Epi in the distal bits will continue being a nonsense taboo, probably forever. Unfortunately, most people learn very early that you shouldn’t inject, and then they never enter a field where they might need to do it. So most of the medical community just never has to learn that it’s safe. I always find it hilarious because they’ll come back with some argument about how hand surgery is done under tourniquet, and I think to myself “yeah, so what are you worried about with a little epi?”
It’s like using ear drops in a patient with a perforated eardrum. More than half the time I put tubes in kids, they come back from their PCP with a draining ear and a note saying they didn’t want to use topical drops because of the tube. Dude....that’s why I placed the tube...but in their defense, even Uptodate has bad information about it. (I realize that example won’t mean anything to anyone who’s not in ENT, but it’s the same concept)
