Trivial nail gun injury accounts for an estimated 37 000 clinic and emergency room visits per year. Majority of these superficial nail-gun associated injuries can be treated as an office procedure with local anesthesia. However, cases of deliberate harm and multiple deep penetrating wounds with suspicion of injury to vital organs requires a multidisciplinary team approach. We present a case of deliberate self-harm using an industrial grade nail gun with multiple body site penetration. Outline of the initial assessment, multidisciplinary team management, treatment and patient outcomes are discussed in this case report. Outcomes of nail gun injury vary according to the type, length of nail and site of injury. From literature review, most nail-gun injures had neurological sequalae post treatment. Successful nail removal often is a multidisciplinary team effort with the component of psychiatric evaluation and treatment to prevent further future self-inflicted injuries.
Skull