Abstract
Penetrating thoracic trauma in the pediatric population is not common. A nail gun injury as the mechanism of injury is even less common. Children who are hemodynamically instable require immediate operative exploration and intervention. In children who undergo imaging, plain radiography is useful to identify and locate radiopaque foreign bodies; echocardiography can assess ventricular function and pericardial effusion/tamponade; computed tomography is generally reserved for further delineation of the injury and if vessel injury is suspected. The etiology of the injury should be explored, as suicidal attempts associated with nail gun injuries have been well documented.
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