How is a hematoma managed after injection?

• A. Cold compression and pressure to bleeding site
• B. Warm compression
• C. Massage the area
• D. Elevation only

Answer: (A)

The best approach after an injection is to stop the bleeding and limit the hematoma by applying direct pressure to the site and using cold therapy. Firmly press on a sterile gauze pad at the bleeding point for several minutes to encourage clot formation and seal the vessel. At the same time, apply a cold compress or ice to the cheek near the injection site for short intervals (about 10–20 minutes) during the first 24 hours. Cold causes vasoconstriction, which reduces blood flow to the area, helps limit the size of the hematoma, and eases pain. Avoid massaging the area, as this can disrupt the forming clot and worsen bleeding. Warm compresses and unnecessary rubbing can increase blood flow and swelling in the acute phase, and elevation is supportive but not the primary measure.