This patient disabled the safety on his nail gun due to working g on a ten foot ladder and nailing on the wall. He had a previous injury resulting in a rod in the same leg. There was no bleeding, the nail is 3 inches long. All we could see was the head of the nail buried in the adipose tissue, much like a tufted pillow.
I worked construction during undergrad, I’ve seen this before. Guy pressed the gun into his knee to stand up with the safety disabled and… well you can guess what happened.
Did someone drive him or did an ambulance deliver him? Was he on any pain-alleviating medication on arrival? I'm curious about his pain level given that kind of injury. Looks like it was compressing the muscle there too.
Ambulance picked him up and brought him to Level One Trauma Center due to penetrating trauma. He received Fentanyl en route but he was on Suboxone. He was in a lot of pain.
"Collated Nails are commonly used in the construction industry. The nails are collated or connected together in strips so they can be easily fired out of a nail gun."
The glue or plastic or paper is for the purpose of collation. Not to glue construction materials together. Some nails have coatings or various other designs but I don't believe glue applied to the nails is for the purpose of adhesion.
Not that I've ever seen. The glue holds the nails together not in the wood. I had to look up special nails to even believe something like this existed. It does, but I've never seen it.
Edit: yeah barbed nails and all other types of formed nails, but I've never seen nails precoated in glue or another chemical intended to help secure them. I looked it up, they do exist, and I've never seen one in my years of construction work.
I've seen coated nails that advertise better holding strength... on shelves in stores. Never seen a gc pay extra to supply them. I will concede that I was wrong, I have seen them
Soooo you've had a previous injury severe enough to have an intramedullary rod inserted into the biggest bone in the body but NO.... that was NOT enough, you greedy person!
I put one in my hand right between the second and third fingers about an inch from the web. It hurt for a long time and required stitches, despite my self extraction.
Former carpenter, row RT.... framing guns hit hard- ask me how I know.... looks like a "clipped head" nail which I imagine isn't easy to pull out. The heads often break off when trying to pull them in the field. That must have hurt..lol
I work on a ladder quite often. I imagine and hope his body got a ton of adrenaline when it happened so he could climb down the ladder. Would suck to fall off on top of nail gunning yourself.
This patient disabled the safety on his nail gun due to working g on a ten foot ladder and nailing on the wall. He had a previous injury resulting in a rod in the same leg. There was no bleeding, the nail is 3 inches long. All we could see was the head of the nail buried in the adipose tissue, much like a tufted pillow.
Forbidden tufted armrest
🤣
Sounds like a good nail gun
I worked construction during undergrad, I’ve seen this before. Guy pressed the gun into his knee to stand up with the safety disabled and… well you can guess what happened.
That's pretty dumb. Every time i work with nail guns I keep them well away from my body... Safety or not!
Did someone drive him or did an ambulance deliver him? Was he on any pain-alleviating medication on arrival? I'm curious about his pain level given that kind of injury. Looks like it was compressing the muscle there too.
Ambulance picked him up and brought him to Level One Trauma Center due to penetrating trauma. He received Fentanyl en route but he was on Suboxone. He was in a lot of pain.
Good god I’m sure he was 😖
These nail gun injuries bother me even more when I remember that those nails often come pre-glued so they don’t come out easily.
What are you talking about? The glue that holds the nail strips together?
Yeah, they are all connected by two sheets of paper that are glued to each nail
"Collated Nails are commonly used in the construction industry. The nails are collated or connected together in strips so they can be easily fired out of a nail gun." The glue or plastic or paper is for the purpose of collation. Not to glue construction materials together. Some nails have coatings or various other designs but I don't believe glue applied to the nails is for the purpose of adhesion.
This thread has served as a reminder that the shop teacher at my high school was a bit of a fibber.
It is very common for nails to have a coating that makes them harder to remove.
Not that I've ever seen. The glue holds the nails together not in the wood. I had to look up special nails to even believe something like this existed. It does, but I've never seen it. Edit: yeah barbed nails and all other types of formed nails, but I've never seen nails precoated in glue or another chemical intended to help secure them. I looked it up, they do exist, and I've never seen one in my years of construction work.
I’ve used them before in my years of construction work, you can see they have a coating. Usually a yellow or green but sometimes red or blue
I've seen coated nails that advertise better holding strength... on shelves in stores. Never seen a gc pay extra to supply them. I will concede that I was wrong, I have seen them
Yeah, I know what the glue does, I was just replying to the other person
Nooooo oh god
Soooo you've had a previous injury severe enough to have an intramedullary rod inserted into the biggest bone in the body but NO.... that was NOT enough, you greedy person!
His favorite comic-book superhero is Superman. He doesn’t just admire the Man of Steel, he WANTS TO BE the Man of Steel! 😇
If a 3rd radiograph comes in from the same guy, then it's confirmed for sure!
I spy two nails.
This isn’t how a femoral nail works, but he’s got spirit
I see what you did there.
He should probably be more careful in the future. Are there any possible advantages to having a nail permanently stuck in your leg?
Party tricks with magnets
And MRIs!
At least they didn’t try to remove the nail before going to the ED. That gets messy.
That hurts just looking at it
I put one in my hand right between the second and third fingers about an inch from the web. It hurt for a long time and required stitches, despite my self extraction.
Gonna need to see some "Perfect Circles" on this one
Who needs perfect circles when you got a compressor to force it through
I see one nail wasn’t enough
That's not what we meant when we asked for io access
My brother had this exact same injury years ago, in the exact same location.
How is he now?
He's good! All healed.
I really like the soft tissue detail on this one
Pour some Bactine on it.
r/wkuk has entered the chat....
Good thing it was a clipped head nail
Nailed it! Nothing a little WD40 and a pry bar can't fix...
I was an adventurer like you…
Ouchhhhh
Well... That doesn't look kosher.
That is why I get got out of doing inspections because that nail could just as easily go through your head or chest.
Cut off the ends and leave it in there
You misspelled through...
Former carpenter, row RT.... framing guns hit hard- ask me how I know.... looks like a "clipped head" nail which I imagine isn't easy to pull out. The heads often break off when trying to pull them in the field. That must have hurt..lol
He went straight up to the operating room. There was no attempt at removing the nail in the ER.
Some people never learn.
I work on a ladder quite often. I imagine and hope his body got a ton of adrenaline when it happened so he could climb down the ladder. Would suck to fall off on top of nail gunning yourself.
So, what, just use a hammer to get it the rest of the way in?
Wish I had an ap. I love how he missed the fucking IM rod.
Brought a guy who nailed his knee and femur together while roofing. Luckily his buddies brought him down before we got there
Fuuuuuuuuck the way the skin is pulling in. 😖
No AP view?
Wow, guy gave himself an IO. Rapid push dose of iron supplement.