Special Operations Forces Medical Handbook

5-160

gauge needle, local anesthetic (Table 5-14).

What To Do:

1. Assemble equipment:


2. Prep area.


3. Each digit is supplied with two pairs of nerves: dorsal and palmar in the hand, and dorsal and plantar
   in the foot.


4. Insert the needle in the dorsal aspect of the digit at the level of the metacarpal (metatarsal) head.


5. Advancing the needle in the palmar (plantar) direction, inject 1-2 mls of local anesthetic on each side

Web Space Block

Needle inserted to level of

metacarpophalangeal (MP) joint

Abduct/adduct appropriate

digits to access web space

Figure 5-27