Deltoid Intramuscular injection - 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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[enzorodriguez]

I needed to watch this video asap and the ads ended up sending me to the ER

[weedylock]

The most thorough and well explained videos on you tube :D

[GiaGiaguaro]

How deep are the arteries? If you used an insulin needle, would be safer not to reach it?

[johnyimba]

I've read that international guide lines have been released which state that aspiration during vaccination is unnecessary because veins in recommended areas (e.g. M. Delt.) are too small or not in reach for the needle or you should even be refrain from aspiration to avoid additional pain.

Thoughts on this?

[FunnyearBrown]

VERY IMFORMATIVI. Somehow, the new guideline instructs to use z track and no aspiration. It says aspiration may hurt the muscle. Being curious about which way we should follow now

[janetc]

I have seen so many people showing off their injection spots that look like they missed the deltoid altogether. I wonder how this will affect the efficacy.

[vsilvaf]

WTF? At 2:43 shows the danger area where axillary nerve pass just through the middle of triangle or square! So is it better to inject above or bellow the middle? Cuz man, 7cm down the accromion is very very the middle of my triangle or square!!! Please, somebody answer me, thanks!

[MedicalSkillsTraining]

You are the absolute best at what you do, thank you for sharing it with us. ❤❤❤

[tgr.]

Can this be done on muscle where atrophy has occurred?

[MedicalSkillsTraining]

I still teach with your videos as such amazing anatomical precise evidence of the correct technique. Adore your knowledge ❤️💪❤️

[mofarah]

this is the most informative vid thank you so much its so concise

[charlenemyers]

Awesome instructional thanks for posting

[naomic]

Thank you for that excellent instruction. Everyone giving vaccinations should study this

[Adrien_broner]

Two fingers below the acromium seems too high. I’ve always tried to just do directly in the middle before. I tried this method and it hurt like hell. Hopefully I didn’t do any permanent damage.

[gabrieludochukwunwebo]

Please I to danwnload them please or can you send them to me

[kalindisharan]

Good morning thanks for your great knowledge and guidance it will help me to teach my students during lockdown thanks again

[melissajohnson]

This video follows the instructions I was given in nursing school to aspirated prior to injection. Why is this not the standard of practice with covid vaccines around the world? This has been basic knowledge for many many years!

[mofarah]

thank you so much very informative? you did squeeze above the the nerve they just moaning you actually took the time to help people . I appreciated!!!!

[maximable]

A dog bite my leg Saturday and now they have done 2 vaccine shots in hospital in deltoid erea...

[estherlawrence]

This video is very help full . keep it up.