A 12-year-old girl presents to the ED with a left index finger laceration

A 12-year-old girl presents to the ED with a left index finger laceration. She sustained the injury when her friend accidentally closed the car door on her finger. She has a semicircular laceration distal to the distal interphalangeal (DIP) joint on the volar surface of the left second digit. Sensation distal to the laceration is intact. Range of motion at the DIP joint is intact. The patient hopes to be a hand model in the future and is extremely anxious about the cosmetic result. Which of the following is the best method to provide anesthesia in this patient?

a. Application of a tourniquet to control bleeding and irrigation of the wound with 3 cc of lidocaine

b. Local infiltration through the wound margins with 3 cc of lidocaine

c. Local infiltration through the wound margins with 3 cc of lidocaine with epinephrine

d. A digital block at the base of the proximal phalanx with 3 cc of lidocaine

e. A digital block at the base of the proximal phalanx with 3 cc of lidocaine with epinephrine

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