Nail gun‐related injuries presenting to the emergency department

Knott, Jonathan; Meyer, Alastair; Kas, P.

doi:10.1111/j.1742-6723.2004.00598.x

Cited by 10 publications

(13 citation statements)

References 4 publications

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“…3,4 The incidence of PBIs has risen three times over the past decade, 5 since pneumatic nail guns have become common. Most of the cases previously reported involved the use of nail guns 6,7,8 unlike our report in which the patient hammered a nail in his head.…”

Section: Introductioncontrasting

confidence: 73%

An Interesting Case of Penetrating Brain Injury by a Self-Hammered Nail

Besra

Harsh

Mishra

et al. 2018

IJNT

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Penetrating brain injuries by nails are rare. These usually have been reported as work-related accidents such as from falls or nail gun misfires and in cases of assault. The authors present a case of a 38-year-old psychiatric patient who attempted suicide by self-impalement of nail in the vertex near the midline of the head. Surprisingly, he was asymptomatic after a brief loss of consciousness, and with a Glasgow Coma Scale of 15. There was no history of vomiting or seizures. Intraoperative and postoperative periods were uneventful. Many unusual intracranial foreign bodies have been reported in medical literature, but one of a self-inflicted intracranial injury by hammering a nail is rare. In this article, the authors describe their case report and discuss the challenges encountered in the management of a patient with intracranial injuries by nail, along with a brief review of literature.

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Section: Introductioncontrasting

confidence: 73%

An Interesting Case of Penetrating Brain Injury by a Self-Hammered Nail

Besra

Harsh

Mishra

et al. 2018

IJNT

View full text Add to dashboard Cite

show abstract

“…3 Selvanathan et al 10 outline risk factors for traumatic aneurysms secondary to penetrating head trauma. They include the following: (1) foreign body close to the skull base, (2) hematoma at the entry site, (3) multiple fragments with multiple trajectories, and (4) high index of clinical suspicion. As such, patients with traumatic intracranial nail-gun injuries may benefit from formal catheter angiography both at the time of presentation and again in a delayed fashion, particularly if their injury meets one of the aforementioned criteria.…”

Section: Angiographymentioning

confidence: 99%

Nail-gun head trauma

Woodall

Alleyne

2012

Journal of Trauma and Acute Care Surgery

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“…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. This research indicates that: (i) grinders, power saws, drills and welders are the most common power tools causing injury; (ii) males suffer more injuries than females; (iii) lacerations, muscular damage and amputations to the fingers and hands are the most common injuries; and (iv) older people have lower injury rates, but are more likely to be hospitalised.…”

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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Nail gun‐related injuries presenting to the emergency department

Cited by 10 publications

References 4 publications

An Interesting Case of Penetrating Brain Injury by a Self-Hammered Nail

An Interesting Case of Penetrating Brain Injury by a Self-Hammered Nail

Nail-gun head trauma

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

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