IM injections are usually given in the buttocks, thigh, hip, or upper arm. If you need to give yourself injections often, you need to inject a different site on your body each time. This helps prevent scars and skin problems. The injection sites should be at least 1 …Bruising (not at place of injection) high blood pressure skin rash or itching small, red spots on skin sores, ulcers, or white spots on lips or in mouth Rare. Abdominal or stomach pain, cramping, or burning that is severe bleeding from the rectum or bloody or black, tarry stools bloody or cloudy urine blue lips and fingernailsJul 14, 2023 · The comparison of pain intensity and rate of bleeding in intramuscular injection in dorsogluteal and ventrogluteal area. Journal of Gorgan University of Medical Sciences, 9 (3), 37–41. [Google Scholar] Moskalewicz, A. , & Oremus, M. (2020). pale skin. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. ringing in the ears. swelling of the face, fingers, feet, or lower legs. tightness in the chest. unusual tiredness or weakness. weight gain. Some side effects may occur that usually do not need medical attention.The best areas on your body to give yourself a SQ injection are: Upper arms. At least 3 inches (7.5 centimeters) below your shoulder and 3 inches (7.5 centimeters) above your elbow, on the side or back. Outer side of upper thighs. Belly area. Below your ribs and above your hip bones, at least 2 inches (5 centimeters) away from your belly button.It’s typical to experience some discomfort after an intramuscular injection. But certain symptoms may be a sign of a …Aug 8, 2018 · Subcutaneous injections tend to be less painful than intramuscular injections because the needles are smaller and do not have to push through as much tissue. ... it is from slight bleeding after ... Jun 9, 2018 ... People with bleeding disorders may develop haematomas at intramuscular vaccine injection sites ... Do not rub the site after the injection, but ...Intramuscular injections must be done carefully to avoid complications. Complications with IM include muscle atrophy, injury to bone, cellulitis, sterile abscesses, pain, and nerve injury (Hunter, 2008; Ogston-Tuck, 2014a). With IMs, there is an increased risk of injecting the medication directly into the patient’s bloodstream.Local bleeding. Flushing of the skin. Rupture of a tendon (if the injection is given directly into the tendon). Excessively frequent, repeated injections into the same area can cause the bone, ligaments and tendons to weaken. A rise in blood sugar levels for a few days after the injection may occur if you have diabetes.Using gauze, apply light pressure to the injection site. Light bleeding at the injection site is normal, but a person can use a bandage if necessary. ... Minor discomfort after an intramuscular ...Intramuscular injection (IM) is not currently FDA approved for any indication, nor is it recommended by the Committee on TCCC (CoTCCC) or the Joint Trauma Service (JTS). The current JTS Clinical Practice Guidelines (CPGs) recommend a minimum of 1-gram TXA IV, to be administered as soon as possible after the injury (with a limit of 3 hours post ...hives. itching. difficulty breathing or swallowing. swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs. fast heartbeat. unusual bleeding. Oxytocin injection may cause other side effects. Call your doctor if you have any unusual problems while receiving this medication. If you experience a serious side effect ...To help prevent infection when giving yourself a shot, always wash your hands, clean the injection site, and keep your needles sterile. If you notice signs of infection, call your doctor. These signs include: Increased pain, swelling, warmth, or redness around the injection site. Red streaks leading from the site.In low-income countries, drugs to prevent or treat postpartum haemorrhage (uterotonics) are not always available. Oxytocin is one such drug. Oxytocin prevents excessive postpartum bleeding by helping the uterus to contract. It is given to the mother by injection into a vein or into muscle during or immediately after the birth of her baby.Debridement is needed for necrotic open wounds followed by good moist wound care. Painful nodules occurring soon after injection should be treated expectantly ...Debridement is needed for necrotic open wounds followed by good moist wound care. Painful nodules occurring soon after injection should be treated expectantly ...IM injections are usually given in the buttocks, thigh, hip, or upper arm. If you need to give yourself injections often, you need to inject a different site on your body each time. This helps prevent scars and skin problems. The injection sites should be at least 1 …Some women also report fluid retention, worsening acne, headaches and breast discomfort. However, there is little evidence that the injection causes these symptoms. The most common reason for women to stop having the injections is because of irregular bleeding. The injection can