• Journal of Trauma and Injury
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• 제24권1호
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• pp.48-51
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• 2011

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.

• Journal of Trauma and Injury
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• 제34권3호
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• pp.203-207
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• 2021

Penetrating brain injury caused by a nail gun is an uncommon clinical scenario reported in the literature. A 36-year-old male presented with a nail that had penetrated through the occipital bone. He was alert and neurologically intact except for visual disturbance. Computed tomography (CT) of the brain showed the nail lodged at the occipital lobe and the parietal lobe, with minimal intracerebral hemorrhage. The nail was placed in the occipital lobe close to the superior sagittal sinus. We removed the nail with craniotomy since the entrance of the nail was close to the superior sagittal sinus. There were no newly developed neurological deficits postoperatively. Immediate postoperative CT showed no newly developed lesions. The patient recovered well without any significant complications. Two weeks postoperatively, magnetic resonance imaging showed no remarkable lesions. The visual disturbance was followed up at the outpatient department. To summarize, we report a rare case of penetrating head injury by a nail gun and discuss relevant aspects of the clinical management.

• Journal of Chest Surgery
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• 제41권5호
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• pp.675-678
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• 2008

42세 남자 환자가 건축 현장에서 작업 도중 네일 건(nail gun)의 못이 목의 앞면에 발사되는 사고로 내원하였다. 처음 시행한 흉부 방사선 사진에서 못은 전경부에 있었고, 점차 흉부에서 복부로 이동하였다. 전경부 기도 손상은 보였으나 식도 손상은 관찰되지 않았고, 못은 장내에 위치하여 내시경을 이용하여 제거하였다. 금식 및 항생제 투여 등 보존적 치료를 시행하였으며, 특별한 합병증 없이 치유되었기에 문헌 고찰과 함께 보고하는 바이다.

• Journal of Trauma and Injury
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• 제30권1호
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• pp.21-23
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• 2017

Penetrating cardiac injury caused by nail gun is an uncommon life-threatening condition characterized by a rapidly severe hemodynamic status compromise. We report non-contrast-enhanced CT findings of a right ventricle myocardium injury leading to a fluid collection in the pericardial space with the same attenuation as blood. The CT findings well depicted the pathological feature of a significant cardiac injury and may be helpful for the surgical management.

• Journal of Korean Neurosurgical Society
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• 제56권6호
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• pp.537-539
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• 2014

Penetrating cerebral injuries caused by foreign bodies occur rarely due to the substantial mechanical protection offered by the skull. Throughout most of history, the brain, residing in a "closed box" of bone, has not been vulnerable to external aggression. Recently, we encountered a serious penetrating craniocerebral injury caused by a nail gun. Total excision of the offending nail via emergency craniotomy was performed, but the patient's neurologic status was not improved in spite of aggressive rehabilitative treatment. Here, we report on this troublesome case in light of a review of the relevant literature.

• 한국기계가공학회지
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• 제14권1호
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• pp.51-56
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• 2015

This paper presents an investigation of abnormal wear of a contact jig between a nail and a nail fixture in electric resistance welding. To perform an analysis on the abnormal wear phenomenon, several methods are provided. Based on the theory of electric resistance welding, are analyzed. Using microscopic analysis, surface craters are observed. In the measurement of the electric current flow in the nail fixture, the current flow distribution is measured. From several analyses, the cause of abnormal wear in the contact jig is measured using the electric discharge of high current density at the inflow point of the electric supply to the nail fixture. An alternative shape for normal wear is proposed.

• Journal of the Korean Wood Science and Technology
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• 제45권6호
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• pp.728-736
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• 2017

In this study, the bending behavior of cross-laminated timber (CLT) connected by nails were investigated. Especially, the load-carrying capacity of the nail-jointed CLT under out-of-plane bending was predicted by the lateral resistance of the used nails. Three-layer nail-jointed CLT specimens and a nail connection were manufactured by 30 mm (thickness) ${\times}$ 100 mm (width) domestic species (Pinus koraiensis) laminas and Ø$3.15{\times}82mm$ nails using a nail-gun. Shear test for evaluating the nail lateral resistance and bending test for evaluating the load-carrying capacity of the nail-jointed CLT under out-of-plane bending were carried out. As a result, two lateral resistance of the used nail, the 5% fastener offset value and the maximum value, were 913 N and 1,534 N, respectively. The predicted load-carrying capacity of the nail-jointed CLT by the 5% offset nail lateral resistance was similar to the yield points on the actual load-displacement curve of the nail-jointed CLT specimens. Meanwhile, the nail-jointed CLT specimens were not failed until the tension failure of the bottom laminas occurred beyond the maximum lateral resistance of the nails. Thus, the measured maximum load carrying capacities of the nail-jointed CLT specimens, approximately 12,865 N, were higher than the predicted values, 7,986 N, by the maximum nail lateral resistance. This indicates that the predicted load-carrying capacity can be used for designing a structural unit such as floor, wall and roof able to support vertical loads in a viewpoint of predicting the actual capacities more safely.

• Journal of Trauma and Injury
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• 제26권1호
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• pp.26-29
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• 2013

We describe the case of a 56-year-old man who had been shot by a pneumatic nail gun in the chest during work. He had removed the nail by himself immediately at the accident field. He visited to the emergency department of a local hospital and, after a simple dressing and simple history had been taken, he was referred to our emergency department for penetrating thoracic injury. Immediately, Transthoracic echocardiography were done and showed moderate hemopericardium. Patient had been hydrated and transported to the operating room. After cardiac wound repaired by midsternotomy, the patient was discharged on the 13th postoperative day without complications except mild mitral valve regurgitation.

• Journal of Trauma and Injury
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• 제35권3호
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• pp.223-227
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• 2022

In this report, we present a case of high cervical penetrating trauma with vertebral artery injury and outline preprocedural, procedural, and postprocedural considerations with recommendations for the treatment of similar injuries. Management involves multiple imaging modalities, including X-ray imaging, computed tomography, computed tomography angiography, magnetic resonance imaging, and catheter angiography. We recommend endovascular treatment of these injuries when possible, based on the improved ability to achieve proximal and distal control and manage hemorrhage risk.