Blood coming up into Syringe during Gluteal Injection

[Khalil82]

I start off aspirating by pulling the plunger back and no blood comes up at all.

I inject 2 mL extremely slowly over the course of 4-5 minutes, and no blood comes up in the middle of the injection when I stop pushing down the plunger to let the gear get absorbed.

However, multiple times now, at the end of the injection when I wait around 10 seconds for the gear to get absorbed at the end of the injection, blood starts coming up the syringe, and I can see some blood at the tip of the needle (mixed with the gear that can't be squeezed out at the needle tip).

After slowly pulling out, there's a significant amount of bleeding.

Anyone have any idea what's going on here? If it was just nicking a vein, I don't think blood would be coming up the needle while the needle is still inside. I aspirate by pulling back nearly half an inch, and absolutely no blood comes up at all, and the plunger falls back on its own. Just really confused here.

 

[fldoms980]

This actually used to happen alot when I first started doing glutes. Never shot into a vein, but droplets of blood would come back when I'd aspirate halfway though. Finally figured it out after a couple weeks. When I'd hold it with shaky hands or let the needle slide out 3/4" then push it back in, I'd almost always get blood back. Opposed to being slow, calm and holding the needle still and straight; getting none back at all. Think it has something to do with nicking more capillaries and soaking the muscle with blood.

 

[truthwalker]

jeez man? 2mL in 4-5 mins? What size pins are you using? I push in 2.5mL in <60 seconds no problem, but that's also in the glute using a 23g 1".

Just so you're not freaking out, although I have no idea what the cause would be (I do not aspirate at all) I have on more than one occasion seen decent amounts of blood follow the needle when I pull it out. nothing that doesn't stop too quickly.

I personally try not to spend more than 3-4 seconds getting that last bit of gear out. This is total bro opinion, I realize I probably inject differently than a lot of dudes, but maybe you're putting too much pressure on the plunger at the end of your injection and you're getting some back flow when you finally let up.

 

[truthwalker]

Also, for the record I think the general consensus these days is there's no need to aspirate IM injections anymore. In case that helps simplify it a bit.

 

[deepsouthiron]

That blood flow happens all the time man... Don't freak about it

 

[Thinkbig]

Don't freak out but when you are pinning Tren ace and if you see some blood coming back, there's a good chance you're gonna have to lay down for 5 minutes and pray for you soul.

 

[high-octane]

Also, for the record I think the general consensus these days is there's no need to aspirate IM injections anymore. In case that helps simplify it a bit.

Always aspirate. Better safe than in fucking pain. They teach med students to aspirate. Why wouldn't you?

 

[3greyhounds]

Bro thats normal you're over thinking this I only aspirate when I'm shooting tren in my delt or quads

 

[ironwill1951]

I don't think they teach students to aspirate anymore, I have been given a lot of shots by nurses and I have never seen one aspirate, your heart is a pump and has big valves you would never even know you hit a vein it will just get pumped thru with the blood.

Always aspirate. Better safe than in fucking pain. They teach med students to aspirate. Why wouldn't you?

 

[high-octane]

I don't think they teach students to aspirate anymore, I have been given a lot of shots by nurses and I have never seen one aspirate, your heart is a pump and has big valves you would never even know you hit a vein it will just get pumped thru with the blood.

Yeah the CDC changed somethings but that only applies to 3 im locations. I definitely wouldn't tell someone not to aspirate being a lot of these guys are new to this and with ed injects most stray away from these 3 locations. Its just best practice.
http://www.nnpnetwork.org/Uploads/EBP aspiration poster 9 25 12 for iowa .pdf

 

[JayT83]

That's normal for me. It happens sometimes but it is nothing serious. You just don't want blood in the syringe when you aspirate. It's ok if there is a very small amount of blood in the needle. It just flows in when you let the gear absorb after pushing it through.

 

[SpringHeelSkank]

I wouldn't worry too much regarding the flash back Post injection I have had it happen quite a few times myself.

As far as aspirating or the lack there of, remember these are oil based compounds not your standard IM vaccines or medications. Pulmonary oil embolism is not something you want to experience.

 

[MindlessWork]

That blood flow happens all the time man... Don't freak about it

I always keep some gauze pads handy to catch any blood leaking as I did have my share of gushers when doing injection in gluteus.

 

[N01B4M3]

I don't think they teach students to aspirate anymore, I have been given a lot of shots by nurses and I have never seen one aspirate, your heart is a pump and has big valves you would never even know you hit a vein it will just get pumped thru with the blood.

Yes, nurses are still taught to aspirate. There are many medications that cannot be given intravenously including medications suspended in oil. Oil embolism is a documented event from medications suspended in oil. You should always aspirate prior to injecting.

 

[MoneyShot]

This occasionally happens to me, a couple drops come back in the syringe cause the plunger has a bit of suction if you push down hard enough at the end. I don't even aspirate, it's fine man. Just pay attention if you get any unusual soreness etc. My friend had a fucking vein shooting blood all over his bathroom one time lmao looked like a murder scene...and he's still alive and kicking lol