lead to some 'thinning' of the bones.What are the risks of an intramuscular injection? An intramuscular injection could cause an infection, bleeding, numbness, or pain. When should I contact my … Cyanocobalamin injection is used to treat or prevent vitamin B12 deficiency caused by the following conditions: Addisonian (pernicious) anemia. Stomach or bowel problems. Worm infestation. Pancreas or bowel cancer. Folic acid deficiency. Amazon is trying to woo Etsy sellers to a copycat marketplace it's launching. It’s been rough for Etsy since the craft marketplace went public in April. Amazon has been emailing Et...Intramuscular injection technique 33,34. For intramuscular injection, use a 25 mm needle in most cases (see Table. Recommended needle size, length and angle for administering vaccines). Depending on the injection site, position the limb to relax the muscle that the vaccine is being injected into.Hydrocortisone is used to treat certain medical conditions, such as inflammation (swelling), severe allergic reactions, kidney diseases, adrenal problems, arthritis, blood or bone marrow problems, eye or vision problems, lung or breathing problems (eg, asthma), lupus, skin conditions, and ulcerative colitis. Hydrocortisone is a corticosteroid ...After reconstitution, protection from normal light is not necessary. The color of solutions ranges from light yellow to amber, depending on the length of storage, concentration and diluent used. Ceftriaxone for injection intramuscular solutions remain stable (loss of potency less than 10%) for the following time periods:Descriptions. Oxytocin is a hormone used to help start or continue labor and to control bleeding after delivery. It is also sometimes used to help milk secretion in breast-feeding. Oxytocin may also be used for other conditions as determined by your doctor.Avoid irritated skin and blood vessels. Avoid any sites where your skin is irritated. Whether it’s a mild rash, a cut, or an eczema flare — irritated skin is inflamed and more likely to have a reaction. Apply a cold compress. Applying a cold compress for 5 to 10 minutes after your injection can limit swelling and redness.There are no major blood vessels or large nerves in the area. Page 5. Fluid and Medication Management. Intramuscular Injection protocol. The latest version of ...Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor or nurse immediately if any of the following side effects occur: Some side effects may occur that ...Apr 9, 2022 · Ketorolac is an FDA-approved medication used in the treatment of moderate to severe acute onset pain. [1] It is in the nonsteroidal anti-inflammatory drug (NSAID) drug class. Ketorolac is versatile, as it is available in multiple-dose forms: oral, nasal spray, IV, or IM. It is commonly used postoperatively for pain management. 1. INTRODUCTION. Intramuscular injections have traditionally been avoided in persons with haemophilia because of the need of factor concentrate prophylaxis and the risk of serious haemorrhage. 1, 2, 3 Muscle bleeds in haemophilia are difficult to manage and may require several days or weeks of clotting factor treatment. 4, 5, 6 Feared sequelae …Use gauze to apply light pressure to the injection site. If there’s any bleeding, it should be very minor. ... An intramuscular injection is a technique used to deliver a medication deep into ...Octreotide injection is also used to treat a condition called acromegaly, which is caused by too much growth hormone in the body. Too much growth hormone produced in adults causes the hands, feet, and parts of the face to become large, thick, and bulky. Other problems, such as arthritis, can also develop.1. INTRODUCTION. Intramuscular injections have traditionally been avoided in persons with haemophilia because of the need of factor concentrate prophylaxis and the risk of serious haemorrhage. 1, 2, 3 Muscle bleeds in haemophilia are difficult to manage and may require several days or weeks of clotting factor treatment. 4, 5, 6 Feared sequelae …Dec 2, 2022 ... Injections given too low may penetrate deep into the muscle and cause bruising or bleeding, as well as infection. Incorrect Intramuscular ...pale skin. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. ringing in the ears. swelling of the face, fingers, feet, or lower legs. tightness in the chest. unusual tiredness or weakness. weight gain. Some side effects may occur that usually do not need medical attention. Here is what to do if you notice an air bubble in the syringe. Hold the syringe so the needle points up. Tap the barrel a few times to move the air bubble to the top. Slide the plunger enough to push the air out before you give the shot. Make sure you have a full dose in the syringe. You may need to add a small amount of medicine to the syringe ... It typically manifests as swelling, pain, rash, redness, or bleeding. Injection site reactions are usually caused by an immune response to the needle, vaccine, or other medicine. These types of …stopping of heart. sweating. swollen, painful, or tender lymph glands in the neck, armpit, or groin. tightness in the chest. unconsciousness. unusual tiredness or weakness. vomiting. