Abstract
The use of nail guns has been expanded since 1950s, as it requires a minimum training. Nail guns can fire projectiles at a rapid speed for a distance up to 500 meters. Cardiac nail gun injuries are rare but life-threatening. Most of the cases presented within few minutes after injury and associated with hemodynamic compromise and some degree of pericardial tamponade.
Highlights
Penetrating cardiac injury is an emergent condition which has a high rate of mortality
We reported a rare case with delayed presentation of pericardial tamponade after cardiac nail gun injury
In addition to firearm and stab wounds, nail gun is an essential cause of penetrating cardiac injury
Summary
Penetrating cardiac injury is an emergent condition which has a high rate of mortality. Alive patients have a variable clinical presentation at the emergency department with a pericardial tamponade in 70% of survivors and 20% of non-survivors [1]. Nail guns have been used since 1950s to fire nails into woods, concrete and metal surfaces, with the ability to fire projectiles at a speed of 100-150 meters/second and distances of up to 500 meters [3]. Increasing the use of nail guns, as it requires a minimum training, has been reported to increase the rate of nail gun injuries [4]. Extremities are the most common site susceptible to accidental trauma, while penetrating cardiac injury is much less common injury secondary to discharge of pneumatic nail gun [5]
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