A 45-year-old man has a high-pressure paint injection injury to the index finger. The puncture mark is small, pain is severe and the finger is

Question

A 45-year-old man has a high-pressure paint injection injury to the index finger. The puncture mark is small, pain is severe and the finger is swollen. Sensation is reduced distally but capillary refill is present. What is the most appropriate next step?

Accepted Answer

Give analgesia, tetanus prophylaxis, IV antibiotics and urgent hand-surgery consultation

Answer

Discharge with simple dressing because the wound is small

Answer

Apply topical steroid and arrange routine clinic review

Answer

Perform digital block and close the puncture wound tightly

Answer

Reassure because capillary refill is present

High-pressure injection injury — RCPSC EM MCQ

A 45-year-old man has a high-pressure paint injection injury to the index finger. The puncture mark is small, pain is severe and the finger is swollen. Sensation is reduced distally but capillary refill is present. What is the most appropriate next step?