Nail-Gun Injuries

McCorkell, Scott J.; Harley, J. D.; Cummings, Dana

doi:10.1097/00000433-198607030-00004

Cited by 33 publications

(10 citation statements)

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“…5,18,[25][26][27][28][29][30][31][32][33][34][35] When victims are conscious after a nail gun injury, they may speak of a motive of a suicide. 36 However, if the victim is unconscious after such an injury, it would be challenging to determine the circumstances of injury, to differentiate from an accident, suicide, or homicide. 17,36 Finding a nail lodged in victim's body or the surrounding work environment usually assists in differentiating nail gun injuries from other injuries with similar small caliber entry wounds.…”

Section: Discussionmentioning

confidence: 99%

“…36 However, if the victim is unconscious after such an injury, it would be challenging to determine the circumstances of injury, to differentiate from an accident, suicide, or homicide. 17,36 Finding a nail lodged in victim's body or the surrounding work environment usually assists in differentiating nail gun injuries from other injuries with similar small caliber entry wounds. 37 Therefore, a scene visit, together with questioning of the witnesses and examination of the alleged tool of injury, is of utmost importance in the investigation of the case.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical history should also be incorporated into the investigation of a nail gun injury caused by a straight nail gun. 36 Individuals other than the nail gun operators can be injured because of straight nails when a nail is overpenetrating the work piece. 30 DiMaio 24 describes a case where the victim also shot himself with a nail in the forehead.…”

Section: Discussionmentioning

confidence: 99%

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Nail Gun Suicide

Fernando

Ekanayake

2020

Am J Forensic Med Pathol

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Nail guns are pneumatically driven or powder-actuated tools, which are used to drive nails into wood or concrete. A 42-year-old man, who was a builder by profession and history of antidepressant use, was found dead in his vehicle, holding a "Ramset" nail gun in his right hand. A straight metal nail and a book with a small hole were recovered from the scene.At autopsy, an irregularly circular puncture wound was seen on the forehead and a cruciate laceration was seen on the posterior aspect of the scalp. No burning, blackening, or tattooing was present around either injury. Both internal and external beveling was present with the latter being relatively larger. Toxicological analysis revealed alcohol and methamphetamine in blood. Psychiatric history and substance abuse must also be considered when individuals in construction industry are given access to tools like nail guns.Several unique features not previously reported were observed in this case. The deceased had overcome the built-in safety mechanism of the nail gun, by placing a book in between his forehead and muzzle. Another unique feature is that the nail had exited the cranium. Beveling, a feature commonly found in firearm injuries, was also seen in this case.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Nail Gun Suicide

Fernando

Ekanayake

2020

Am J Forensic Med Pathol

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“…Penetrating cardiac wounds, especially nail-gun injuries, are rare. Because of the variation in muzzle injuries, lack of stabilization, and decreased accuracy, 2 most nail-gun injuries to the chest present with hemodynamic stability and uncomplicated operative repair, which require foreign body removal and laceration repair with suture. Nevertheless, resuscitation and hemostasis are the tenants of treating these trauma patients and the surgeon must be ready to use any necessary modalities.…”

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confidence: 99%

“…However, nail-gun injury to the chest, abdomen, or head should prompt consideration of suicide attempt. 2 Furthermore, nail-gun injuries to the chest, classified as penetrating thoracic traumas, can cause major cardiovascular injury. Penetrating cardiac injuries most commonly wound the right ventricle because of its anterior position within the chest 3 and have mortality rates of about 25 per cent, similar to that of lowvelocity penetrating injuries.…”

mentioning

confidence: 99%