What do you do if the finger injury keeps oozing and the finger tip is too painful for the patient to apply firm pressure? Poking the finger with 2 needles to perform a digital block seems a bit overkill.
Trick of the Trade:
Soak the digit in 1% lidocaine with epinephrine for 5 minutes
Pour 10-20 cc of 1% lidocaine with epinephrine into a small, sterile urine specimen cup. Have the patient dip his/her fingertip into the solution. The lidocaine will anesthetize the wound, and the epinephrine will help achieve hemostasis.
After irrigation and better examination of the wound, you can now apply a topical hemostatic pad (eg. Surgicel, Gelfoam) over it and wrap the finger with tubular gauze.
Thanks to Dr. Mak Moayedi (Univ of Maryland) for this great trick!