Deltoid Intramuscular (IM) Injection - Clinical Skills - Dr Gill
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- Опубліковано 8 чер 2024
- how to give an intramuscular injection - Deltoid - Clinical Skills - Dr Gill
The ability to provide an intramuscular injection, is a very important skill for nurses, doctors, and Allied health professionals.
There are many medications provided via the IM route, analgesia, antibiotics, antiepileptics, contraceptives, and importantly, vaccines
It's very important when providing intra, muscular injection, that the aseptic technique is followed throughout
There are various intramuscular injection sites in the body, appropriately, the deltoid, vastus lateralis and gluteal sites, of which there are two sites, the ventral, gluteal site, and the dorso gluteal site
Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
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Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
Some people watching this video may experience an ASMR effect
#DrGill #Asmr #Clinicalskills
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
00:14 - Patient Verification
00:23 - Right or Left-Handed Confirmation
00:33 - Preparing for the Injection
02:35 - Administering the Injection
03:00 - Aftercare Instructions and Conclusion
Oh my goodness the asmr from the crinkly wrappers alone, let alone the content... My brain is so happy
Simple, interesting, clear and relaxing. Simply amazing content
This was Good Information 👍
We got a new patient!
King Dr Gill 👍
@2:38, you didn’t have gloves on, and then you miraculously did, and then @2:53 even more miraculously, you didn’t have gloves on again.
Try looking at the socks on some videos :)
Fascinating, I guess I never really paid attention to two different needles being used for drawing and injecting into/with the syringe, but it makes sense thinking about it. I’m due again for my annual Covid and flu shots so it’s neat seeing the techniques employed from the outside perspective as I’m not usually able to see much myself when being injected. Also I know it’s probably weird to say but I’m one of those random people who actually enjoys the experience because I have a very high pain tolerance thanks to sensory processing disorder so for some reason shots actually activate pleasure centers in my brain even if they make my arms/muscles sore in the process.
In "Ye Olde" times in the US, there were some inoculations (smallpox, specifically) which the alcohol might interfere with. In those cases, acetone was often used instead.
smallpox inoculations were often administered with a scratch on the surface, not an injection. Those times are long gone: That method was eventually abandoned; also smallpox has been eliminated.
Your medical insights are incredibly informative, and I appreciate the soothing quality of your voice - it's like a medical ASMR experience!
Keep up the great work!
Greetings from Algeria! 🇩🇿
Glad it was useful
As calm and comforting as you are… I still got chills seeing the needle.
I am absolutely terrified of having to go to the hospital for any reason. The idea of being opened up, operated on in anyway makes me borderline physically sick with anxiety.
I am terrified of getting older for that reason, the idea of laying in a hospital bed at the mercy of doctors, especially in America as they are overworked and stressed themselves.
It is just so, so, so scary. :(
I can not wait 😁😁😁
Thank you for this one! Would you ever do a tutorial for some other common IM injection sites?
That’s the plan, I also intend to do the anatomy of those sites
I'm curious about the "alcohol swab not needed for immunizations." I am in medical school here in the USA and we are trained to use alcohol for any injection, is it different in the UK or new evidence to support it's an unnecessary step?
Yeah that's weird - you wouldn't think introducing surface contamination into a puncture would be a good idea.
I'm curious if you've run into the drawing the needle back, because I'd never heard of such a thing until viewing videos from the UK during the pandemic.
www.ncbi.nlm.nih.gov/pmc/articles/PMC6605859/
Found a few articles like this one that say there's not enough evidence either for or against using alcohol for vaccinations, so I guess it depends on preference of the practicioner
The lab that we had during medical school taught us to "draw back" (aspirate)
On my general surgery rotation, the surgeon harped on it too and would stop me to ensure I aspirated before injecting local anesthetic. @@atticstattic
I think it's a change in procedure for immunisations and bloods. You don't want the alcohol interfering with the tests or provided vaccination and impacting it's effectiveness or accuracy. The needles are sterile, so for a patient who is clean and hygenic it's probably deemed a minimal risk not worth the downsides at this point. But I'm not a medic so perhaps Dr Gill will elaborate.
