Healthcare professionals working in catheterization laboratories face lifelong occupational risks. While radiation risks are well known, current protective strategies also have resulted in musculoskeletal strain. Slow adoption of modern technologies to address these problems has only exacerbated the issues.

ALARA+ (As Low and as Light as Reasonably Achievable) expands traditional radiation safety to also address the physical strain and injuries healthcare professionals experience from wearing heavy lead protection gear in fluoroscopy practices.