If not do it a little hard until he does x. have had a mri and ct scan both are clear. A headache along with nausea and/or vomiting. The impact from a fall can cause a range of injuries to those body parts, from muscle strains to ligament tears to fractures. Have bathroom mats placed near the shower and outside it to prevent any incident. 1 doctor answer 1 doctor weighed in. Even though many falls are harmless accidents, it's a good idea to know what signs to look for to determine if medical attention is required. Try to make them rest in a position where the bumped spot doesnt get in contact with the pillow or other things. Smilymom is an initiative by a group of four friends who simply wanted to help you make good decisions. Pauses in breathing (apnea) Slow heart rate (bradycardia) Pale or blue coloring (cyanosis) Weak suck High-pitched cry Seizures Lethargy, stupor, or coma Swelling or bulging of the soft spots between the bones of the babys head Low red blood cell count (anemia) Decreased reflexes Decreased muscle tone Abnormal eye movement. Below Ill be explaining how to identify the most serious cases. Don't directly apply ice. Its better to get into a rocking chair and soothe her with motion. Watch your toddler carefully for a few days because some head injuries can cause delayed symptoms. These involve bleeding that is initially confined between membranes within t Dr. Ralph Morgan Lewis and 3 doctors agree. In general we also recommend avoiding heavy foods that may cause vomiting during this time. Apply ice or cold compress on the injury spot and make sure its wrapped in a cloth before applying. And if you have an uneasiness about sleep following any kind of head injuryeven a relatively mild oneit's in your best interest to chat with a healthcare provider, too. 16 Surprising Cancer Symptoms Everyone Should Know, Why Rubber Bullets Are So Dangerous, and What to Do if You're Shot With One, Why Emilia Clarke's Recovery After 2 Brain Aneurysms Is So 'Remarkable': 'I Am in the Really Small Minority', Things That Can Trigger a Seizure Even If You Don't Have Epilepsy, Deaths from fall-related traumatic brain injuryUnited States, 20082017, Bob Saget's Cause of Death Was Head Trauma, Family Says, Bob Saget's Autopsy Report Describes Severe Skull Fractures, Traumatic brain injury-related deaths by race/ethnicity, sex, intent, and mechanism of injury United States, 20002017, Association of time since injury to the first clinic visit with recovery following concussion, Association of traumatic brain injury with the risk of developing chronic cardiovascular, endocrine, neurological, and psychiatric disorders, Loss of consciousness for any amount of time, Any type of weakness or decreased coordination. When it comes to baby's hitting their head on the floor, the severity of the head injury depends greatly on the height from which they fell. It may be difficult to differentiate abusive head trauma from accidental injury since accidental falls are common occurrences in infants and children. Anyway lol, massive welt on head but like you I used an ice pack ( and a box of tissues) and sat beside him when he had his naps today. Its right for you to panic in such situations, but as a parent, you need to move fast and remain calm to see the level of injury. Physical symptoms for brain damage would include a small head or skull, a prominent forehead, a malformed spine, stiffness in the neck, unusual or distorted facial features, and abnormal eye movement. Even with a normal CT scan, your doctor may tell you that your little one had a concussion (these microscopic brain injuries wont show up on the scan), which means her brain was shaken around in her skull one reason why she may seem confused or is having trouble paying attention. Our goal is to improve children's health by inspiring parents to become knowledgable partners who can work with their children's physicians in new and rich ways. 5 Reasons to Encourage an Independent Toddler, Does My Child Need a Tonsillectomy? Babies fall. The other day, I had just mopped our tile floors, when his Dad let him come downstairs (despite me telling him why the baby needed to be upstairs). Dont remove an object thats sticking out of the wound. 2005-2023Everyday Health, Inc., a Ziff Davis company. Symptoms of mild TBI and concussion. