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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.
Most nail gun injuries to the extremities, can be treated with simple extraction and minimal debridement, and discharge with a short course of cephalosporin antibiotics.
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.
Injuries to the fingers, hands, and feet are among the three most common, but there are also injuries that involve other body areas such as arms and legs as well as internal organs. Some of these injuries are serious and some have resulted in death.
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.
Mechanism of injury caused by Nail Guns: The amount of energy required to cause serious injury is fairly low: penetration of the skin occurs with projectile velocities of 150 feet per second, whereas bony fractures may occur with projectile velocities of 195 feet per second.