From the Emergency Department (K.W.K., E.H.) Tahoe Forest Hospital, General Surgery (H.A.B.), and Incline, Tahoe, Truckee Surgical Associates (J.R.O.), Truckee, California.Address for reprints: Kenneth W. Kizer, MD, Department of Community and International Health, University of California, Davis, School of Medicine, Davis, CA 95616.
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A case is reported of a patient who sustained a cardiac injury from a 16-penny nail fired from a nail gun and who was successfully treated at a small rural hospital.