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.Adnan 2018 compared women receiving intravenous oxytocin 10 IU by a bolus injection with women given intramuscular oxytocin 10 IU after the birth of the baby. The cord was clamped and cut within one to three minutes after birth, except from emergency cases, and the placenta was delivered by controlled cord traction once signs of separation were ...Apr 15, 2022 · Iatrogenic axillary neuropathy after intramuscular injection of the deltoid muscle: Davidson et al., 2007 ; USA: Case report: Male: 26 years old: American Indian population: Deltoid IMI may result in direct mechanical trauma to the anterior branch of the AXN resulting in axillary mononeuropathy with axonal loss: 6 If you experience a blood spurt after an intramuscular injection, it is essential to remain calm. Follow these steps for appropriate treatment: Apply pressure: Immediately apply gentle pressure to the injection site using a clean cloth or sterile gauze. This helps control the bleeding and promotes clot formation.Platelets help to clot the blood. Rho(D) immune globulin is also used to prevent antibodies from forming after a person with Rh-negative blood receives a transfusion with Rh-positive blood, or during pregnancy when a mother has Rh-negative blood and the baby is Rh-positive. It belongs to a group of medicines called immunizing agents.A: While a blood spurt after an intramuscular injection can be alarming, it is usually not dangerous. However, if the bleeding does not stop or if you ...Before injecting each dose, clean the injection site with rubbing alcohol. Change the injection site each time to lessen injury under the skin . Inject each dose within 2 hours of mixing.Vitamin B12 (cobalamin) is an essential vitamin and medication used to manage and treat pernicious anemia, ileal resection, treatment of spinal cord myelopathy, and other conditions. This activity reviews the indications, action, and possible contraindications for cobalamin as a valuable agent. This activity will highlight the …After the injection is complete, quickly pull out the needle. If bleeding, apply pressure to the injection site with a sterile gauze pad.More than likely, if there is blood, it is from slight bleeding after the injection. Takeaway A subcutaneous injection is a minor and very safe medical procedure when …Debridement is needed for necrotic open wounds followed by good moist wound care. Painful nodules occurring soon after injection should be treated expectantly ...After intramuscular injection, the time to peak plasma concentration is between 15 and 60 minutes, and the half-life is 8 minutes. 25. ... A second uterotonic is typically required in addition to oxytocin in 3% to 25% of cases of postpartum bleeding. 38 There are several combinations of uterotonic medications used for the prevention of PPH, ... After getting the injection the person: Gets a rash. Feels very itchy. Has trouble breathing (shortness of breath). Has swelling of the mouth, lips, or face. Call the provider if: You have questions about how to give the injection. After getting the injection, the person gets a fever or gets sick. The recommended site of IM injection is the deltoid muscle. 2. The application of a local firm pressure, without rubbing, is recommended during 2 to 5 minutes after injection, for both IM and SC routes 3 11 during vaccination procedure in patients with bleeding disorder or under anticoagulant. The use of a fine needle (23-gauge or smaller ...One study compared three doses of oral vitamin K given just after birth, at 7 and 30 days of life with a single dose IM given after birth. Authors investigated levels of plasma vitamin K, being higher in the oral group at 2 weeks (mean difference [MD] 0.80 ng/mL [95%CI 0.34 to 1.27]) and 3 months (MD 0.30 [95%CI 0.10 to 0.50]), but with no ...So, for intramuscular injections, you have some blood vessels that are in your muscles. Used to be, you put the needle in and then you’d have to pull back on the plunger to see if you got any ...Jul 30, 2021 · Subcutaneous. Intraosseous. Intradermal. Side effects. Summary. Injections deliver liquid medications, fluids, or nutrients directly into a person’s body. Different types of injections include ... IM injections in the deltoid muscle are not recommended for children 12 months of age and younger.1. Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Table 2: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22 ...Insulin injections are based on blood sugar ... Do not aspirate (pull back on the plunger) after injection. ... Next: 7.4 Intramuscular Injections. Back to top ...bleeding, discoloration, erythema, and skeletal injury. Injection into the buttock has resulted in cases of gas gangrene [see Warnings and Precautions (5.3)]. Rare cases of …For additional ideas and support in learning about intramuscular injections, call your team nurse. If you would like a nurse to mark injection sites, appointments are available between 9:00AM and 4:00PM M-F. Call your nurslng dlaegaa Voicemail times for your Team Nurse: 9:00AM-4:OOPM Weekdays, 9:00AM-2:00PM Weekends/Holidays. All calls madeFeb 24, 2022 · Summary. To reduce the pain and fear associated with regular injections, try numbing the injection site with ice and/or a numbing cream. Talk with your healthcare provider about the best sites for intramuscular or subcutaneous injections, and rotate the injection site if there is any pain or bruising. If you have problems injecting yourself ... Expand All. Noristerat 200mg solution for intramuscular injection. Due to regulatory changes, the content of the following Patient Information Leaflet may vary from the one found in your medicine pack. Please compare the 'Leaflet prepared/revised date' towards the end of the leaflet to establish if there have been any changes.It's common to get irregular bleeding. That can be a mixture of bleeding, spotting (pink/brown/red), or no bleeding at all, until you've had 2 or 3 shots, & then you typically find that your periods stop, altogether, until you come off Depo Provera. Sometimes you can get a little irregular bleeding/brown discharge in between shots, especially ...• Intramuscular (IM) injection is the process of administering medication into deep muscle tissue. • Subcutaneous (SC) injection is the process of administering medication into the subcutaneous tissue. • The term “clinician” will be used throughout this document and refers to a staff member who may administer an injection.11. Administer intramuscularly slowly (1-2 minutes/injection) into the buttock . For user convenience, the needle ‘bevel up’ position is orientated to the lever arm, as shown in Figure 4. Figure 4 . 12. After injection, immediatel y activate the lever arm to deploy the needle shielding by applying aOlanzapine (Injection)(Intramuscular) received an overall rating of 5 out of 10 stars from 3 reviews. See what others have said about Olanzapine (Injection)(Intramuscular), includi...hives. itching. difficulty breathing or swallowing. swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs. fast heartbeat. unusual bleeding. Oxytocin injection may cause other side effects. Call your doctor if you have any unusual problems while receiving this medication. If you experience a serious side effect ...The cold winter months can be bleak and unrelenting. Old Man Winter has already reared his ugly head this season causing cold, snowy, blustery and icy conditions. While a landscape coated in a fresh blanket of snow can be very beautiful, it can also be extremely dangerous, and even deadly. January 28, 2024 • Read time: 2 min read.To help prevent infection when giving yourself a shot, always wash your hands, clean the injection site, and keep your needles sterile. If you notice signs of infection, call your doctor. These signs include: Increased pain, swelling, warmth, or redness around the injection site. Red streaks leading from the site.Intramuscular (IM) injections are invasive procedures; bleeding and bruising may occur at the injection site. Although there is no definitive guidance, most IM injections are considered minimal to low-risk procedures. Giving IM injections to people on oral anticoagulants may increase risk of bleeding or bruising at the injection site.Inject the vaccine into the middle and thickest part of the muscle. Insert the needle at . a 90-degree angle and inject all the vaccine in the muscle tissue. Aspiration (i.e., pulling back on the plunger) is not necessary before injecting the . vaccine. No large blood vessels are present at the recommended injection site, and aThe injection site will not stop bleeding. You have very bad pain at the injection site. You have a fever of 100.4° F (38° C) or higher. You have signs of an allergic reaction at the injection site or anywhere on your body. Signs of an allergic reaction include: About Your Intragluteal Injection 2/35. After injecting the medication, pull the syringe at the same angle it went in to remove the needle from your skin. 6. Put the used needle and syringe into the sharps container to dispose of it (see Figure 7 & Figure 8). 7. Gently press a cotton ball or gauze on the injection site. a. Hold pressure on the site until the bleeding is done. b.It's common to get irregular bleeding. That can be a mixture of bleeding, spotting (pink/brown/red), or no bleeding at all, until you've had 2 or 3 shots, & then you typically find that your periods stop, altogether, until you come off Depo Provera. Sometimes you can get a little irregular bleeding/brown discharge in between shots, especially ...Apr 21, 2023 · It’s typical to experience some discomfort after an intramuscular injection. But certain symptoms may be a sign of a more serious complication. 