Bedside Ultrasonography in the Management of Penetrating Cardiac Injury Caused by a Nail Gun

Panicker, Ashley; Nugent, Kenneth; Mink, Jennifer; Glaser, Jeffrey; Bradley, Kevin M.; Širić, Franjo; Nomura, Jason T.

doi:10.1016/j.jemermed.2018.09.036

Cited by 8 publications

(17 citation statements)

References 8 publications

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“… 9 Although the majority of nail gun-associated injuries are puncture wounds to the extremities, reports of cases involving the chest or torso are increasing, especially for self-inflicted wounds. 10 , 11 Intentional self-harm attempts with nail guns are usually fatal. 12 …”

Section: Discussionmentioning

confidence: 99%

“…Head and chest CT was performed promptly after resuscitation, and we observed hemopericardium, left hemothorax, and at least two metallic nail tips within the pericardial space ( Figure 2a ). Bedside sonography has been suggested as the first-line evaluation for suspected cardiac penetrating injuries; 10 however, the accessibility of CT makes it an essential part of initial patient assessment. 17 Furthermore, CT is the best method for evaluating penetrating head injuries.…”

Section: Discussionmentioning

confidence: 99%

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Survival after multiple nail gun injuries to the brain, lung, and heart: a case report and a review of the literature

et al. 2021

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Most nail gun injuries involve the extremities and result from work-related accidents. Injuries to the brain or thorax are relatively rare, and cases with injuries to both regions are even rarer and often lethal. Initial evaluation, resuscitation, and surgical planning can be challenging for emergency physicians and surgeons. We present the details of a man with multiple nail gun injuries to the brain, lung, and heart following a suicide attempt. The patient presented to the emergency department in shock. After immediate resuscitation, emergent sternotomy, and subsequent craniotomy, he was discharged without significant morbidity. According to the literature, this is the only reported case involving multiple nail gun injuries to the brain, lungs, and heart. The mortality rate of multiple nail gun injuries involving the head and chest is approximately 20%. Rapid evaluation, immediate resuscitation, and appropriate imaging and surgery are crucial for increasing survival and achieving a good prognosis. Emergency sternotomy for cardiac injury is the foremost priority, and the timing of craniotomy depends on the patient’s vital sign status and whether brain injury is evident. A preprint of this article is available online: DOI: 10.21203/rs.3.rs-35448/v1.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Survival after multiple nail gun injuries to the brain, lung, and heart: a case report and a review of the literature

et al. 2021

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“…An increasing number of medical reports have described traumatic injuries resulting from nail guns(2, 3), of which most appear to have been related to unintentional nail gun discharge or mis re (4). Though the majority of nail gun-associated injuries are puncture wounds to the extremities, there are increasing numbers of reports of chest or torso injuries, especially self-in icted cases (5,6). Using a nail gun to attempt suicide usually is fatal (7).…”

Section: Nail Gun Injurymentioning

confidence: 99%

“…When the penetration injury involves the heart, both sternotomy and thoracotomy can be performed (5), and the choice is based on the discretion of the surgeon (8). Right ventricle (RV) injuries are most reported in penetrating cardiac injuries(6).…”

Section: Penetrating Intracardiac Injurymentioning

confidence: 99%

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Survival of multiple nail gun injuries to the head, lung, and heart: A case report

Wang

Chen

Huang

et al. 2020

Preprint

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Background: Most nail gun injuries occur at the extremities due to working accidents. Injuries to the brain or thorax are relatively rare, and cases with both injuries are even rarer. Initial evaluation, resuscitation and surgical planning can be challenging. Case presentation: Here, we present a case with nail gun injuries to the brain, lung, and heart by suicide attempt. The patient presented to the emergency department under shock. After resuscitation and surgical intervention, he was discharged without significant morbidity. Conclusions: Multiple nail gun injuries, especially those to vital organs such as the brain, lung, and heart, can be challenging to emergency physicians and surgeons. Imaging tools, treatment strategies, and possible complications are discussed in this article to provide optimized outcomes in such situations.

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Cardiac contusions in the acute care setting: Historical background, evaluation and management

Scagliola¹,

Seitun²,

Balbi³

2022

The American Journal of Emergency Medicine

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Bedside Ultrasonography in the Management of Penetrating Cardiac Injury Caused by a Nail Gun

Cited by 8 publications

References 8 publications

Survival after multiple nail gun injuries to the brain, lung, and heart: a case report and a review of the literature

Survival after multiple nail gun injuries to the brain, lung, and heart: a case report and a review of the literature

Survival of multiple nail gun injuries to the head, lung, and heart: A case report

Cardiac contusions in the acute care setting: Historical background, evaluation and management

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