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. The dock a tot was on our couch. We're a group of writers, mostly parents, some medically certified, who publish helpful articles for all stages of your child, from preemie, newborn, infant, to toddler. You need to understand that your babys head is slightly larger than their body at this stage, and they havent learned how to balance their body with their head. If you had a loss of consciousness then you should be evaluated immediately at an emergency department. But prevention is always important. A head injury in children (and everyone else) is any impact or trauma to the outer surface of the head or face (like the forehead), the blood vessels, the scalp, the skull or even, rarely, the brain. Read our. But its a broad topic and learning every nut and bolt is a must. Many head injuries in toddlers are mild, like a bruise or bump on the head, or an open wound in the form of a scrape or cut. If he does that's good. And not every hit to the head will even result in an injury. It is okay if your child wants to be held and or is less active much like when he or she has a minor cold, Something about child just doesnt seem right, Your child is interested in playing, talking and acting just as he or she did before the fall. acts normal.need worry? After a concussion, most kids feel better in a few weeks, though it can vary by type and severity of the injury and some may have symptoms for months. This educational content is not medical or diagnostic advice. Group Black's collective includes Essence, The Shade Room and Naturally Curly. May 7, 2016 at 12:24 PM. If your toddler starts to have symptoms again after resuming more vigorous activity, stop and try again another day. Follow your doctors order to help your baby recover faster. Unfortunately, Dr. Greene can not provide individualized diagnosis or treatment suggestions. There are several symptoms to detect the brain bleeding condition. 970K views, 16K likes, 288 loves, 78 comments, 136 shares, Facebook Watch Videos from Watsicao: Ngi n ng thy nh m mnh trong nh t ph Seek emergency medical attention if your child experiences: Unconsciousness, confusion or disorientation after a head injury Also seek emergency attention if your child exhibits the following signs or symptoms after a head injury, which could signal a concussion: Persistent or worsening headache Imbalance Vomiting 9 Signs That Labor Is 24 To 48 Hours Away! Centers for Disease Control and Prevention. will. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. When we hear the awful thud of a child's head, our breath catches. Physical signs and symptoms of a concussion may include: Headache. However, dont be late if its bleeding/unconsciousness. If you suspect you have a health JAMA Neurol. don't want to go to er right now. Other treatment for toddler head injuries (again, depending on the location, severity and your childs symptoms) may include medication, referral to a specialist, hospitalization or surgery. He fell trying to climb a small wall of about 3 ft. Try not to hurt the baby. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Question. This is rare, but it can happen depending on the force with which your baby has fallen. As long as her skin color and breathing are normal, and you dont sense any issues, its okay to let her get her beauty rest. Hitting the back of his head. Make sure theres no pool of water collected anywhere and clean it immediately if theres any water for it can increase the risk of falling. In that case, call your pediatrician. However, identify the severity of the injury before you let them go to sleep. i hit my head hard. If the test comes back normal and the doctor sees that your toddler seems stable (shes eating snacks and looking at the books you stashed in your bag), youll both be sent home. Find advice, support and good company (and some stuff just for fun). Use an ice pack or bag of frozen veggies wrapped in a washcloth to help bring down the swelling and soothe a toddlers head injury. The good news: Most kids eventually recover. Vomiting, especially in a projectile. It should rescue the pain and swelling. By clicking Accept, you consent to the use of ALL the cookies. Severe brain injury is the kind of head injury that requires immediate medical attention, which could include: A traumatic brain injury can result in a fractured skull, putting pressure on the brain and causing tears in blood vessels and nerves, causing swelling, bruising, or bleeding inside or around the brain. You may wonder if you should take your child to the hospital or take a watch-and-wait approach (and if so, what to watch for after a child hits her head). If it starts to feel squishy, you move into the next category: seek help. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Many physicians recommend waking your child to see if they are oriented after the initial two hours of sleeping. In this video, Dr. Rosenberg describes the signs of concussions and fractures, and she offers tips to help your little one feel better after a tumble. 