@article{ref1,
title="Nail gun suicide: an atypical case report and review of the literature",
journal="American journal of forensic medicine and pathology",
year="2020",
author="Fernando, Dinesh Malcolm Gerard and Ekanayake, Ekanayake Mudiyanselage Kasun Bandara",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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 &quot;Ramset&quot;  nail gun in his right hand. A straight metal nail and a book with a small hole were  recovered from the scene.At autopsy, an irregularly circular puncture wound was seen  on the forehead and a cruciate laceration was seen on the posterior aspect of the  scalp. No burning, blackening, or tattooing was present around either injury. Both  internal and external beveling was present with the latter being relatively larger. Toxicological analysis revealed alcohol and methamphetamine in blood. Psychiatric  history and substance abuse must also be considered when individuals in construction  industry are given access to tools like nail guns.Several unique features not  previously reported were observed in this case. The deceased had overcome the  built-in safety mechanism of the nail gun, by placing a book in between his forehead  and muzzle. Another unique feature is that the nail had exited the cranium. Beveling, a feature commonly found in firearm injuries, was also seen in this case.<p /> <p>Language: en</p>",
language="en",
issn="0195-7910",
doi="10.1097/PAF.0000000000000650",
url="http://dx.doi.org/10.1097/PAF.0000000000000650"
}