Took care of a young boy once, who sustained a small puncture wound to the left anterior side of his head after running into a small screw that was sticking out of some playground equipment. As the resident was about to prep and close the wound, I said "whoa, wait a minute". Skull x-rays followed by CT confirmed a violation of the inner table of the skull with air and blood present. What appeared to be a minor playground injury ended up becoming a neurosurgical case with admission and IV antibiotics. Tell your kids to wear their hockey helmets!
Brian S Skrainka, MD
30 years in the PEDs ED, and starting to loose track of time….
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