Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

A Case Study of a Patient with Penetrating Neck Injuries caused by a Nail Gun

네일 건(Nail Gun) 사고에 의한 경부 관통상 1례

  • Han, Jong-Soon (Department of Emergency Medicine, College of Medicine, Hallym University) ;
  • Sohn, You-Dong (Department of Emergency Medicine, College of Medicine, Hallym University) ;
  • Ahn, Ji-Yoon (Department of Emergency Medicine, College of Medicine, Hallym University) ;
  • Ahn, Hee-Cheol (Department of Emergency Medicine, College of Medicine, Hallym University) ;
  • Kwon, Hyuk-Sool (Department of Emergency Medicine, College of Medicine, Hallym University) ;
  • Seo, Gang-Yeol (Department of Emergency Medicine, College of Medicine, Hallym University) ;
  • Cho, Kwang-Yun (Department of Emergency Medicine, College of Medicine, Hallym University) ;
  • Park, Seung-Min (Department of Emergency Medicine, College of Medicine, Hallym University)
  • 한종순 (한림대학교 의과대학 응급의학교실) ;
  • 손유동 (한림대학교 의과대학 응급의학교실) ;
  • 안지윤 (한림대학교 의과대학 응급의학교실) ;
  • 안희철 (한림대학교 의과대학 응급의학교실) ;
  • 권혁술 (한림대학교 의과대학 응급의학교실) ;
  • 서강열 (한림대학교 의과대학 응급의학교실) ;
  • 조광윤 (한림대학교 의과대학 응급의학교실) ;
  • 박승민 (한림대학교 의과대학 응급의학교실)
  • Received : 2010.06.09
  • Accepted : 2011.05.16
  • Published : 2011.06.30
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Abstract

Powered by compressed air, a nail gun is an essential alternative tool to a hammer on any construction site. This useful machine launches nails at high speed, automatically embedding them in a piece of wood in only a fraction of a second. In spite of its convenience, life-threatening and fatal nail gun injuries can occur when a nail gun is misused, such as in a suicide attempt, or when the operator has insufficient training because combustion nail guns are capable of firing projectiles at velocities higher than 150 m per second. Although injuries by nail guns are rarely reported, there have been reports of nail gun injuries to the head and the trachea in Korea. In the emergency room, the authors experienced a patient injured by an accidental shooting of a nail gun while working in construction. In that accident, a nail penetrated the patient's cervical vertebra through the left cheek. This report is aimed at studying medical treatment for patients with penetrating injuries caused by nail guns.

Keywords

References

  1. Beaver AC, Cheatham ML. Life-threatening nail gun injuries. Am Surg 1999;65:1113-6.
  2. Nail-gun injuries treated in emergency departments-- United States, 2001-2005. MMWR Morb Mortal Wkly Rep 2007;56:329-32.
  3. Kim SH, Kim TG, Seo IS, Jo JH, Choi YS. A Selfinflicted Pneumatic Nail Gun Head Injury. Korean J Leg Med 2008;32:140-3.
  4. Park HJ, Kim YT, Seo M, Ha HG. Stereotactic Surgery for the Nail-Gun Injury of the Head: Case Report. J Korean Neurosurg Soc 1996;25:1885-9.
  5. Yang JS, Shin HK, Lee JW, Won YS, Park YW. Treatment of a Nail in the Intestine after a Neck Injury from Accidental Firing of the Nail Gun: A case report. Korean J Thorac Cardiovasc Surg 2008;41:675-8.
  6. Tuladhar S, Eltayeb A, Lakshmanan S, Yiu P. Delayed presentation of right and left ventricle perforation due to suicidal nail gun injury. Ann Card Anaesth 2009;12:136-9. https://doi.org/10.4103/0971-9784.53448
  7. Tintinlli JE, Kelen GD, Stapczynski JS. Emergency Medicine. A comprehensive study guide. 6th ed. New York: McGraw-Hill; 2004. p.1590-5.
  8. Osborn TM, Bell RB, Qaisi W, Long WB. Computed tomographic angiography as an aid to clinical decision making in the selective management of penetrating injuries to the neck: a reduction in the need for operative exploration. J Trauma 2008;64:1466-71. https://doi.org/10.1097/TA.0b013e3181271b32
  9. Dobson GT. Airway management in a patient with a nail-gun injury to the floor of the mouth. Ulster Med J 2000;69:148-51.
  10. Buchalter GM, Johnson LP, Reichman MV, Jacobs J. Penetrating trauma to the head and neck from a nail gun: a unique mechanism of injury. Ear Nose Throat J 2002;81:779-83.