Giving injections wrongly

you're most welcome to this talk now yesterday we did an interview on deutsche weller television and quite a few of you noticed the injection technique which was being used let's take the three examples that they were on that interview yesterday that we did with deutsche weller tv now here we go so we see the needle going in no aspiration and the plunger going straight in in slow motion needle goes in no aspiration there's the needle fully in and then the thumb goes down injects straight away no aspiration again in and straight in without aspirating again in and straight in let's just see that one again so we go in no aspiration at all and we inject uh straight away without hesitation now that's what i would call in doing it blindly you can't see where the needle's going now let me just show you what i mean on this um this illustration we've got here so this is the situation here so here's the bone that would be the humerus where where the uh the injection top of the humerus where the injection goes so that's the skin here then the muscle then muscle then bone and there could be a blood vessel you see in here so if the syringe goes into there like that then that's okay because it's in a muscle and you can inject and that's absolutely perfect straight to the muscle but if by if by chance you inject and you can't see this it ends up in a blood vessel then you could end up giving the injection directly into the bloodstream when it would just pass around the whole body so that's what we need to um that's what we need to avoid and of course i will be giving full evidence for everything i'm saying in the description below now let's have a look an example from china where this was done much better that's actually one from the states where they didn't aspirate so this one's from china we go draw back see that drawback and then inject so nicely done nurse from china you know you're not in a blood vessel because you've drawn back first of all whereas that one from the states they just went straight in so nice and slow motion from china so we've got it so in we go and we're going to draw back make sure we're not in a blood vessel if there's no blood then we uh we carry on with the injection so um nicely done from china now i want to give you an experience now of jim from uh taiwan and uh this is this is jim's experience let's just say it's it's very positive and it's evidence that is really important and i'll be telling you why what jim says here is so absolutely uh vital and let's just go straight on to it jim thank you very much for this report jim in taiwan hello my name is jim i live in taiwan uh yesterday i got my first shot of the local taiwanese vaccine called metagen uh my mandarin is not great so uh i i had dr campbell's video showing how to aspirate a needle ready with me at the hospital and i learned i thought how to say in mandarin please aspirate the needle but apparently i was wrong because the staff person who was there ready to inject me didn't understand what i was saying there was some miscommunication so she went to get a nurse who spoke english and when i explained to the nurse what i wanted she said oh the status that person had thought that you were saying uh that you wanted her to push out and pull pull out and push in the plunger several times because um we always aspirate the needle anyway it's normal because if we don't she actually said because if we don't it's dangerous we might hit a vein and uh the injection could go directly into the vein when we want it to go into just the muscle i said okay that's great and then i watched them as they uh uh injected me and aspirated the needle um i thought i i i asked them if they had ever um had any uh uh injection where they aspirated the needle and they did uh see some blood in the needle and they said yes uh they said you know they indicated several times uh they didn't given a precise number i asked them one in a hundred one in five hundred they just said oh they said it's not common at all but but but several times um so i thought it would be interesting to uh to to access and take a look at the taiwan uh theirs report the vaccine adverse event reporting system uh they call it the same thing in taiwan so i went online and i tried to access it i couldn't it's not publicly available you have to fill out a form make a special request i'm a writer so i plan to do that i'll see what happens i thought it would be interesting to compare um the the rate of adverse events in a country that aspirates needles for the coveted vaccines with a country like the usa or the uk that doesn't um so i'll see where that goes and i had a thought that that it might be that the reason why uh young men uh tend to have higher severe adverse uh events uh after uh reactions after uh uh these vaccines like say kyle did kyle the mountain biker who dr campbell interviewed in a previous podcast is because they may have larger deltoids and therefore even larger veins in their deltoids so you know this this could be could put them at greater risk uh of receiving the injection into a vein uh when the needle is not aspirated so that's all uh those are my uh that's my experience those are my thoughts thanks hello man excellent excellent taiwan thank you so much for that where am i there i am and the sounds back excellent now i'm sure jim's mandarin is better than he is modestly uh saying that the nurse there said they always aspirate it is dangerous not to so is this nurse in taiwan wrong in my view no she's not dangerous not to she you use the correct technique on gym which of course i'm delighted about they have seen blood several times in other words they've stuck the needle in drawn back and when they draw back they have actually seen blood because they've been in a vein now let me just show you well i've shown you this before but um we'll just have a quick demonstration again so um if we and go into the muscle and you draw back then there'll be no blood goes into the syringe that's fine and then you can inject but if you end up in a blood vessel by mistake and then you draw back let me just show you what will happen if because remember that's full of blood and we don't want it to go into the circulation so what will happen is if you're in a source of blood like that and you draw back then you will immediately see the blood coming into the syringe and you know not to inject that's what we mean by aspiration so if you stick the needle in and you don't draw back your blind you don't know that whether you're in a muscle or you don't know whether you're in a vessel you simply don't know and the nurses in taiwan seem to be well aware of this simple anatomical fact now they've seen blood several times now it's not common but there again these pericarditis and thrombocytopenia aren't common either but if the injection is given intravascularly it is my belief and the evidence i'm going to give you below is that increases the risk so why aren't we doing it properly please do get that data jim i would love to see that i'm hoping to get some data from denmark soon i'm in contacting a professor in denmark to try and get data because of course in denmark they are aspirating if you can get that data jim from taiwan we can do a comparison that will be brilliant jim is quite right if you work out a lot your deltoid muscles are going to get bigger the muscles of course use a lot of oxygen they use a lot of glucose they produce a lot of carbon dioxide they have to get rid of the waste products so what do you think happens