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Power hammer\u2010associated injuries are a rare occurrence. We report a noteworthy case of a 52\u2010year\u2010old man who sustained a high\u2010energy penetrating injury while working with a power (counterblow) hammer. The man used a sizable disc\u2010shaped metallic object to dislodge the forging wedged in the machine by applying the force of the striking ram on it. On impact, the object ejected and struck the man in the right lateral portion of the chest. The autopsy disclosed extensive damage to the thoracic and abdominal organs. The cause of death was opined to be exsanguination due to penetrating trauma of the heart and transection of the descending aorta. The investigation confirmed a breach of safety regulations. To the best of our knowledge, this is the first power (counterblow) hammer\u2010related fatality in medico\u2010legal literature.<\/jats:p>","DOI":"10.1111\/1556-4029.15521","type":"journal-article","created":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T07:45:52Z","timestamp":1712216752000},"page":"1490-1494","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Between the hammer and the anvil: An unusual power hammer fatality"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3806-0690","authenticated-orcid":false,"given":"Richard","family":"Sivuli\u010d","sequence":"first","affiliation":[{"name":"Institute of Forensic Medicine and Medical Expertises, Jessenius Faculty of Medicine Comenius University, University Hospital  Martin Slovak Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Jan\u00edk","sequence":"additional","affiliation":[{"name":"Institute of Forensic Medicine and Medical Expertises, Jessenius Faculty of Medicine Comenius University, University Hospital  Martin Slovak Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Hejna","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine University Hospital  Hradec Kr\u00e1lov\u00e9 Czechia"},{"name":"Department of Forensic Medicine, Faculty of Medicine in Hradec Kr\u00e1lov\u00e9 Charles University  Hradec Kr\u00e1lov\u00e9 Czechia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Kocan","sequence":"additional","affiliation":[{"name":"Clinic of Pneumology and Phthisiology, Jessenius Faculty of Medicine Comenius University, University Hospital  Martin Slovak Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u013dubom\u00edr","family":"Straka","sequence":"additional","affiliation":[{"name":"Institute of Forensic Medicine and Medical Expertises, Jessenius Faculty of Medicine Comenius University, University Hospital  Martin Slovak Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.31399\/asm.tb.chffa.9781627083003"},{"key":"e_1_2_8_3_1","unstructured":"U.S. Bureau of Labor Statistics.National census of fatal occupational injuries in 2021. Census of Fatal Occupational Injuries Summary 2021 (bls.gov) Accessed 10 Jun 2023."},{"issue":"6","key":"e_1_2_8_4_1","first-page":"1","article-title":"An overview of forging processes with their defects","volume":"4","author":"Rathi MG","year":"2014","journal-title":"Int J Sci Res Publ"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2072\u20101439.2014.08.51"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1556\u20104029.12027"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1556\u20104029.14256"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/02688697.2018.1467375"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1556\u20104029.14828"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2018.05.045"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12024\u2010019\u201000100\u2010x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12024\u2010014\u20109545\u20108"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.paf.0000113861.84245.5b"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000433\u2010198607020\u201000016"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192416964"}],"container-title":["Journal of Forensic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.15521","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1556-4029.15521","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.15521","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:01:51Z","timestamp":1772982111000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1556-4029.15521"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,4]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/1556-4029.15521"],"URL":"https:\/\/doi.org\/10.1111\/1556-4029.15521","archive":["Portico"],"relation":{},"ISSN":["0022-1198","1556-4029"],"issn-type":[{"value":"0022-1198","type":"print"},{"value":"1556-4029","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,4]]},"assertion":[{"value":"2024-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}