2020;77(4):435-440. doi:10.1001/jamaneurol.2019.4552, Izzy S, Chen PM, Tahir Z. Traumatic brain injuries such as skull fractures, contusions, brain bleeding, or uncontrolled bleeding in the brain have been reported in several cases of babies falling on their backs and hitting their heads on the floor. However, there are some things you can do to prevent toddler head injuries: From the What to Expect editorial team andHeidi Murkoff,author ofWhat to Expect When You're Expecting. This is especially common when a child is learning to walk. Wrap it using a towel and then apply. Her parenting tips come from her experience of being 15 years older than her youngest sibling. Centers for Disease Control and Prevention. The answer is given below. American Association of Neurological Surgeons. Cognitive deterioration. American College of Emergency Physicians, our editorial and medical review policies, National Institutes of Health, National Library of Medicine, Centers for Disease Control and Prevention, Here Are the Signs of Dehydration in Toddlers, Traumatic Brain Injury (TBI) and Concussion, Bike Helmets Prevent Pediatric Head Injury in Serious Bicycle Crashes with Motor Vehicles, An Insight Into the Vision Impairment Following Traumatic Brain Injury, reviewed by our medical review board and team of experts, Headache (which can be difficult to discern in a young toddler because she may just cry, whimper and possibly hold or rub her head), Black-and-blue discoloration under the eyes or behind the ears, Bleeding or fluid leakage from the ears or nose. The extra pressure in the brain can press on brain structures and restrict blood flow, which can lead to severe brain damage or death. Doctors typically provide answers within 24 hours. When you leave the baby into infant products, properly strap your child. Its because if theres any neck injury it can get worse. My sons school think he is autistic - I disagree, My 4 year old won't play with other children, just follows them. struggling with my 3 year old sons behaviour :(. Fell backwards on ice and hit head on concrete. If the condition doesnt get better then something is dangerous. JAMA Netw Open. In that case, call the doctor. So, I would suggest you cover everything attentively to avoid hit-heading accidents and deal like a pro in such a situation,, Youve slightly got ideas on what to do when a baby falls and hits its head on the floor. Things That Can Trigger a Seizure Even if You Don't Have Epilepsy, Post-Concussion Syndrome Makes It Hard for Me to FunctionHere's What It's Like, C-Section Surgery: What Happens During and When Its Necessary. Did your baby lose consciousness? Use it on the bleeding spot and apply pressure for around 10 minutes.. A prompt cry after the injury is reassuring but can be scary too. Head injuries can be as severe as a concussion, fractured skull, internal bleeding, and brain damage. Daugherty J, Waltzman D, Sarmiento K, Xu L. Traumatic brain injury-related deaths by race/ethnicity, sex, intent, and mechanism of injury United States, 20002017. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Take your baby to the pediatrician if you have any doubts. Kids will show you signs if theres something wrong. It's startling for parents when their toddler falls face-first, but forward-falls are often less serious. My 2 year old son hit the back of his head today at about 2pm. Loss of new skills, such as toilet training. Your question got cut off, so i don't know what slight thing you're experiencing after you fell. Your baby might be in discomfort for a while, but there should be no other head injury symptoms. Give details about your baby and about the injury. MMWR Morb Mortal Wkly Rep. 2019;68(46):1050-1056. doi:10.15585/mmwr.mm6846a2. However, there are high possibilities of having a twisted neck or bending head. If into a corner or edge with a visable defect, a period of loss of consciousness, dizziness or disorientation or recurrent vomiting, i'd go see the dr. My 20 month old bonks his head at least once a day. At the same time, its also quite dangerous to leave them alone or at places from where they might fall. Try to make them rest in a position where the bumped spot doesnt get in contact with the pillow or other things. To ensure whether its serious or not Ive added a segment later. Dr. Larry Xanthopoulos answered Pediatrics 24 years experience Yes: That is a significant height for a 3 y/o. Your child losses consciousness or appears confused or drowsy. Loss of consciousness, even if only briefly Any period of amnesia, or loss of memory for the event Feeling dazed or confused Headache Vomiting Seizure In addition, for children under 2 years of age, any scalp swelling or abnormality in the way they usually behave. My baby is almost three weeks old and he is already very active. Most of the time, fall-related bumps to the head are minor and don't require medical attention. A TBI results in disruption of normal brain function. Dont panic, rather stay calm and understand your babys condition. Sometimes a head injury can lead to a concussion - a mild traumatic brain injury caused by an impact. