Very quick, quite entertaining (but also quite sad) story from a days work in A&E, which complements the bananas on head story quite well. There was an energency paediatric head injury patient rushed into resus. I read the referral letter before i saw the patient so you can forgive my initial laughter at the situation. The referral letter read something along the lines of;
' please see this 3 year old girl with recent head injury from a 1.9kg coconut falling on her head from 9m'
When I later saw the patient she was actually in a very bad way with neurological signs and symptoms as a result of swelling and compression of the brain. The surgeons were takng over and drilling a hole in the skull to relieve the pressure. Because there are no CT or MRI scans, the diagnosis is completely clinical and in terms of prognosis, the only way to know is to watch and wait to see how she responds to the surgery.
Who knew coconuts could cause so much havoc.
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