Summarize the following:
An intramuscular injection (IM) delivers medication directly into a muscle. Choose an injection site that has easy access to muscle tissue. There are four primary sites recommended for administering IM injections. Those include the thigh, the hip, the buttocks, and the upper arm. Alternate between injection sites to prevent bruising, soreness, scarring, and skin changes. The vastus lateralis is the name of the muscle that you will be targeting for your medication delivery site. Visually divide the thigh into three sections. The middle section is the target for the IM injection. This is a good site if you are giving yourself an IM injection since you can easily see and reach the target area. This muscle is located in the hip. Use landmarks on the body to find the location where you want to inject the medication. Find the proper location by having the person lie on his or her side. Place the heel of your hand on the upper and outer part of the thigh where it joins the buttocks. Point your fingers toward the person's head and point your thumb towards the groin. You should feel a bone along the tips of your ring finger and little finger. Form a V shape by moving your pointer finger away from the other fingers. The injection is given in the middle part of the V shape. The dorsogluteal muscle is the area where you want to inject the medication. With practice the target area becomes easier to locate, but begin by using physical landmarks and divide the area into quadrants to be sure you have the correct area. Draw an imaginary line, or actual line using an alcohol wipe if available, from the top of the crack to the side of the body. Locate the midpoint of that line, and move up three inches. Draw another line that crossed the first one, forming a cross. Locate a curved bone in the upper outer square or quadrant. The injection should be given in the upper outer square below the curved bone. The deltoid muscle is located in the upper arm and is a good site for IM injections if there is adequate muscle tissue. Use an alternate site if the person is thin or has little muscle in that area. Find the acromion process, or the bone that crosses the upper arm. Draw an imaginary upside down triangle with the bone as the base and the point of the triangle is the level of the armpit. Give the injection in the middle of the triangle, one to two inches below the acromion process. Allow the alcohol to dry before administering the injection. Do not touch the cleaned area with your fingers or any other material before giving the injection. Hold the syringe firmly with your dominant hand and remove the needle cover with your other hand. Put pressure on the skin where you are giving the injection. Push down gently and pull the skin so it is tight. Use your wrist to inject the needle through the skin at a 90 degree angle. You will need to force the needle deep enough to be sure you deliver the medication into muscle tissue. Selecting the correct needle length helps to guide you in the injection process. Aspirate by pulling the plunger back slightly. Look for blood that is pulled back into the syringe as you pull back on the plunger. If there is blood, then carefully remove the needle and find a different spot to administer the injection. If no blood is seen then continue with giving the injection. Push the plunger down until all of the fluid has been released. Do not push too hard on the plunger as this forces the medication into the site too fast. Push the plunger in a steady but slow manner to reduce pain. Remove the needle in the same angle in which it was injected. Cover the injection site with a small gauze pad or a cotton ball and a band-aid, and check on it regularly. Make sure it looks clean and the injection site is not continuing to bleed.

summary: Determine the injection site. Give the injection into the thigh. Use the ventrogluteal muscle. Give the injection into the buttocks. Administer the injection in the upper arm. Clean the skin on and around the site with an alcohol wipe. Insert the needle. Carefully inject the medicine into the patient.

Summarize the following:
Wrap the tape measure around the thickest part of the tree trunk. You will use this measurement to calculate how big of a trench you need to dig around the root system. If you don't have a flexible tape measure, you could use a piece of string and a regular tape measure. Wrap the string around the trunk, then measure how much string fit around the trunk with a regular tape measure. This method of straightening will work for trees that are to big to straighten by pulling on with a strap and stake system. Use a shovel to dig a circular trench around the trunk of the tree that is at least 10in (25cm) wide for every 1in (2.5cm) of the trunk's diameter. Make the hole about 2ft (0.61m) deep. For example, if the tree's diameter is 20in (51cm), then you would need to dig a trench that is at least 200in (510cm) wide. If the tree is particularly large and you don't want to dig it out yourself, you can hire a tree moving company to dig the hole with a tree spade. Really large trees will not correct easily. Consider leaving your tree leaning to avoid damaging the roots and killing your mature tree. Put the pad on the side of the tree that is leaning. Wrap the rope around the mat and tie it in a loop to secure it in place. You can use a foam pad like a camping mat, or some old blankets, as a pad to protect the tree's bark. Get a lot of helpers to pull the tree straight, or attach the rope to a truck and slowly accelerate to start straightening the tree. Stop pulling if the tree is not moving and dig out the trench more to loosen the root system. Stop pulling and leave the rope attached to the tree and truck when the tree is standing straight. Don't pull up the roots without loosening them first, or you risk tearing them and killing the tree. Use a shovel to pack the dirt back into the trench and cover the roots. Put as much of the dirt back in as you can to give the roots a good foundation. Remove the rope from the tree and truck after you fill in the hole. It can take at least a year for the roots to re-establish themselves once you have loosened them and shifted the tree. Pound 2-3 wooden stake posts at least 18in (46cm) into the ground further away from the tree than the trench you dug, so that they don't hit the root system. Wrap tree straightening straps around the middle of the trunk and secure them to the posts to hold the tree in place. You can get special tree straps at home improvement centers. The straps will keep the tree stable so that the roots can re-establish themselves. Not all trees can be successfully straightened. Sometimes the roots have trouble re-establishing themselves. In this case, you may not be able to save the tree from dying. Before you remove the straps, try loosening them a bit to make sure the tree stands firmly on its own.
summary: Measure the diameter of the tree with a flexible tape measure. Dig a trench around the base of the tree to free the roots. Place a pad on the trunk and wrap a rope around the pad. Pull the tree with the rope to straighten it. Fill in the hole around the tree with the dirt you dug out. Wrap tree straightening straps around the tree for at least 1 year.