Nail gun injuries treated in U.S emergency departments, 2006–2011: Not just a worker safety issue

Lipscomb, Hester J.; Schoenfisch, Ashley L.

doi:10.1002/ajim.22457

Cited by 14 publications

(19 citation statements)

References 36 publications

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“…Unintended nail discharge is a common cause of injury and, in one study, two‐thirds of workers compensation claims for nail gun injuries involved unintended discharge or misfire [Dement et al, ]. Workers without training are at greatest risk of injury from pneumatic nail guns [Lipscomb et al, ] and consumers are at similar risk [Lipscomb and Schoenfisch, ]. Although nail gun injuries have decreased from previous years [Lipscomb and Jackson, ], the frequency of these injuries still remains high.…”

Section: Nail Guns and Safetymentioning

confidence: 99%

“…Although nail gun injuries have decreased from previous years [Lipscomb and Jackson, ], the frequency of these injuries still remains high. From 2006 to 2011, approximately 14,000 worker and 11,000 consumer nail gun injuries per year required emergency medical treatment [Lipscomb and Schoenfisch, ]. Most nail gun injuries are puncture wounds to the hands and fingers, but nail guns also cause bone fractures, internal injuries, and even death.…”

Section: Nail Guns and Safetymentioning

confidence: 99%

“…ANSI's 2002 nail gun standard called for framing pneumatic nail guns to be shipped with safer sequential triggers. However, manufacturers remained in compliance with the standard even if they included the contract trigger by citing user preferences [Lipscomb and Schoenfisch, ]. The 2002 nail gun standard excluded frequently used coil nailers, which are similar to other types of nailers except that the nail supply magazine is shaped like a coil rather than a stick and has a higher nail capacity.…”

Section: Ansi Nail Gun Standard Developmentmentioning

confidence: 99%

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The new ANSI nail gun standard: A lost opportunity for safety

Howard

Branche

Earnest

2016

American J Industrial Med

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Pneumatic nail guns have been shown in published studies to cause injury and death to both workers and consumers, but those equipped with sequential trigger mechanisms provide much greater safety protection against unintentional discharge than those equipped with contact triggers. In 2015 the American National Standards Institute (ANSI) approved a revision to its 2002 nail gun standard, but failed to require sequential triggers. Substantive and procedural deficiencies in the ANSI standard's development process resulted in a scientifically unsound nail gun safety standard, detracting from its use as the basis for a mandatory national safety standard and ultimately from its ability to protect worker and consumer users. Am. J. Ind. Med. 60:147-151, 2017. © 2016 Wiley Periodicals, Inc.

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Section: Nail Guns and Safetymentioning

confidence: 99%

Section: Nail Guns and Safetymentioning

confidence: 99%

Section: Ansi Nail Gun Standard Developmentmentioning

confidence: 99%

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The new ANSI nail gun standard: A lost opportunity for safety

Howard

Branche

Earnest

2016

American J Industrial Med

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“…There has been limited research describing power tool‐related injuries in Australia. Studies have analysed US ED presentations for injuries from lawnmowers, power saws and nail guns (United States). Injuries from table saws, chain saws, nail guns, power tools and penetrating injuries have also been studied.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of accidental injuries from power tools treated at two emergency departments in Queensland

Judge

Eley

Miyakawa-Liu

et al. 2018

Emerg Medicine Australasia

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Objective Injuries are a major burden on the Australian healthcare system. Power tool usage is a common cause of accidental injury. A better understanding of the trends of power tool injuries will inform prevention strategies and potentially mitigate costs. Methods The ED databases from two level 1 hospitals were reviewed for presentations between 2005 and 2015 resulting from accidental injury with power tools. A subgroup of patients presenting to one hospital between 2016 and 2017 were interviewed about the activities and circumstances that led to their injuries, and followed up 3 months later to assess outcomes. Results A total of 4057 cases of accidental injury from power tool use were identified. Power saws and grinders contributed to 54% of injuries. Most injuries were located on an upper limb (48%) or the head and neck (30%). Over half (54%) of all head injuries were associated with metal and wood fragments to the eye from grinders, drills and saws. Hospital admission rates were highest for patients aged >60 years. Injuries to females were <5% of all presentations, but 40% of those caused by lawnmowers. Among the 200 patients interviewed, lapses in concentration during use, and modification and inappropriate use of a power tool were the main contributors to injury. Recovery periods >3 months were common. Conclusions Accidental injuries from power tool use have a considerable impact on ED resources and can affect the long‐term quality of life of those injured. Effective education about safe usage and protection may prevent many injuries.

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“…NEISS is a publicly available database overseen by the US Consumer Product Safety Commission (CPSC). NEISS has been used to explore injuries from a wide variety of products, including those from recreational activities including mountain biking,15 unicycles16 and water tubing17; occupational injuries from ladders18 and nail guns,19 and home injuries including hot tubs20 and bunk beds 21. Although focused on consumer product-related injuries, NEISS also captures information about injuries more broadly, and thus, can help identify hazardous conditions in the home 22.…”

Section: Introductionmentioning

confidence: 99%

Structural housing elements associated with home injuries in children

et al. 2015

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Objective To quantify unintentional injuries associated with housing elements among children less than 18 years old treated in US hospital emergency departments. Methods The National Electronic Injury Surveillance System (NEISS) coding manual was reviewed, and all product codes that identified products permanently affixed to a home (housing elements) were identified. A query of the 2008 NEISS data for children under 18 determined the numbers of cases by severity code for each identified housing element. Housing elements were then tabulated by the number of cases for each severity code. The top 10 cases by severity code, (1) hospitalised or (2) treated in emergency departments, were included in a case review. Ten per cent of all cases or a minimum of 100 cases were randomly selected for review for each of the identified housing elements to assess if the case description could inform prevention efforts. Results Twelve housing elements (bathtub, cabinet, carpet, ceiling/wall, counter, door, fence, floor, nail, porch, stairs and window) were identified as the leading causes of injuries resulting in hospitalisations or emergency department visits. A list of potential interventions was generated based on the review of the case histories. Suggested changes for NEISS coding are also offered to enhance future prevention research. Conclusions NEISS is a valuable tool to identify home injury risks and inform design decisions for housing elements. Improved understanding of housing elements associated with injuries has the potential to enhance home inspection forms. However, interpretation of NEISS results is limited by lack of clarity about how the housing element was involved in the injury event.

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Nail gun injuries treated in U.S emergency departments, 2006–2011: Not just a worker safety issue

Abstract: Current nail gun injury patterns suggest marked blurring of work and home exposures. A united effort of CPSC, NIOSH, and OSHA is warranted to address these preventable injuries.

Cited by 14 publications

References 36 publications

The new ANSI nail gun standard: A lost opportunity for safety

The new ANSI nail gun standard: A lost opportunity for safety

Characteristics of accidental injuries from power tools treated at two emergency departments in Queensland

Structural housing elements associated with home injuries in children

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