Aspiration, more information

However, if you have done this and a flash of blood appears in the needle hub, withdraw the needle and select a new site for injection. https://www.youtube.com/watch?v=I7qJfECIUAg Egro I checked The Australian Immunization Handbook and incredibly, this is item 5. under 'Intramuscular Injections' https://immunisationhandbook.health.gov.au/vaccination-procedures/administration-of-vaccines It is not necessary to draw back on the syringe plunger before injecting a vaccine.14 However, if you have done this and a flash of blood appears in the needle hub, withdraw the needle and select a new site for injection. https://www.path.org/resources/giving-safe-injections-using-auto-disable-syringes-for-immunization/ https://path.azureedge.net/media/documents/SI_Giving_Safe_Injections_complete.pdf So the technique I was taught decades ago and which you have taught since has been quietly retired. I'll check the science behind this curious decision. Keep up the good work. Good question Mom This doesn’t explain why it’s mostly only happening to adolescent and young males. Matter of fact, that narrow demographic almost excludes your reasoning here unless you’re saying only males are getting accidental IV vaccines. US military https://jamanetwork.com/journals/jamacardiology/fullarticle/2781601 23 male patients, (20 after 2nd dose) 2.8 million doses of mRNA COVID-19 vaccines administered. One in 121,739 US series https://jamanetwork.com/journals/jama/fullarticle/2782900 20 had vaccine-related myocarditis 37 had pericarditis = 57 2,000,277 individuals receiving at least one dose One in 35,092 https://www.cdc.gov/vaccines/hcp/admin/administer-vaccines.html https://www.youtube.com/watch?v=PqSuCPnPeYE https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/administration.html Aspiration before injection of vaccines or toxoids (i.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recommended injection sites, and a process that includes aspiration might be more painful for infants https://www.gov.uk/government/collections/immunisation-against-infectious-disease-the-green-book https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/147915/Green-Book-Chapter-4.pdf Vaccines should not be given intravenously. It is not necessary to aspirate the syringe after the needle is introduced into the muscle (WHO, 2004; Plotkin and Orenstein, 2004). WHO, Section 5.4, immunization in Prctice https://apps.who.int/iris/bitstream/handle/10665/193412/9789241549097_eng.pdf?sequence=1&isAllowed=y Clinicians who got blood Deborah, (RN) A few years ago, I aspirated and got blood return. I was shocked as it had never happened to me before but it confirmed the importance of aspiration. JH hospital corpsman in the Navy, I gave thousands of shots over the 4+ years of duty, we were taught to always use aspiration when giving IM shots, every person I see on TV or Internet never aspirated before injection there were many times I hit a vein and had to retract the needle and try again where do they fine these people who are giving these injections McDonalds or is there just no training for this job? Avinash (peadatrician) Nurses in UK don't aspirate inspite of requests which is scary.. Young adults have more chance of myocardits ,they have turgid blood vessels Abnormal radial artery is known. Pulse is felt on lateral side and not at usual site. So even inside body abnormaly positioned blood vessels or extra vessels are possible. I came across frank blood while giving vaccines. I had to remove needle and discard injection. Once it was MMR and other was typhoid vaccines. Although rare it can be fatal as well. When my son got Pfizer vaccines twice in England Statford nurse did not aspirat Learn more about your ad choices. Visit megaphone.fm/adchoices