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Injuries from Injections

DrJMW

New member
Here is a brochure that I send to clients that have problems with injections.

Puncture wounds

Unlike scrapes and cuts, which usually are on the skin's surface, puncture wounds can be deep and pose a greater risk of infection. Unfortunately, they're often neglected because of their small surface size.

Puncture wounds are caused by sharp, pointed objects such as nails, pins, needles, and staples. Puncture wounds are common in occupations such as carpentry, medicine (needle sticks), and textile manufacturing.

It is important to thoroughly clean the wound in order to avoid infection, especially with wounds of the hand, head, chest, back, or abdomen.

Deep puncture wounds can damage underlying blood vessels, nerves, and organs. Loss of movement, numbness, profuse bleeding (spurting indicates an artery has been injured), or signs of shock indicate additional injury and require immediate medical attention.

Symptoms/Signs:

Superficial to deep penetration of the skin with a sharp object. Bleeding can be minimal (e.g., pin prick) to major.

Consult Your Doctor If:

There are signs of shock: pale, sweating skin; dizziness; rapid, weak pulse.
You cannot stop the bleeding.
You suspect internal injury to nerves, organs, or blood vessels.
There are signs of infection: increasing pain or tenderness, swelling and redness, red lines coming away from the injury, presence of pus, or a fever of 101 degrees F or higher without another reason, such as cold or flu.
Object remains in wound.
Wound is more than superficial and is in the hand, head, chest, back, or abdomen.
It has been more than five years since your last tetanus shot or date of last tetanus shot is not known.

Home Care Ideas:

Rinse the wound with cool water.
Wash around the wound with soap and water. Avoid getting soap in the wound.
Encourage the wound to bleed, unless serious. Bleeding helps bring material to the surface.
To help draw foreign matter and bacteria from wound, soak in warm water three times a day for two to four days.
Apply an antibiotic ointment and bandage to help prevent scarring and promote healing.
Try aspirin, ibuprofen, or acetaminophen for pain. Use as directed.
Antiseptics such as hydrogen peroxide are not recommended. They can irritate the wound and cause further discomfort.
A tetanus booster shot every 10 years is recommended.
Store sharp objects carefully.
Follow procedures when handling syringes and needles.
Because of the risk of hepatitis and AIDS through needle sticks, medical personnel should follow infectious disease control measures for the handling of needles and syringes.
 
Good post doc. By chance do you know of any medical sites that show injection procedures for different areas of the body? I've downloaded a few good PDFs (and been to the normal sites, i.e. rippedcanadians, 2thick, SpotInjections, etc.), but still feel my thigh injections could improve.
 
I have a "hand-out" from school days that illustrates injection technique pretty well. I don't have a scanner, so I don't have it on the computer. It basically shows sites, discusses proper armamentarium and discusses problem with improper injections. Site selection, needle length and gauge, sterility of needle and site, aspirating and speed of injection are very important. If you are using impure injectibles--that is a problem. Alcohol based and water based will always be more painful than oil based--that is why it is important to deeply penetrate the large muscles when injecting.
 
I penetrate deeply, but I occassionally hit nerves. I shoot at the mid-point of the leg (between the hip and knee), but struggle with how much torward the outside of the leg I should shoot. Sitting looking down at my leg, I suppose I'm injecting, on average, at about 60 degrees (straight out to the side is 90 degrees).

Are there areas on the outer thigh more prone to hitting nerves or is it an individual thing?
 
THeMaCHinE said:
I penetrate deeply, but I occassionally hit nerves. I shoot at the mid-point of the leg (between the hip and knee), but struggle with how much torward the outside of the leg I should shoot. Sitting looking down at my leg, I suppose I'm injecting, on average, at about 60 degrees (straight out to the side is 90 degrees).

Are there areas on the outer thigh more prone to hitting nerves or is it an individual thing?

While sitting, you should be injecting into the middle of the outer (lateral) thigh at a 90 degree angle. There is really nothing present in this area. Injection depth: 1 to 1 1/4".
 
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