Deltoid Intramuscular (IM) Injection - Clinical Skills - Dr Gill

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

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

[OfficerKD-.BladeRunner]

Simple, interesting, clear and relaxing. Simply amazing content

[taw]

Oh my goodness the asmr from the crinkly wrappers alone, let alone the content... My brain is so happy

[starfishgurl]

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.

[pickerpoker]

@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.

[chuckoneill]

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.

[MagnumDB]

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. :(

[Abderrahmane_CHIKH]

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! 🇩🇿

[polly_pasta]

Thank you for this one! Would you ever do a tutorial for some other common IM injection sites?

[NickzAndMikz]

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?

[ChancellorBeeHaw]

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

[TheAbabinili]

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).

[beepityboopity]

Could you ask her where she got those overalls please? 🤣 I need them

[ptvsueq]

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!

[dsd-downshiftdave]

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

[Ayub]

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?

[ABritishBoyAndAFilipina]

What happened to the sound half way through?

[Omni]

Is it standard to have separate drawing and injecting needles? I've never noticed it before, but then I don't get injected often.

[chuckoneill]

For what conditions would that particular injection be needed?
Is it something which a patient could self administer like insulin? Just curious.

[solidsnakesasscheeks.]

nasal insufflation is usually my preferred ingestion method

[SirWeibrot]

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