the blood vessels grow in size as well this is not really complicated neurosurgery this is very basic anatomy and as well as that in young men that are particularly prone to pericarditis or young women that are particularly prone to thrombocytopenia thrombosis after the adenovirus vector vaccines um there could be other factors as well such as i suspect hormonal factors now jim also sent me a link to a video from taiwan so let's play that now in drawback and then inject what is so hard about that nothing at all so in the go draw back make sure there's no blood and you can see the needle's nicely stabilized on the patient's arm as well so it's not just not jiggling about this idea that it hurts more the needle jiggles about it's just bad technique that needle is perfectly stable because the injectors are misstabilizing the syringe against the patient's skin which is the 100 correct way to do it perfectly stabilized needle with the fingers while the other hand draws back and if you look while she's doing that because that hand is stabilizing it there's no waggling around of the needle beautiful technique absolutely perfect exactly the same way i would do it my self so excellent and uh congratulations to that clinician and indeed that patient who who got it done perfectly uh correctly just another example here this one actually is from from england in we go draw back and then inject let's just see that again so drawing up in stabilizing can you see the way our fingers are balanced against the patient's arm there like that that's the correct way to do it leaves the other hand free for the aspiration and then uh is able to inject so congratulations nurse from england for doing that uh the correct way that's exactly how i've been teaching student nurses to do it for many years and um for decades in fact now let's get an experience now from christopher and to tell you the truth i think christopher's experience was fairly good but i can't quite remember so let's uh let's just watch christopher's experience listen to christopher's experience now thank you christopher hi dr uh campbell uh my name is chris um currently in california los angeles uh the united states and it's october 31st um i love your channel um it's very informative and i feel like it's a really great scientific and unbiased view of crazy times we're having but i wanted to share one of my experiences um i work in the film industry we are very very very uh concerned about the coronavirus and we take it very seriously we have pretty uh strict protocols that we go by and um so we're continuously tested and we they're having some mandates for vaccines so i am fully vaccinated and about uh four days ago i um received my booster shot uh i wanted to be smart about this and again i've listened to a lot of what you've said and i've did a lot of research myself um i also went to my doctor because i originally got the jansen johnson johnson one shot uh back in uh march and i was trying to figure out if i should get a different booster um a different uh you know a different one or if i should get a j j so after going to my doctor and speaking to him uh he had stated that there were studies being done which i know some that we've talked about here uh and one of those was that if you have uh had had a jansen johnson johnson shot then you can mix and match and you should and um his recommendation was moderna so uh last wednesday i scheduled an appointment i could not get one through my doctor's office because of uh they didn't have the the recommendation yet uh from their offices even though it was uh we were able to do it other places so i went to my local cvs and i made an appointment or went in there showed them my vaccination card and got prepped for the shop when the pharmacist or i guess i guess pharmacist or nurse came out to give me the shot i i asked them as respectfully as possible and i said look um i hope you don't mind but i'd like you to administer it in a certain way and they're like what do you mean and i said would you do me a favor to aspirate the needle before you inject the vaccine and i said and i hopefully you understand why i'm saying this and this particular person this pharmacist or nurse knew exactly what i was talking about and stated that they would totally do that for me without any problem and so they administered the vaccine he pulled back the plunger there was no blood and then he injected the vaccination and it was a great experience there was no confusion and uh and and that was it now i the first day i didn't feel anything but the following days i had a pretty robust response um and i'm just kind of getting back on my feet now it's sunday so i pretty much just had store arm swollen lymph nodes uh headache um i felt like i had a fever but i don't think i actually had one i never wear they went up past 99.6 and um but i'm feeling really happy that i did it and that i got the modern shot and looking for the future so again i just wanna give you that experience um again it's a really positive one and i'm glad i had a positive one my son is 10 and i will be vaccinating him uh as soon as they approve it uh hopefully next week and um we'll be doing the same process with where i go so uh thanks again for all the information and all the positive uh the positive information and just everything out there you've been very helpful so uh thanks again and we'll talk soon thanks for that chris um excellent um glad to see you had a positive experience that is brilliant so booster after the johnson johnson of course because we know that the protection against infection wanes with the johnson johnson your doctor recommended moderna that's why we have doctors to make recommendations the pharmacist or whoever was giving the vaccine there knew what aspiration meant so many people simply don't know what it means i i was just saying i talked to a registered nurse the other day who went to a particular high street pharmacy in the uk equivalent of cvs i guess asked the pharmacist to aspirate and they said does that mean you inject some water before you squirt it in good grief deary me people doing injections who don't know about injections now okay you did have some adverse effects there the the the sore arm feeling ropey headache these things happen but you seem to be feeling better now so i'm pleased about that and of course now your level of protection will be uh will be pretty high which of course is is good news so thank you for that chris and thank you for um thank you for jim for sending that in as well so thanks to jim and chris really appreciate your experiences uh both positive in this case and uh both know you had an intramuscular injection not an intravascular injection so because your clinicians drew back they knew they were not in a vein they drew back didn't see blood so then they could inject knowing it's going into the muscle like that where it will stay in the muscle for a period of time the the vaccine will go into the muscle cells the muscle cells will make the antigen and that will generate the immune response rather than going into the vein directly where it will circulate immediately all around the body because it's inside a blood vessel so um there we go lots of evidence posted below thank you for watching

Channel: Dr. John Campbell

Views: 592,888

Keywords: physiology, nursing, NCLEX, health, disease, biology, medicine, nurse education, medical education, pathophysiology, campbell, human biology, human body

Id: HsACTX0_ihs

Length: 18min 4sec (1084 seconds)

Published: Fri Nov 05 2021