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In light of recent articles debunking emergency department myths, we read the article by Alehail et al1 with interest. We were not surprised that digital ischaemia did not occur in any of the 12 healthy volunteers who were given 4 ml (total) of local anaesthetic with epinephrine injected into the web spaces spanning an uninjured middle finger since there are now case series of thousands of patients2 demonstrating the safety of lidocaine with epinephrine for digital nerve blocks …
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