1. Managing Accidents Stuck or Bent Needle Stuck – caused by:
Excessive force
Uneven manipulation
Twirling in one direction, causing muscle fibres to bind
Tense muscles

2. Managing Accidents Stuck Often loosens if left alone for few minutes
Lightly stroking or massaging the skin near insertion
Apply warmth
If fails, insert another needle an inch or so from first
If due from excessive twirling, twirl in opposite direction
Never try to force a stubborn needle

3. Managing Accidents Bends Unwise to twirl or rotate as withdrawing
Slightly shake from side to side and pull directly out
Do not force as may break

4. Managing Accidents Broken Needle Cause:
Imperfections in body of needle
Sudden movement of patient
Strong muscle contractions
Excess force during needle manipulation
OR withdrawing stuck needle

5. Managing Accidents When break discovered: Remain calm
Keep patient still
If broken needle protrudes from skin use tweezers or forceps to extract it
If just below surface of the skin apply pressure with thumb and index finger against skin. If protrudes remove with tweezers
Do not probe or push the area to expose the needle
If in deep tissue, must be removed surgically
The standard protocol is to circle the site of insertion with an indelible marking pen
Immobilise the area
Arrange for immediate transport to a suitable medical facility for
surgical intervention

6. Managing Accidents Organs Signs and Symptoms: Other Organs:
Lung: Caused by needling too deep in chest or upper back = traumatic pneumothorax 
Signs and Symptoms:
Pain or sensation of fullness in the chest
Difficulty in breathing
Cyanosis
Sweating
Lowered Blood Pressure
Symptoms associated with shock
Any of the above symptoms are associated with a suspected pneumothorax the patient should be hospitalised immediately.
Patient could also be suffering NEEDLE SHOCK.
Other Organs:
Most susceptible to puncture include bladder, kidneys, an enlarged spleen or liver and the
peritoneal cavity.

7. Managing Accidents Brain and Spinal Cord: Signs and Symptoms:
When needling between the upper cervical or beside vertebrae – too deeply or on wrong angle
Danger of the medulla oblongata may be at upper cervical or occipital muscles needled at wrong angle.
Signs and Symptoms:
Convulsions
Paralysis
Coma
Severe bleeding
Post Treatment Signs and Symptoms :
Headache
Nausea
Vomiting
Disorientation
Between other vertebrae:
Danger to spinal cord
Signs and Symptoms :
Electric flash pain felt in extremities if stimulation prolonged. Pain continues after Treatment.