Intramuscular injection of the deltoid muscle - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the deltoid intramuscular injection, which is a common procedure.
The vastus lateralis and the safe area of the buttock are other sites for intramuscular injections.
One must be aware of the proper location for the injection and the neurovascular structures present within the involved region.
The size of the Deltoid mass is small in relation to the IM injection sites which leaves a small margin for error.
Accurate identification of the safe zone for injection is important.
One method is to find the safe zone square and injection into it will be safe.
It is better to inject inside the middle of the square.
The top border of the deltoid region is one or two finger width from the acromion process.
The bottom line is at the insertion of the deltoid muscle approximately from the fold of the axilla. Select the middle part of the Deltoid muscle from the side view for injection.
There is a different way for injecting the deltoid that is used by a lot of people.
If you superimpose the injection techniques, the ideal site for injection remains about the same.
There is less of a safe zone inferiorly with this method (the triangle) due to the close proximity of the neurovascular bundle to the inferior part of the deltoid.
The injection site for this method is located in the middle third of the triangle.
It is sometimes easiest to make triangle with the fingers as shown in the animation.
The site of injection is located in the center of the deltoid from the side view.
Squeezing the muscle from front to back increases the thikness and depth of the muscle and avoids nerve injuries.
Make sure you do not advance the needle deep the touch the bone.
Aspirate Before you Inject.
Care must be given not to cause nerve injury to the axillary nerve and the radial nerve during the Deltoid IM injection.

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[margaretprawl]

Thanks Doc. The part about the nerve and artery location was very important to me. I was never aware of the square method until I saw your video. Now I can use both methods to more accurately pinpoint the areas -Junior LPN.

[geojor]

excellent anatomical diagrams, they make it easier to learn...

[jakeh]

This was helpful. Better than uni. Cheers mate!

[shmopot]

At 2:21 the text says, "the radial nerve is about 7 cm from the acromion". But in the diagram it is labeled "Axillary Nerve" at "Approx 7 CM" from the "Acromium".  This discrepancy is confusing. I assume the text is incorrect and should say, "the axillary nerve is about 7 cm from the acromium"   

[Tha_Gat]

My mom is an LPN and thinks you inject below this triangle, she gave me an IM B vitamin injection the other day I couldn't believe how low she did it I was so mad, I don't know what she's thinking. And to hear this is the site of all of them that has the least Margin for error, scares the hell out of me. It can give you permanent nerve damage! She argues with me about it too!

[massesbulet]

I use the site for my testosterone cypionate injection I use 30g 1/2 in the beginning I was ok after couple weeks rotating soreness started and then redness and heat what would be the cause

[millieserpico]

How come they don't aspire needle to avoid hitting vein

[stephenswallow]

Can I inject npp in shoulder is that ok I’m inaslin needle ?.

[caseystapleton]

What length of needle should be used on shoulder? 5/8ths if you're body fat is low? Or an inch?

[pandaisreal]

Im feeling so much pain in my delts after having a shot. What to do?

[Paul-ujdh]

Can I use a 5/8 inch for my delt injection?
My delt is of average size

[wessley]

Great video. Now make a video about curry and poppadoms

[hexapy]

Just use insulin pens for small muscles. You will thank me laterx