1. INTRODUCTION. Intramuscular injections have traditionally been avoided in persons with haemophilia because of the need of factor concentrate prophylaxis and the risk of serious haemorrhage. 1, 2, 3 Muscle bleeds in haemophilia are difficult to manage and may require several days or weeks of clotting factor treatment. 4, 5, 6 Feared sequelae include fibrosis and contracture. 6, 7 The World ...Local bleeding. Flushing of the skin. Rupture of a tendon (if the injection is given directly into the tendon). Excessively frequent, repeated injections into the same area can cause the bone, ligaments and tendons to weaken. A rise in blood sugar levels for a few days after the injection may occur if you have diabetes.There was an assessment of intramuscular (IM) injection, but researchers observed an increased level of pain, irritation, and hematoma formation with IM injections of heparin. Adverse Effects. Heparin use's typical adverse effects include bleeding, thrombocytopenia, injection site reactions, and other adverse effects only seen with …IPOL and Pneumovax 23 can be administered by IM or subcut injection. IM injections are administered into the muscle through the skin and subcutaneous tissue. There are only two recommended sites for administering vaccines by IM injection: Vastus lateralis muscle in the anterolateral thigh; Deltoid muscle in the upper armIf you experience a blood spurt after an intramuscular injection, it is essential to remain calm. Follow these steps for appropriate treatment: Apply pressure: Immediately apply gentle pressure to the injection site using a clean cloth or sterile gauze. This helps control the bleeding and promotes clot formation.In PWID, pseudoaneurysms are frequently associated with surrounding soft tissue infection due to repeated non-sterile injection. This further increases the risk of rupture and bleeding which can be limb- or life-threatening [26, 27]. The femoral artery in the groin is the most commonly affected vessel in PWID .What is SIRVA? Shoulder injury related to vaccine administration is an under-reported, preventable series of events caused by incorrect technique or landmarking for intramuscular deltoid injections. 1, 2 Specifically, SIRVA occurs when an intramuscular deltoid injection is administered into the shoulder joint. 1, 2 This results in an inflammatory process that causes damage to the ...This chapter assimilates the best practices for delivering injections in health-care and related facilities. It is based on a range of evidence and expands the scope of the WHO publication Best infection control practices for intradermal, subcutaneous, and intramuscular needle injection (7). The chapter outlines recommended practices, skin …Platelets help to clot the blood. Rho(D) immune globulin is also used to prevent antibodies from forming after a person with Rh-negative blood receives a transfusion with Rh-positive blood, or during pregnancy when a mother has Rh-negative blood and the baby is Rh-positive. It belongs to a group of medicines called immunizing agents.Muscular hematomas are in simple terms defined by bleeding within a muscle group. These muscular hematomas may be traumatic or spontaneous. Traumatic muscle hematomas, while painful to the patient, are manageable with conservative rest and non-narcotic pain medication. Spontaneous muscle hematomas, in contrast, are mainly located in the abdominal waist area and have the potential to develop ...Tranexamic acid (TXA), an antifibrinolytic agent discovered in the 1960s, is regularly used to prevent and treat bleeding complications in surgery, obstetrics, and trauma [ 1, 2 ]. In 2011, TXA was added into the Tactical Combat Casualty Care (TCCC) protocols [ 3 ]. For massive hemorrhage in trauma, TXA is delivered via intravenous (IV) …The Z-track method is an intramuscular injection (IM) technique used to ensure the medication stays in the muscle instead of leaking into the surrounding tissue. Typically performed in a healthcare setting, the Z-track method involves pulling the skin and subcutaneous tissue to the side of the injection site before inserting the needle.In one clinical trial, 38 preterm infants born at less than 32 weeks’ gestational age were randomized to receive a single dose of vitamin K at birth of 0.5 mg IM, or 0.2 mg IM, or 0.2 mg by IV injection. Biochemical indices of vitamin K status were measured at birth, at 5 days and after 2 weeks of achieving full enteral feeds (> 150 mL/kg/day).For persons at risk for hemorrhage (e.g., persons with hemophilia), the risk of bleeding after intramuscular injection can be minimized by use of a 23-gauge (or smaller) needle, application of direct pressure to the injection site for >2 minutes, and administration of vaccine immediately after infusion of coagulation factor. Subcutaneous ...Cyanocobalamin injection is used to treat or prevent vitamin B12 deficiency caused by the following conditions: Addisonian (pernicious) anemia. Stomach or bowel problems. Worm infestation. Pancreas or bowel cancer. Folic acid deficiency.
