Construction Worker With Chest Pain

A 32-year-old male construction worker with no medical history presented to our emergency department with chest pain after an accidental discharge from a nail gun into the left side of his chest. The patient was hemodynamically stable, alert, oriented, and without dyspnea. He complained only of mild chest wall pain at the site of injury. Secondary survey result was unremarkable, with the exception of a small puncture wound in the fourth intercostal space, without active hemorrhage.

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