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Use traction to remove only nails that are embedded in soft tissue and have no complicating injuries; otherwise, remove the nail in the operating room. Allow most nail gun injuries to heal by secondary intention rather than trying to suture them.
?Employers must effectively train workers to safely operate dangerous tools such as nail guns,? said Cal/OSHA Chief Juliann Sum.
Nail guns commonly cause injuries, often involving nerves, tendons, blood vessels, joints, bones, or penetration of body cavities. Check for serious injuries with detailed examination, and take x-rays.
For all other nail gun injuries, surgery is done to examine the injury, and the nail is removed in the operating room. Nail gun injuries are typically deep puncture injuries and thus are allowed to heal without being stitched up.
Puncture wounds to the hands and fingers are most common, but more serious injuries and deaths occur using nail guns. All nail guns have the potential to cause serious injury. Using a nail gun with a bump or automatic trigger (also known as contact trip trigger) can result in unintended nail discharge.
The majority of nail gun injuries to the extremities, where there is no intra-articular involvement, and no presence or risk of neurovascular compromise, can be managed with simple extraction and minimal debridement, and discharge with a short course of cephalosporin antibiotics depending on local institutional ...