Skull Fracture Emergency in a 4-Year-Old Boy

In this video we hear the story of a 4-year-old male with a traumatic linear skull fracture and a large subgaleal hematoma. Additionally, we discuss the management of pediatric linear skull fractures.

[christoph]

I keep coming back to this channel to become a better clinician. Supervaluable content. Needless to say a huge thank you to Dr Mellick and all the patients and caregivers that allow for this content to be produced. Keep up the amazing educational work :)

[isidorocasanovas]

Im a medstudent from southamerica and this type of material helps me understand everything so much better, because it lets me learn how its done on the actual situation. Keep the great work!

[nathanowens]

Thank you for posting this type of content. I work as a paramedic preceptor and love sharing these videos with my crew. The information is informative and direct, and it greatly helps us with our prehospital assessments and treatments.

[SarahKDB]

I've broken a lot of bones, a lot (juvenile osteoporosis), but never my skull. That must be scary. Good thing it's minor and he seems to have a great dad. Keep posting more videos!

[alangeiger]

I have been watching a ton of your content and even though I am only a phlebotomist I have learned a lot and I want to express my gratitude for everything you do! Some of the things you have been through including thoracotomies takes a very intelligent leader to accomplish! Thank you!

[docsantander]

The non-admission of a child is because:
1. The aggregated psychological Stress for the child?
2. The costs for unnecessary tests/hospital observation?

Or both? Great video again Dr. Mellick.

[mdlm]

When I was about 14 I crashed my dirt bike and had a skull fracture with a subgaleal hematoma. The calcification Larry is mentioning I have as well.

[jamdjones]

Thank you. Always educational and look forward to more.

[JoelWelter]

Another nice presentation. You never disappoint (unless you didn't give him a lollipop afterwards).

[sarahg]

Thank you so much for posting these videos! I'm studying nursing and seeing these emergencies and the treatments on actual people is so educational

[KJ-oon]

Feel better young man. Thanks for sharing your story. ♡

[gohwk]

Thank you so much for your video. My 3-month-old fell off a low bed actually fractured his skull. His right part of the head is rather squishy. Without your video, I think I would be very worried. Thank you so much.

[jeromeriedl]

Wow. So glad this wasn’t as bad as I was expecting.

[jaykneegarner]

Sure hope that the other boy got checked out too. I can imagine the impact was brutal for both kids.

[rosegold]

I love how you back this up with the research for the people in the comment section that would probably say you’re a horrible doctor for not admitting the child 🤪 you’re such an amazing doctor and I get so excited when you upload! 😃

[supernerd]

friendly reminder we need some more videos.

[stormdancer]

My now 18 yr old had a skull fracture when he was 7 or 8.
He slipped and fell full force against the corner of a piece of furniture.
The ER had just brought in the 5 or 6 victims of a bad car accident, so we went to the urgent care. They sewed up the wound and sent him home without x-ray or anything.
3 months or so later, he banged that spot again, and it swelled up like a softball, so I took him to the ER. While the second injury was soft-tissue injury, they said that they could see on the x-ray that he had a fracture that was healed where he fell the first time.
Urgent care totally missed it.
This is the same urgent care that saw a college student who had severe road rash, and just bandaged it up and sent her home - they didn't even clean the dirt and rocks out.

[Anthonayofftheheezay]

Should I ever end up in an ER again I hope I have a doctor like Mr. Mellick.

[DeathDad]

Question: why would or wouldn’t you want to have the child wear a helmet for a few weeks?

[gauri]

Can you please give interpretation to this ct scan from posterior view🥺