(most of a) new video, hurrah

I don't know if this matters to you, but I do know someone who received an accidental IV injection of the Pfizer COVID-19 vaccine. I think most of us here understand the nature of statistics on a billion people; if it is possible albeit extremely unlikely, its bound to happen at least once. My mother and her best friend went to get their second round of vaccines together. Immediately following the injection, my mom's friend felt a strong pain down her arm, followed a few minutes later by nausea and vomiting. She ended up spending a day in the hospital for monitoring, but felt pretty normal within 12 hours. It was determined that she received an accidental IV injection, not an allergic reaction. After talking with her doctor, she decided to get third round of vaccine as her doctor wasn't sure if the IV dose would be effective. She got the third injection about a month later with no major side effects.

Terrance Hopely

Anyone who gets a lot of injections can tell you some in the medical profession seem to make it their goal to mess them as impressively as they can, lol. But technique (poking holes in you or ignoring when you ask to use a different vein), not theory.

fohfuu

Nice video! I didn't spot any faults with the science or anything but I do have one little tiny note. Quite early at the intro, you refer to the ongoing "coronavirus pandemic". Of course we all know what you mean, but it might be worth saying "COVID 19 pandemic" instead. Coronavirus refers to many different strains after all, and maybe in another ten years when COVID 19 is dead we'll have an outbreak of a completely different strain of coronavirus, and it may cause confusion about which one you're referring too. I'm not saying anyone will get confused now when this video comes out of course, but as a matter of archiving who knows, maybe it will cause problems in the future? A bit of a long shot perhaps but that's my only quibble! Edit: I forgot to mention, you did a good job of introducing Jimmy Dore to someone who's unfamiliar with him, because I've never heard of the guy in my entire life. So that's good!

Luvtail

Jimmy Dore is a fucking peeworm. Please end the video saying this. I would be forever grateful.

Skibbityboo

This video is going very well! In my opinion anyway! In nursing school, when it came to injections, (in the old days!) we were taught that aspiration was not necessary for injections into small muscles for medications that are deemed an “IM” or Intramuscular. The muscle most often used is located in the upper arm and is called the “Deltoid”. This is the area most often used for low doses or amounts of antibiotics, steroids, vitamins, etc. It’s also used for the dreaded VACCINE INJECTIONS! (sorry, I just had to get some levity in here somewhere!) The "Deltoid" in particular, is where we would be administering many of the medications ordered for our patients. If the order was for a larger dose or a medication, etc. we would choose another site. That being larger muscles such as those below. The subject of “Aspiration” is used with the larger muscles where you also have larger veins and arteries. The muscles you would have to choose from are: Dorsogluteal/Gluteus Maximus, AKA: Your “Hip”! *G* (Must be taught EXACTLY where to inject into this muscle) Or, Vastus lateralis and Rectus femoris AKA: your “Thigh” Large muscles are those that would give us the largest areas for medications to be absorbed. In that case, it would be necessary to aspirate and, in some medications, use a method called "Z-Track", to ensure the meds do not leak out of the patient’s tissue. I've been retired for 20 years, I doubt much of, or any of this has changed! I do NOT understand how these people can think the medical profession can mess up a simple thing as giving a patient an injection! It is one of the first things were are taught… it’s also one of the easiest things to learn about the Anatomy and Physiology of the human body! They just have to find something to find fault somewhere… well, this isn’t it!

Love the video, looking forward for the full version. Small accessibility advice: make the "single screenshot of article" texts a bit bigger so they're easier to read along your narration. If you plan to include full subtitles, then this isn't as much of a probler

T.A.

Very minor correction: At around 19:33 in this video, you state, "aspiration is the drawing back of the syringe plunger after injection..." Aspiration is done by pulling back of the plunger of a syringe for 5–10 seconds prior to injecting medicine, not after. As I said, very minor. I will add some context to the study, even though it has, at the very least, some problematic errors, but it does address a real issue of parenteral administration error. One example I can think of is Bicillin LA, a parenteral penicillin suspension that can only be given IM, because if it's given IV, it can actually kill the patient. It is rare, but there are case studies about this; we had a case of this 3 years ago at the health system I currently work at. The nurse gave the Bicillin LA through a central IV line, and realized her error only after giving the injection, despite the phrase "FOR IM USE ONLY" in giant, red letters on the syringe (I don't bring this up to mock the nurse, but to illustrate how errors like this can happen even with precautions in place, and this nurse was relatively new and was at the end of a 12 hour shift covering 7 patients, which is a lot for intercare). Fortunately, the patient didn't die, but they did have an acute kidney injury as a result. Other IM injections given gluteally (gluteal injections are generally avoided unless you have to use that site for larger IM injections, such as the previously mentioned Bicillin LA, IM progesterone for IVF patients, etc.) are difficult because the optimal injection site is only a few centimeters away from the gluteal artery and sciatic nerve, and improper technique can cause damage to these structures. Now, that being said, you really have to try to screw up an IM injection that's typically given in the deltoid (I mean, it can happen, ex: the above Bicillin example). Our health system has given all FDA-approved COVID vaccines since December last year, and of the tens of thousands we've vaccinated, we don't have a single incidence of anyone (and this includes physicians, nurses, pharmacists, pharmacy techs, and med/pharm/nurse students) accidentally giving any of these vaccines intravenously. And I specifically instruct people I train on COVID vaccine injection technique not to aspirate because, like you pointed out, it is useless for deltoid injections and makes the shot more painful. EDIT: I print this wall of text and forget to say you've done a great job with the part of the video you've posted here. Very well done so far. :D

Oxnard Mantalvo

This probably isn't necessary but when discussing Jimmy Dore's motivations you could point out that his "the media is censoring us" narrative relies on the assumption that networks like Fox and OAN don't exist (Cue Simpsons meme about world without lawyers). Also I appreciate that you limit how much we have to listen to Jimmy Dore.

Ctolm

Interesting stuff! Especially liked hearing about the bungled mouse study. Minor criticism, but I think you're speaking too fast as you read the excerpts at around 7:30. Only the second paragraph, the first is fine.

Computer! Enhance! Like! Subscribe!

Pillbughug

There is a slightly too long pause at around 5:57. It isn't terrible by any means, but it does sound a little awkward.

Henry R. Seymour

I like what I've seen so far.

Clinton Freeman

Would it be at all possible to get captions on this video? Thanks very much!

Aless

Damn, the video ends at the most interesting moment, and by that I mean anywhere before the actual end of the video :D

arturo182

there will be, yes!

Shaun

I'm such a baby, but will there be a CW for the whole "blood aspiration" thing? Small observation, but I would appreciate if I were watching the finalized one.

Adam Greene

It’s there, for me I couldn’t see it when I went straight to the post from a notification, but it’s here: https://www.youtube.com/watch?v=j591l65o19M

Does not contain a link (yet?)

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