Cardiac injury due to accidental discharge of nail gun.
Abstract
<h4>Background</h4>Since 1991, the incidence of injuries associated with pneumatic
and explosive powered nail guns has steadily been rising due to increasing use of
these devices by the untrained consumer. The vast majority of injuries involve the
extremities, but injuries have been reported to occur in virtually every area of the
body.<h4>Objective</h4>Discuss the epidemiology, pathophysiology, and management of
penetrating cardiac nail gun injuries.<h4>Case report</h4>A 33-year-old man sustained
a penetrating cardiac injury from accidental discharge of a nail gun. The patient
had successful repair of a laceration to his right ventricle.<h4>Conclusions</h4>Penetrating
cardiac injuries from pneumatic nail guns are rare and have mortality similar to stab
wounds. Improved safety mechanisms and training are the keys to prevention. Consideration
also should be given to implementing legislation restricting the sale of nail guns.
Type
Journal articleSubject
Heart VentriclesHumans
Lacerations
Wounds, Penetrating
Tomography, X-Ray Computed
Accidents, Occupational
Adult
Emergency Service, Hospital
Male
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https://hdl.handle.net/10161/26212Published Version (Please cite this version)
10.1016/j.jemermed.2012.01.054Publication Info
Temple, Alton D; Fesmire, Francis M; Seaberg, David C; & Severance, Harry W (2013). Cardiac injury due to accidental discharge of nail gun. The Journal of emergency medicine, 44(2). pp. e161-e163. 10.1016/j.jemermed.2012.01.054. Retrieved from https://hdl.handle.net/10161/26212.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Harry Wells Severance Jr.
Adjunct Assistant Professor in the Department of Medicine
Site Principle Investigator: PROspective Multicenter Imaging Study for Evaluation
of Chest Pain (PROMISE) prospective, randomized, multi-center clinical trial:Principle
Investigator - Duke E.D. Site - "Speed" Study. Pilot phase of Gusto IV. Investigating
Abciximab (a GP IIb-IIIa inhibitor) in combination with rapid access to cardiac cath.
Funded through Duke Clinical Research Institute. Multi-center trial. Principle Investigator
- Project: proposed mechanisms for af

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