LOW DEAD SPACE - Exchangesupplies

N EE DL E SandLOW DEAD SPACESYRINGESWHYW H ATUSE THEM?ARE THEY?LOW D E A D S PAC ENEEDLESandD E A D S PAC ESYRINGES

D SPCEWhat is it?EAD S PAD E A D S PAC EDDEAD SPACE is the space betweenthe needle and the plunger

BLOOD & DRUG remain in thedead space after injectingPACEDBLOODmay containHIV and Hep CDRUGis wastedEA

D E A D S PAC EComparedSome needles and syringes have lower dead space than othersLOWLOWdead spacefixed all in oneneedle & syringedead spacedetachableneedle

Highdead spaceneedle and syringeREDUCEDdead spacemodified syringe.3L E S SSPACE.3USENEEDLESandLOW D E A D S PAC E.4SYRINGESL E S SRISK.4.5.

Why Use LowD E A D S PAC EWhy use low dead space needles and syringes?

N o f lushNo need to flushwhich damages veinse a sy cle a nEasier to get rid ofviruses if cleaningMO RE D R U G SLess drug iswastedL E SS B U G SLess risk ofHIV & HEP CL E S SBUGSUSENEEDLESandLOW D E A D S PAC ESYRINGESM O R EDRUGS

i f yo u h av e to r eu s eD E A D S PAC EFOREasy CleaningR i n si n g.1.9.8.7.6.5.4.3

BE WISE2Flush.3.4.5.6.7.8.9.1E A S YCLEAN3Draw up thin bleachFlush.3.4.5.6.7.8.9.1Draw up waterUSEDraw up water.3.4.5.6.7.8.9.11FlushL E S SRISKL O W D E A D S PA C Eandneedle s SY R INGE SLow dead space needles and syringes are easier to clean

D E A D S PAC ES PACEDEEADDEADS PACACEADDEVisit your localD SPFORA N YCO N C E R N SaboutCHOOSING THE RIGHTandne edle s SYRING E SA N YISSUE S

needouRETUinKERNDEsyrsed of safelyTAUse dispoll yyhatTAnTa kewEsdaredACgee shRETa n’URSPKEks ctbnouRe t u r n e d w o reedeTa kaAsk about low dead space at your needle exchange

LESRE DRUGSYMODRUEDLES ANSDREGSRI.SSUMOYLESDDEESCUGS BS ANEG.EDE NEAPAS SM O R ELOWest DEAD SPACERISF O R W H E R E YO U ’ R E I N J E C T I N GADDESS, LEDRUGSKLOCECHOOSETHESPACOW D EADE LSPESS, LL E S SBUGSWDAPCESNINUSLOWEDSAENLEADSYRLEViruses, sharing & testingRIND E A D S PAC ELESS BUGS, MORE DRUGS,, LESS SPACE, LESS RISKChoose the lowest suitable dead space and take all you need

SRINDCESUGS BS ANDNELESLEGS,RE DRUGSYMO.DRUEDLES ANSREGSRIEUYG.EDL E S SDESYRINGESKLOISS RNEEDLESADRISKLOW DE AD SPACEWUSEandESE, LL E S SS PAC ESPACPA CS SE NEAESS, LOW D E ADE LSPursyNINUSifferent coloEDNDEh are yourwhicsowknLOWDAMOdUsemark them, s C Eos orAP yogeSur inEELSADSYRLESS BUGS, MORE DRUGS, LESS SPACE, LESS RISKMark or use coloured syringes - Keep works seperate - Get tested

D E A D S PAC EIf you open, use or damage your Naloxone kitreturn it for a replacementD S PASAVES LIVESDCED S PAEAEACED& Naloxone Kits

ead space needwdlesoLEMBERL E S SBUGSOTfit o nN a l ox onebaUSElessuseelsNrrecyinjeronisAlwayspim e n t fo r evxuipaloti o n–aNneeqDOUs ewREMelsarrdbgh needenoulesupanckekit wit h o u t a n eedleM O R EDRUGSNEEDLESandLOW D E A D S PAC ESYRINGESLow dead space detachable needles DO NOT fiton Prenoxad kits (Naloxone) and some other barrels

CEDEADCED S P ASPACE is the space between the needle and the plungerDEADEAwhen the plunger is pushed all the way down. Blood and drug remainin the dead space a er injecting. Some works have a higher dead spacethan others so there’s more blood and drug le . This blood could contain viruses likeHIV or Hepatitis C.D S PAThe lower the dead space, the smaller the amount of blood le inside and the lowerthe risk of catching viruses if works are accidentally shared. Low dead space needlesand syringes have less space, so there is less risk.If you use low dead space needles and syringes: Less chance of catching viruses if you accidentally share works Less drug is wasted No need to flush as flushing damages veins Easier to clean out any viruses from low dead space needles and syringesL E S SBUGSUSEM O R EDRUGSNEEDLESandLOW D E A D S PAC ESYRINGESProduced by the National Institute for Health Research (NIHR) CLAHRC West, NIHR HPRU in Evaluation of Interventionsat University of Bristol, Bristol Drugs Project, Linnell Communications, Exchange Supplies and Public Health England.With special thanks to the needle and syringe programmes and service users that participated in this project.This work was supported by the Economic and Social Research Council - Grant ES/M500410/1This campaign is supported by the National Institute for Health Research (NIHR) and the Economics and SocialResearch Council (ESRC). The views expressed are those of the researchers and not necessarily those of the NHS,the NIHR or the Department of Health and Social Care, Public Health England or the ESRC.

R I N G E S. S K K K G D R U G S. U E L O W A D S P C E N E E S R N E S and LOW DEAD SPACE NEEDLES SYRINGES S S E USE K E S LOWest DEAD SPACE FOR WHERE YOU'RE INJECTING CHOOSE THE DEAD SPACE V uses, sh ing & testing Choose the lowest suitable dead space and take all you need Mark or use coloured syringes - Keep works seperate - Get tested U .