🎯 Location: In the superior lateral part of the anterior thoracic wall superior to the coracoid process of the scapula in the depression of the infraclavicular fossa 6 thumb widths lateral to the anterior midline.
⚠️ Cautions: Avoid deep needling due to proximity to lungs and blood vessels; contraindicated in hemoptysis.
🎯 Location: 2 thumb widths lateral to the center of the umbilicus.
⚠️ Cautions: Acute appendicitis is a surgical emergency – treatment here is adjunctive at most and must never delay surgical assessment. Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.
🎯 Location: 2 thumb widths lateral to the center of the umbilicus.
⚠️ Cautions: Acute appendicitis is a surgical emergency – treatment here is adjunctive at most and must never delay surgical assessment. Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication.
