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Base Hospital is pleased to offer a Question & Answer forum for paramedics. To submit a question, please fill in the form below. Check back here in a few days for a response. Your name will not be published.
Q: During an IM injection, if you aspirate with the
syringe, and hit a vessel what do you do:
1) start all over with a new med and syringe
2) or relocate the syringe in a new area
A: Firstly, let me clarify that the correct
procedure for IM injection includes aspirating with the syringe
to be sure you will not inject the medication directly into
a blood vessel. If you should aspirate and hit a blood vessel,
you must start the procedure from the beginning - use a new
alcohol swab to clean the injection site, use a new syringe
and a new needle and you will need to draw up new medication.
Don't forget to document all of your IM attempts,successful
or otherwise, onto your ACR.
Q: I have heard rumours that there will soon be research
initiatives undertaken in Thunder Bay, can you clarify this?
How will it affect my practice as a paramedic?
A: Yes it is true. We have decided to take
part in pre-hospital research initiatives under the guidance
of the newly formed Ottawa Health Research Institute (OHRI).
There are two studies presently being looked at, the Hypertonic
Saline Study and a CPR Study. As a Paramedic involved in the
research study, we will expect that as patients are assessed
in the field to meet the criteria of the study, strict procedures
will be followed; very specific patient care will be required
and accurate documentation will be paramount. We expect that
our first research study will commence in early 2006.
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