Published
The only proper IM sites we learned were mid-deltoid three finger breadths below the acromion process, dorsogluteal with landmarks being head of tochanter and posterior iliac spine with an imaginary line drawn between the two with injection given above and lateral to the line in the gluteus medius muscle, ventrogluteal involving gluteus medius and minimus muscles. In addition, the vastus lateralis and rectus femoris muscles may also be utilized as IM injection sites.
sometimes bcg vaccines or even vita k can be pushed through this site, but it can be very dangerous because if you hit a wrong vein or artery it could lead to paralisys.
BCG is given intradermally - usually over the right deltoid, but I've been told that it is given over the buttock in some countries.
http://www.cdc.gov/mmwr/preview/mmwrhtml/00041047.htm
Inadvertent subcutaneous injection of BCG can cause an abscess.
The second time I had malaria I ended up in a hospital in eastern Zaire (now the Democratic Republic of the Congo). A doc gave me a shot of quinine in my left sciatic nerve.
20 years later I can still feel it.
Turd.Ferguson
146 Posts
We have a nurse at work who gives IM shots in the Latissimus Dorsi (kidney area). I was not taught in school, nor can find any reference, that this is an acceptable site. The patients complain that it hurts.
Has anyone else ever seen this?