Yes, I heard many people in countries like Japan were astounded that using an alcohol swab wasn't standard practice in the UK during the COVID jabs. I find casses like this where 'common sense' differs so much between countries fascinating - especially when you'd think there'd be global consensus about something medical. Who is really 'right' or 'wrong'?
couldn’t help notice the mark on your left arm, near the wrist. apologies if im rude or ignorant in asking, did you hurt it somehow? if so i hope everything is okay! :) a concerned subscriber
This is the dentist lady!
woop
I watched several videos
This is the only one that showed needle gauge , however failed to mention length of needle
I use 1 inch, 23 gauge for my glutes, can the same size be used for delt, is a 1 inch inserted 2/3 of the way? Looks like you ended up going all the way in? Please clarify, thank you
Wat else can we use doc?
I was told for my b12 injections that once they pierce the skin they have to hold the injection for 10 seconds before injecting? Just noticed you were pretty much in and out so was wondering is it different down in england compared to scotland?
I’m not really sure why that would be. That frankly would prolong the injection, which isn’t great.
Perhaps they meant the SPEED of the injection - as you should inject (ie depress the plunger) at 1ml over 10 seconds so it doesn’t sting.
A little bit of over kill wiping down a tray and emesis basin. Plus that 23 ga needle was a bit dull the way it was shoved in hard!
What happened to the sound half way through?
For what conditions would that particular injection be needed?
Is it something which a patient could self administer like insulin? Just curious.
I have Vitamin B-12 deficiency (pernicious anemia), and I self-administer a B-12 shot (cyanocobalamin) each month. 👍
B12 is a simple one, as shown by Christopher, but many vaccines go in the deltoid as another option
Is it standard to have separate drawing and injecting needles? I've never noticed it before, but then I don't get injected often.
Ideally so yes. Esp with glass vials, the drawing needle should have a filter then
Could you ask her where she got those overalls please? 🤣 I need them
search for "lucy & yak" :)
Look like Lucy and Yak maybe?
@@charliejones4590 Yep, definitely Lucy and Yak. Have a pair of overalls from them and they've been good!
Thank you! They are Lucy and Yak!
The circus i would have thought!
Insert the needle fully before administering medication, checking for flashback is not usually necessary. Apply a slight pressure on the injection site, after you pull out the needle. Always have your equipment prepared and ready for use(E.g. plaster).
The flash back is a variable one I find.
Very much not needed for subcutaneous, but for deep IM, personally I think it’s a reasonable safety check, esp for something we are looking for slower absorption of
Inserting the needle fully is quite dangerous since the needle can break, and it'll be hard to pull it back, so we were reccomended to insert it only for 2/3 of it's length.
100% and commented a such in the video.
Also full insertion could potentially pass through the muscle in a slight person
nasal insufflation is usually my preferred ingestion method
Is that an air bubble on 2:47
No
Maybe a tutorial on how to self inject with heparin? After having my leg broken and later after a c-section I had to make myself heparin injections in my belly area. I always found it very difficult to break the skin, then it was okay 😂
Great suggestion!
Why you didn't insert the entire needs at first?
First
As a needlephobe I had to look away 😂, although I chose to watch the video. Go figure lol
Disappointed for the lack of lollipops at the end 😔
I like your channel but I must say I get my B12 injections only into my buttocks, so this surprised me. Maybe injections into the buttocks could be less sore or painful? Also, I noticed that your B12 liquid was colourless like water, but my B12 injections are always red. Greetings to the UK!
This is not actually b12, this is just water for injections as it’s a demo
However it can also be done in the deltoid like this without issue
@@DrJamesGill Thank you so much! Merry Christmas!
Man that needle poke was sooooo slow that had to have hurt, if you do it more like a dart it hurts way less
I think the injection clip is at half speed for the demonstration
Where does Dr. Gill keep finding these good looking people? Not to mention that he's pretty good looking himself
Maybe those hospital dramas where everyone is basically a supermodel weren't too far off lol
So i click on your video i didn't realize until i read it what it said
Im sorry nope nope not for me
Too scary for me 🙈🙈🙈🙈🙈🙈🙈
Im sorry 😞 💔😔💔😔💔
This voice. 😳😳😳
Pretty sure its a woman. Some woman especially British have a deeper tone
It’s a Boy!!!
oh my lord she's gorgeous
She was panicked before the injection 😂