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The diagnosis is on the trolley sheet
  1. Catalin Iulian Efrimescu,
  2. Derek Barton
  1. Department of Emergency, St. Vincent's University Hospital, Elm Park, Dublin 4, Dublin, Ireland
  1. Correspondence to Dr Catalin-Iulian Efrimescu, Unit 224, 3 Lombard Street East, Dublin 2, Dublin, Ireland. catalin_efrimescu{at}

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A 30-year-old male was admitted to the emergency department following blunt head trauma. While cycling without head protection, he skidded on a wet road surface, lost control, struck and hit his head against the kerb.

On arrival, he was alert, oriented, and his vital signs were normal. …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.