FIGURE 7 - uploaded by Kasun Bandara Ekanayake
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Polarized micrograph of right frontal lobe showing bone fragments (bold arrow) and birefringent foreign material (thin arrow) within the brain substance (hematoxylin-eosin, Â40).
Source publication
Nail guns are pneumatically driven or powder-actuated tools, which are used to drive nails into wood or concrete. A 42-year-old man, who was a builder by profession and history of antidepressant use, was found dead in his vehicle, holding a “Ramset” nail gun in his right hand. A straight metal nail and a book with a small hole were recovered from t...
Context in source publication
Context 1
... examination of the sections taken from the right frontal lobe showed bone fragments and birefringent foreign material within the substance of the brain (Fig. 7). Sections taken from the midbrain and pons showed multiple foci of hemorrhage. No other significant abnormality was seen. Toxicological analysis of postmortem blood taken at the time of the autopsy revealed 43 mg/100 mL of alcohol and 0.09 mg/L of ...
Citations
... A large number of published literatures favors conservative management of retained pulmonary foreign bodies in patients without symptoms [6]. One study showed that only 13% of patients with retained pulmonary parenchymal foreign bodies ultimately required surgical removal [7]. Once symptoms such as infection or bleeding occur, surgical excision or removal should be considered [8]. ...
In 2021, there were 1.7 million suicide attempts in the US, with firearms being the most common method used, comprising more than 50% of attempts. We present a case report of delayed operative intervention for foreign body removal after a suicide attempt using a nail gun fired into the left hemi thorax. Initial conservative management was complicated by the delayed presentation of hemoptysis requiring surgical intervention. We hypothesize that the delay was secondary to foreign body migration. Initial management was attempted robotically, but dense adhesions were encountered, requiring conversion to an open thoracotomy. Twenty-eight nails were removed. The post-operative course was uncomplicated.
... In contrast, injuries involving straight nails, as in the present case, could result from a non-accidental or an accidental discharge. The location of the injury can also suggest a primary mechanism; upper extremity injuries are most likely to be due to accidents, while cranial/intracranial, cervical, or abdominal involvement is much more likely in cases of attempted self-harm [15]. An injury side corresponding with patient handedness may also increase the suspicion of self-harm. ...
In this report, we present a case of high cervical penetrating trauma with vertebral artery injury and outline preprocedural, procedural, and postprocedural considerations with recommendations for the treatment of similar injuries. Management involves multiple imaging modalities, including X-ray imaging, computed tomography, computed tomography angiography, magnetic resonance imaging, and catheter angiography. We recommend endovascular treatment of these injuries when possible, based on the improved ability to achieve proximal and distal control and manage hemorrhage risk.
Amaç: Acil servise delici çivi yaralanması ile başvuran hastaların demografik ve klinik özelliklerini incelendik. Riskli meslek grupları ve çalışma alanlarının yaralanma bölgesiyle olan ilişkisini araştırdık. Gereç ve Yöntem: Çalışmamız retrospektifti. 1 Ocak 2018-31 Aralık 2018 tarihleri arasında acil servise başvuran hastaların demografik ve klinik özellikleri, meslekleri, yaralanmanın gerçekleştiği alan ve yara yeri hasta dosyalarından kaydedildi. Ayak tabanı yaralanması 3 anatomik bölgeye ayrıldı. Verilerin analizinde tanımlayıcı istatistik ve ki-kare testi kullanıldı. İstatistiksel anlamlılık p
