 For complete details, please see dictated history and physical by Dr. X dated July 23, 2008.  Briefly, the patient is a 10-year-old male who presented to the Hospital Emergency Department following an ATV accident.  He was an unhelmeted passenger on ATV when the driver lost control and the ATV rolled over throwing the passenger and the driver approximately 5 to 10 meters.  The patient denies any loss of consciousness.  He was not amnestic to the event.  He was taken by family members to the Iredell County Hospital, where he was initially evaluated.  Due to the extent of his injuries, he was immediately transferred to Hospital Emergency Department for further evaluation.