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Injection Injuries for Certified Emergency Nursing (CEN)

Injection Injuries for Certified Emergency Nursing (CEN)

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Outline

Injection Injuries

 

Definition/Etiology:

Injection Injury – caused by Paint Gun/Grease Gun. When injected into the skin, release their substances into the body, usually past the skin.

 

Pathophysiology:

Paint and oil are toxic to skin and tissues so can begin causing immediate tissue injury and eventual necrosis

 

Clinical Presentation:

  • History of using paint/grease gun
  • Pain
  • Edema
  • Wound with injected material
  • Paresthesia

 

Collaborative Management:

  • Surgical Intervention ASAP!
  • Imaging
  • Labs
  • Pain management
  • Prep for OR

 

Evaluation | Patient Monitoring | Education:

  • Monitor pain
  • Monitor area for color and sensation

 

Linchpins: (Key Points)

  • Injection Injuries = paint/grease gun
  • OR needed STAT
  • Tissue death/necrosis
  • Often underestimated
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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

  • Dailiana, H. Z., Kotsaki, D., Varitimidis, S., Moka, S., Bakarozi, M., Oikonomou, K., & Malizos, N. K. (2008). Injection injuries: seemingly minor injuries with major consequences. Hippokratia, 12(1), 33.
  • Sanford, S. (2020, June 26). Management of high-pressure injection injury of the hand in the emergency department. Practice Essentials, Epidemiology, Prognosis. Retrieved October 24, 2022, from https://emedicine.medscape.com/article/826620-overview
  • Sheehy, S. B., Hammond, B. B., & Zimmermann, P. G. (2013). Sheehy’s manual of emergency care. 7th ed. / St. Louis, Mo., Elsevier/Mosby.
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