1 motorbike but 4 peoples on it..
2 adults, 2 children, and 2 helmets..
but the helmets only on papa and mama’s head..
heading happily to shopping center..
but when the motorbike banged by another car, all of them thrown out from it..
and the poor boy alleged an open wound on the head..
big laceration wound with degloving injury (skin loss) over the right temporal and parietal region of the scalp.. the right temporoparietal bone was exposed.. and part of the parietal bone was missing with exposure of the underlying dura..
the CT scan of head (bone window) showed a skull defect over the right parietal region..
the CT scan of head (brain parenchymal window) showed small extradural haematoma at the skull defect site..
he was immediately brought to operation theater for wound debridement and exploration (to look for any dura tear), the skull defect measured about 4 x 5 cm.. sharp edges of the bone was removed.. the thin extradural haematoma was evacuated.. all the foreign materials (sand, hair, dirt particles) removed and the wound was washed vigorously.. skin was undermined and able to close without any skin graft..
post-operatively the boy has a good recovery and the would is healing well.. :)
advice to parents: a) motorbike is invented for 2 peoples, not for 4 peoples.. b) always put up the helmet for the kid as well..