[MCOH-EH] SIRVA (Shoulder Injury Related to Vaccine Administration)

[Kris Arnold]

Ed,

Curious, why are you not using the intradermal flu vaccine?  We did a
cost/time analysis a couple of years ago and found that it was cost/time
advantageous to use the intradermal.  We do 3-5 flu clinics with 100-120
persons per session and one practitioner, so the time factor was a real
part of the calculation, but just on the materials it was very close if not
slightly in favor of the pre-loaded intradermal.

Thanks,

Kris

On Mon, Nov 16, 2015 at 2:00 PM, Galaid Edward I <
Edward.Galaid at ropersaintfrancis.com> wrote:

> Half a dozen cases of SIRVA this flu season thus far.  Not just a little
> localized tenderness.  This is substantial impairment requiring work
> restrictions, weeks out from day of administration.
>
> It’s behaving like a subacromial or subdeltoid bursitis.
>
> Same group of nurses administering year-to-year with 1” needles.
>
> Do your vaccine administrators use weight-based calculation to determine
> needle length?
>
>
>
> Ed Galaid
>
>
>
> Edward I. Galaid, MD, MPH
>
> ABIM, ABPM
>
> Medical Director, Occupational Health Partners
>
> Roper St . Francis       Charleston, SC
>
> Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
>
> Member, NFPA 1582 Writing Group - NFPA Technical Committee on Fire Fighter
> Safety and Health
>
> 843-906-0519
>
>
>
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