Delayed presentation of a pneumatic nail gun injury to the right ventricle without circulatory compromise

Christopher G. Bargoud; Eimon Lee; Alexander Toppo; Devesh Patel; Evan Berger; Christian McDonough; Christopher Fjotland; Vincent Reformato; Manabu Takebe; Joseph S. Hanna

doi:10.1016/j.tcr.2021.100597

Delayed presentation of a pneumatic nail gun injury to the right ventricle without circulatory compromise

Christopher G. Bargoud, Eimon Lee, Alexander Toppo, Devesh Patel, Evan Berger, Christian McDonough, Christopher Fjotland, Vincent Reformato, Manabu Takebe, Joseph S. Hanna

Robert Wood Johnson Medical School (RWJMS), Anesthesiology

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Delayed presentation of penetrating cardiac injuries is exceedingly rare due to the observed near 100% pre-hospital mortality. We describe a case of a patient who presented for evaluation nearly 24 h after sustaining a self-inflicted pneumatic nail gun injury to the right ventricular outflow tract. Remarkably, the patient had no evidence of hemodynamic compromise. This case highlights the importance of maintaining a high index of suspicion for cardiac injury with penetrating trauma to the cardiac box regardless of presenting signs and symptoms, and the value of adhering to advanced trauma life support principles.

Original language	English (US)
Article number	100597
Journal	Trauma Case Reports
Volume	37
DOIs	https://doi.org/10.1016/j.tcr.2021.100597
State	Published - Feb 2022

All Science Journal Classification (ASJC) codes

Emergency Medicine
Orthopedics and Sports Medicine
Critical Care and Intensive Care Medicine

Keywords

Cardiac injury
Critical care
Nail gun
Trauma

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10.1016/j.tcr.2021.100597

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title = "Delayed presentation of a pneumatic nail gun injury to the right ventricle without circulatory compromise",

abstract = "Delayed presentation of penetrating cardiac injuries is exceedingly rare due to the observed near 100% pre-hospital mortality. We describe a case of a patient who presented for evaluation nearly 24 h after sustaining a self-inflicted pneumatic nail gun injury to the right ventricular outflow tract. Remarkably, the patient had no evidence of hemodynamic compromise. This case highlights the importance of maintaining a high index of suspicion for cardiac injury with penetrating trauma to the cardiac box regardless of presenting signs and symptoms, and the value of adhering to advanced trauma life support principles.",

keywords = "Cardiac injury, Critical care, Nail gun, Trauma",

author = "Bargoud, {Christopher G.} and Eimon Lee and Alexander Toppo and Devesh Patel and Evan Berger and Christian McDonough and Christopher Fjotland and Vincent Reformato and Manabu Takebe and Hanna, {Joseph S.}",

note = "Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2022",

month = feb,

doi = "10.1016/j.tcr.2021.100597",

language = "English (US)",

volume = "37",

journal = "Trauma Case Reports",

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TY - JOUR

T1 - Delayed presentation of a pneumatic nail gun injury to the right ventricle without circulatory compromise

AU - Bargoud, Christopher G.

AU - Lee, Eimon

AU - Toppo, Alexander

AU - Patel, Devesh

AU - Berger, Evan

AU - McDonough, Christian

AU - Fjotland, Christopher

AU - Reformato, Vincent

AU - Takebe, Manabu

AU - Hanna, Joseph S.

PY - 2022/2

Y1 - 2022/2

N2 - Delayed presentation of penetrating cardiac injuries is exceedingly rare due to the observed near 100% pre-hospital mortality. We describe a case of a patient who presented for evaluation nearly 24 h after sustaining a self-inflicted pneumatic nail gun injury to the right ventricular outflow tract. Remarkably, the patient had no evidence of hemodynamic compromise. This case highlights the importance of maintaining a high index of suspicion for cardiac injury with penetrating trauma to the cardiac box regardless of presenting signs and symptoms, and the value of adhering to advanced trauma life support principles.

AB - Delayed presentation of penetrating cardiac injuries is exceedingly rare due to the observed near 100% pre-hospital mortality. We describe a case of a patient who presented for evaluation nearly 24 h after sustaining a self-inflicted pneumatic nail gun injury to the right ventricular outflow tract. Remarkably, the patient had no evidence of hemodynamic compromise. This case highlights the importance of maintaining a high index of suspicion for cardiac injury with penetrating trauma to the cardiac box regardless of presenting signs and symptoms, and the value of adhering to advanced trauma life support principles.

KW - Cardiac injury

KW - Critical care

KW - Nail gun

KW - Trauma

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SN - 2352-6440

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JO - Trauma Case Reports

JF - Trauma Case Reports

M1 - 100597

ER -

Delayed presentation of a pneumatic nail gun injury to the right ventricle without circulatory compromise

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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