Critical care solutions delivered full circle RADPAD ® Protection Placement Position shields to protect areas not intended to be radiated. The first shield is placed horizontally below the area intended to be radiated protecting the gonadal area. Place the second shield horizontally above the area intended to be radiated to protect the infant’s head. The third shield is placed vertically to the right of the area intended to be radiated protecting the long bones.

x Critical care solutions delivered full circle RADPAD ® Protection Placement Position shields to protect areas not intended to be radiated. x-ray with collimation shields The first shield is placed horizontally below the area intended to be radiated protecting the gonadal area. Place the second shield horizontally above the area intended to be radiated to protect the infant’s head. The third shield is placed vertically to the right of the area intended to be radiated protecting the long bones. Place the fourth shield vertically to the left of the area intended to be radiated creating a shade zone to protect from excess exposure

x Critical care solutions delivered full circle More RADPAD ® Shields to better protect the baby’s brain, thyroid & gonads + RADPAD ® 9500 CT Body Guard Set + RADPAD ® 9911-O & 9912-O Fig Leaf Gonadal Shield

x Critical care solutions delivered full circle RADPAD ® 9500 CT Body Guard Set Protects from damaging overall exposure to highly vulnerable organs + Maximum protection during standard x-ray procedures + Three-piece set includes Wrap, Brain Bandana & Thyroid Shield + Easy to clean and reusable #9500-O 3-piece Set

x Critical care solutions delivered full circle RADPAD ® 9911-O & 9912-O Fig Leaf Gonadal Shield #9911-O Extra Small Non-Sterile (15 per case) #9912-O Preemie Non-Sterile (15 per case) Effective in interventional procedures + Offers up to 90% radiation protection in the gonadal region + Lead-free, Light-weight, Soft + Various sizes available

x Critical care solutions delivered full circle Request a quote today! Contact your Vital Care Product Specialist at: x200