▁depth ▁to ▁admin ister ▁as ▁a ▁true ▁intr am us cular ▁injection . ▁Use ▁of ▁this ▁site ▁is ▁associated ▁with ▁skin ▁and ▁t issue ▁tra uma , ▁mus cle ▁fib ros is ▁and ▁contract ure , ▁ha emat oma , ▁n erve ▁p als y ▁and ▁par al ysis , ▁as ▁well ▁as ▁inf ect ious ▁processes ▁such ▁as ▁abs cess ▁and ▁gang rene . ▁Despite ▁the ▁goal ▁of ▁health care ▁in ▁many ▁countries ▁to ▁follow ▁evidence ▁based ▁practices , ▁this ▁site ▁is ▁commonly ▁preferred ▁by ▁health care ▁profession als ▁against ▁research ▁recommendation , ▁often ▁due ▁to ▁a ▁lack ▁of ▁knowledge ▁surrounding ▁alternative ▁sites ▁for ▁injection . ▁The ▁injection ▁site ▁is ▁located ▁by ▁div iding ▁the ▁but to ck ▁into ▁four ▁with ▁a ▁plus ▁(+ ) ▁sh aped ▁cross , ▁and ▁admin ister ing ▁the ▁injection ▁in ▁the ▁upper ▁outer ▁quadr ant . ▁This ▁is ▁the ▁only ▁intr am us cular ▁injection ▁site ▁for ▁which ▁research ▁recomm ends ▁asp iration ▁( draw ing ▁back ) ▁of ▁the ▁s yr inge ▁prior ▁to ▁injection , ▁due ▁to ▁higher ▁lik elihood ▁of ▁accident al ▁int ra ven ous ▁administration ▁in ▁this ▁area . ▁However , ▁asp iration ▁is ▁not ▁recommended ▁by ▁the ▁Cent ers ▁for ▁D ise ase ▁Control ▁and ▁Pre vention , ▁considering ▁it ▁out dated . ▁ ▁Pro cedure ▁ ▁The ▁selected ▁site ▁is ▁cle ans ed ▁with ▁an ▁ant im icro b ial ▁and ▁is ▁allowed ▁to ▁dry . ▁It ▁is ▁inject ed ▁with ▁the ▁dominant ▁hand ▁using ▁a ▁quick , ▁d