Inadvertent Intravenous Injections - Consequences

[porcaputtana]

Then why the need to teach aspiration during IM injections?

just in case there is a 1 in 10000 chance the needle can hit a small arteriole or vein

the real danger is local infiltration of lidocaine . in large enough dose and administered intravenously it is cardiotoxic

which unfortunately did happen in the SAF ward many many years ago. some young MO go and push a walloping dose into a large vein while trying to excise a lipoma and the poor patient went into arrhythmia and died

that's why we aspirate . in my business anything can happen . however remote.

 

[Leongsam]

there are no major arteries at the lateral side of the deltoid

not even a large enough arteriole for IA bolus shot

the UK nurses must be damn cock. Or he is making up stories to stay relevant on YouTube . Or both.

What about that small artery that looks like it is looping around the humerus? Would it be in the needle's reach on a scrawny arm?

 

[porcaputtana]

What about that small artery that looks like it is looping around the humerus? Would it be in the needle's reach on a scrawny arm?



View attachment 123740

that's why nobody injects into the arm pit

unless some of the fake medical experts of this forum decide to inject ivermectin into themselves

hope they do it that way

 

[porcaputtana]

that's why nobody injects into the arm pit

unless some of the fake medical experts of this forum decide to inject ivermectin into themselves

hope they do it that way

actually to qualify : axillary nerve block does involve infiltration into the armpit . But it's only done by seasoned senior anesthetists .

 

[Leongsam]

that's why nobody injects into the arm pit

unless some of the fake medical experts of this forum decide to inject ivermectin into themselves

hope they do it that way

Sorry I thought from the diagram that it ran between the deltoid and the humerus.

 

[porcaputtana]

Sorry I thought from the diagram that it ran between the deltoid and the humerus.

that's why Henry Gray wrote a book and we spend 18 months memorising the fucking boring opus turd

 

[syed putra]

Is there a reason why vaccines aren't administered on the buttocks?

If the needles are enormous, it's the buttocks.
If its teeny weeny, it's the arms.

 

[Loofydralb]

just in case there is a 1 in 10000 chance the needle can hit a small arteriole or vein

the real danger is local infiltration of lidocaine . in large enough dose and administered intravenously it is cardiotoxic

which unfortunately did happen in the SAF ward many many years ago. some young MO go and push a walloping dose into a large vein while trying to excise a lipoma and the poor patient went into arrhythmia and died

that's why we aspirate . in my business anything can happen . however remote.

The point remains. Anything can happen. So aspirate!. Train and retrain to remove the slightest possibility. As a doctor you should push for this and not give excuses for it.

 

[Leongsam]

If the needles are enormous, it's the buttocks.
If its teeny weeny, it's the arms.

The biggest needle I've ever seen is the one my poor puppy had to endure when he was microchipped.

 

[porcaputtana]

The point remains. Anything can happen. So aspirate!. Train and retrain to remove the slightest possibility. As a doctor you should push for this and not give excuses for it.

Push for what ? I already said nurses have been doing it . Since time immemorial.

you want zero error ? Go see TCM or any of the bullshit alternative medicine charlatans . They have 100 % success and 0% errors .

 

[porcaputtana]

The biggest needle I've ever seen is the one my poor puppy had to endure when he was microchipped.

View attachment 123749

U haven’t seen the ones used by the Israeli medics for their IVs

 

[Loofydralb]

Wow

Push for what ? I already said nurses have been doing it . Since time immemorial.

you want zero error ? Go see TCM or any of the bullshit alternative medicine charlatans . They have 100 % success and 0% errors .

Wow such a perfect example of a health entrepreneur.

 

[nayr69sg]

Based upon the numbers the risk of Myocarditis is very low too so it may correlate with hitting a blood vessel.

Do they still jab the buttocks for anything nowadays? I can recall that's what happened in school but can't remember for what.

Frankly I doubt this is the reason for myocarditis.

 

[nayr69sg]

Then why the need to teach aspiration during IM injections?

Like you said what is taught and what is practiced can be different.

Why they teach? It's just what they are used to teaching.

Many many things taught. But in real life you follow is not practical or not popular also.

Simple one......cold or flu antibiotics dont work for you. Cause antibiotic resistance also. Waste money and resources.

How many GP still give antibiotics? How many patients will say wah GP tell me go home drink water sleep and rest no antibiotics is damn good Dr. Dun joke lah.

Those who can do those who cant teach.