ESPGHAN. [ 16] 2016. “Healthy newborn infants should either receive: (a) 1 mg of Vitamin K 1 by IM injection at birth, OR. (b) 3 × 2 mg Vitamin K 1 orally at birth, at 4 to 6 days and at 4 to 6 weeks, OR. (c) 2 mg Vitamin K 1 orally at birth, and a weekly dose of 1 mg orally for 3 months.”.. Ahmed ewaisha
After getting the injection the person: Gets a rash. Feels very itchy. Has trouble breathing (shortness of breath). Has swelling of the mouth, lips, or face. Call the provider if: You …The major disadvantage of IMP is the discomfort associated with intramuscular injections, in addition to the potential risks for local inflammatory reactions and abscesses that could arise from repetitive injections of the oil vehicle . The formulation of progesterone as a vaginal gel, from a practical perspective, is very convenient and well ...When the IM route with standard precautions at anterolateral thigh is chosen, the risk of local hematomas, infections and neuromuscular damage at the site of the injection is very low. Although the IM injection is likely to be painful, simple strategies including skin-to-skin, breastfeeding, or administration of glucose/sucrose, are effective …Intramuscular injection (IM) is installing medications into the depth of specifically selected muscles.[1] The bulky muscles have good vascularity, and therefore the injected drug quickly reaches the systemic circulation and thereafter into the specific region of action, bypassing the first-pass metabolism.[2] It is one of the most common medical …Dec 2, 2022 ... Injections given too low may penetrate deep into the muscle and cause bruising or bleeding, as well as infection. Incorrect Intramuscular ...There was an assessment of intramuscular (IM) injection, but researchers observed an increased level of pain, irritation, and hematoma formation with IM injections of heparin. Adverse Effects. Heparin use's typical adverse effects include bleeding, thrombocytopenia, injection site reactions, and other adverse effects only seen with …When somebody gets a traumatic injury like a gunshot, it’s often not the trauma itself that kills them, but blood loss. In honor of Stop the Bleed Day (March 31), hospitals and sch...• Intramuscular (IM) injection is the process of administering medication into deep muscle tissue. • Subcutaneous (SC) injection is the process of administering medication into the subcutaneous tissue. • The term “clinician” will be used throughout this document and refers to a staff member who may administer an injection.Jul 27, 2023 · It typically manifests as swelling, pain, rash, redness, or bleeding. Injection site reactions are usually caused by an immune response to the needle, vaccine, or other medicine. These types of reactions are typically mild and resolve in a day or two without treatment. Less commonly, injection reactions are due to an infection or allergy. If you get a blood return, that means that the needle is in a blood vessel rather than in the muscle. Don't panic! The quick fix for this problem is to remove ...Intramuscular administration of tranexamic acid (TXA), a drug used to target severe bleeding after childbirth, is safe and quickly reaches therapeutic concentrations in pregnant women, according ... Risks associated with intramuscular injection in people with bleeding disorders The main concern for patients with bleeding disorders receiving injections into their muscles is the formation of an intramuscular haematoma. This is when you bleed into your muscle, and it can be painful and difficult to manage once it occurs. .
Popular Topics
- Caitlin elizabeth hawkinsLunds byerlys ad
- Tauck italyAtl airport wait times
- Cheap poconos resortsGlass city beverages
- Staccato cs holster with lightFuji restaurant pittston pa
- Airbnb cooperstownFlex fleet
- Ace hardware pukalaniFinding concave up and down
- Deuce and half bobbedChristina pazsitzky tom segura son