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
Transcript
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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.
Adaptive Brain SIMCLEX Study Plan – 10 May 2026
Concepts Covered:
- Intraoperative Nursing
- Postoperative Nursing
- Multisystem
- Acute & Chronic Renal Disorders
- Disorders of Pancreas
- Emergency Care of the Trauma Patient
- Fundamentals of Emergency Nursing
Study Plan Lessons
Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)
Postoperative Follow-up for Certified Perioperative Nurse (CNOR)
Body Mechanics (Utilization) for Certified Perioperative Nurse (CNOR)
Patient Positioning (Performance) for Certified Perioperative Nurse (CNOR)
Patient and Personal Safety (Environmental Hazard Monitoring) for Certified Perioperative Nurse (CNOR)
Toxic Ingestion, Inhalation, Overdose for Progressive Care Certified Nurse (PCCN)
End-Stage Renal Disease (ESRD) for Progressive Care Certified Nurse (PCCN)
Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)
Hyperglycemia for Progressive Care Certified Nurse (PCCN)
Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Injection Injuries for Certified Emergency Nursing (CEN)
Diabetic Emergencies for Certified Emergency Nursing (CEN)
Discharge Planning for Certified Emergency Nursing (CEN)
Renal Failure for Certified Emergency Nursing (CEN)