18 yo female in bicycle vs asphault and trees. Not wearing helmet, resulting multiple depressed skull fractures. GCS of 8 at the community hospital ED, given a quick CT workup and intubated, flown into our ED for further care.
She had probably just graduated high school, may have even been headed off to college. She had the best years of her life ahead of her. And now, because she didn't want to wear a helmet, she'll be lucky if she ever has the capacity to breathe on her own, let alone live a normal life...
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