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A case of multiple nail gun injuries to the head and one to the heart

BACKGROUND: Nail gun injuries, while uncommon, can present significant treatment challenges. Many are often caused by work-related accidents, they have also been seen in suicide attempts and assaults. CASE DESCRIPTION: A 53-year-old male was transferred from a peripheral hospital to a tertiary cente...

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Detalles Bibliográficos
Autores principales: Pniel, Dorian, Withers, Teresa K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238325/
https://www.ncbi.nlm.nih.gov/pubmed/30533268
http://dx.doi.org/10.4103/sni.sni_75_18
Descripción
Sumario:BACKGROUND: Nail gun injuries, while uncommon, can present significant treatment challenges. Many are often caused by work-related accidents, they have also been seen in suicide attempts and assaults. CASE DESCRIPTION: A 53-year-old male was transferred from a peripheral hospital to a tertiary center after being found confused and with a left-sided weakness. Initial scans showed four nails penetrating the skull, with one additional nail in the pericardium. These all underwent surgical removal, and due to meticulous pre- and perioperative planning, the patient had a largely uneventful recovery. CONCLUSION: The challenging nature of these injuries requires extensive workup prior to surgical decision-making in order to minimize potential complications.