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Class 5 - Accidents and Their Management
Fainting
Reasons:
First time patients from nerves
Constitutional issues
Over stimulation
Electrical stimulation
Symptoms:
Palpitations
Nausea
Pale complexion
Sweating
Cold limbs
Unresponsive patient
Management:
1. Remove needles
2. Let patient lie down face up with elevated feet (do not allow patient to walk around)
3. Cover patient to warm them
4. Pressure or needle PC 6 then Du 26 to restore consciousness if needed
5. Give warm water to patient
6. After another 5 to 10 minutes of lying down allow to site
7. Wait another 5 to 10 minutes and allow patient to go
Stuck Needle
Reasons:
Patient nerves can cause muscle spasm
Poor patient position causes patient to move and needle to lodge
Turning needle in one direction constantly causing muscle fibers to twist around needle
Electric stimulation
Bending of needle inside
Symptoms:
Difficult to turn needle Difficult to remove
Attempting removal causes pain
Management:
Never use force to remove needles
(can cause muscle fiber removal or broken needles)
1. Remove all other needles first
Gentle twisting and pulling after:
2. Massage around area
3. Tapping meridian line to disperse qi
4. Bring patient back to good position
5. Moxa area
6. Puncture adjacent area (needles toward stuck needle)
Bent Needle
Reasons:
Patient nerves can cause muscle spasm
Needle to deep (bending against bone)
Electrical stimulation
Poor patient position causes patient to move and needle to lodge
Symptoms:
Difficult to remove needle
Management:
Slowly withdraw needle following with angle
Broken Needle
Reasons:
Poor quality needle
Needle very thin
Electrical stimulation
Needle punctured to root
Symptoms:
None from patient, but needle is shorter
Management:
(Delay telling patient to avoid their movement or muscle spasm)
If part of needle out use forceps to remove needle
you can use two fingers to push surrounding area
If needle broken under skin
If area near organs, joints or arteries requires immediate attention
Send patient to hospital or call ambulance
Hematoma (blood swelling in tissues)
Reasons:
Damaged needle
Poor location
Location that commonly bleeds (Head, PC 6)
Symptoms:
Location rising up, bruise forms
Pain felt during punction
Management:
Pressure for about 2 minutes to stop bleeding and swelling reduction
Use moxa after to disperse swelling
After-effects
Reasons:
Over stimulation
Electrical stimulation
Symptoms:
Sensation or sourness in area after 12 hours (ideally not more than 2 hours)
Management:
In general: Advise patients not to allow cold water on punctured points with in 2 hours of needling.
Hot compress
Massage and/or tapping
Shaking area
Moxa of area
Puncture Internal Organs
Symptoms:
1. Lung (pneumothorax)
Chest pain, fullness in chest, palpitations
Difficult breathing
Cough
Sweating
Blood pressure drop and possible shock
2. Heart
Pain, internal bleeding
3. Liver (GB 24, GB 25, Lv 13, Lv 14) (on right side) or Spleen (on Left)
Pain, internal bleeding
4. Kidney
Back pain, blood in urine
5. Gall Bladder
Jaundice, local inflammation
6. Urinary Bladder
If bladder was full when punctured can cause urine to enter abdominal cavity and may cause infection
7. Large arteries
Internal bleeding if not dealt with
8. Brain stem
Headache, nausea, vomiting or coma
9. Major nerves (e.g. GB 30, Ki 3, SI 8, SJ 17)
Burning pain, distal numbness, muscle atrophy
Managment:
1. Lung
Place bandage over area to prevent air from entering
Call emergency
2. to 5. Heard, Liver, Spleen, Kidney, Gall Bladder
Call 911
6. Urinary Bladder
If bladder was not full send to hospital
7. Large arteries
Pressure
If internal bleeding present do to oversight send to hospital
8. Brain stem
Call 911
9. Major nerves
Left needle from nerve as soon as felt
Long term if damaged, Injection of various herbs (Dang Gui Liquid) usually at Sea-he, Back-shu, or Jia ji, vitamin B12 or B6
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