FCEM2-0039

FCEM2-0039

A 28-year-old patient has arrived at the emergency department following an accident at a construction site. The skin has been lacerated by a dropped piece of stainless steel sheeting with a sharp edge. The plan is to suture the wound after infiltrating the area with local anesthesia. In the suture room, you find Lidocaine 1% with Adrenaline (Epinephrine) 1:200,000 and Bupivacaine 0.5% available. What is a contraindication to using local anesthesia combined with adrenaline?