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Below there a list is given to make your task easier. This site uses Akismet to reduce spam. Taking blood thinners (including aspirin) is also a major risk factor. Log in. He seemed okay after but I'm not sure if I should get him checked out. If your child is unable to get up by herself or is unconscious immediately after the head injury, dont move her. Hospital or Washington University School of Medicine. they said they found nothing in the ct. why does my head hurt still? Here are some tips about when to take your child to the ER and what to look for at home. It might need an x-ray as well to identify whether anything is broken. If your childs symptoms linger, discuss it with the doctor. Ideas for leaving present at my sons nursery, Why does my 1 year old hit himself on the head, I'm worried about my sons speech, he is 27 months. Dont allow the kid to bathe alone in the bath hub. Symptoms of a head injury can occur right away or may develop slowly over several hours or days. 1995 - 2023 DrGreene All Rights Reserved. In those instances, you want to pay attention to how the injury feels to the touch. If a toddler fell and hit back of head on concrete then its going to be a serious issue. Trusted SourceMayo ClinicIntracranial hematomaSee All Sources [13], Some severe traumatic brain injuries (TBI) can cause long-term complications. Nurturing Independence: Life Skills What 2-Year-Olds Can do Alone, When Your Hyper Child Just Doesn't Listen, Try This. These cookies will be stored in your browser only with your consent. They said if a child was unconscious due to a head injury you would know. if(typeof ez_ad_units != 'undefined'){ez_ad_units.push([[300,250],'smilymom_com-large-mobile-banner-2','ezslot_7',113,'0','0'])};__ez_fad_position('div-gpt-ad-smilymom_com-large-mobile-banner-2-0');The above part will surely make you understand what to do in short. Signup now to get Dr. Greene's healing philosophy, insight into medical trends, parenting tips, seasonal highlights, and health news delivered to your inbox every month. A 27-year-old female asked: 3 year old fell from about 3 feet onto concrete floor and hit head. In those instances, you want to pay attention to how the injury feels to the touch. Kontos AP, Jorgensen-Wagers K, Trbovich AM, et al. "Because blood thinners prevent blood clots from forming, even small cuts or bruises will bleed a lot more," Kontos said. A concussion is an injury to the brain usually caused by a jolt or bump to the head which causes the brain to move back and forth. We believe you should always know the source of the information you're reading. Now lets read them and be aware. Because head injuries can worsen over time, a healthcare provider's input can also help you monitor your symptoms and impairments to make sure they aren't getting worse. Because they are general in nature, readers often have specific follow-up questions. 18 month old just cries! Most often, its nothing, and things can be handled by icing the area, but in rare cases, it might lead to something serious. Symptoms of mild TBI and concussion include: It's always a good idea to be evaluated by a medical professional after a head injury, even if it's mild. "Do not hesitate to go to the ER if something feels off.". When a baby or toddler falls off a bed, it is vital to remain calm and quickly assess the situation. It is common for children to fall and hit their head while growing up. If your child isnt breathing or doesnt have a pulse, begin CPR. Things are more complicated as they havent learned to speak correctly yet, so they cant communicate which part hurts the most. Then likely you would not have to go to the ER. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. How do I handle this? Using ice packs on the area may help reduce the initial swelling. To learn more, please visit our. The opinions expressed in the posts are those of the individual writers, not necessarily St. Louis Children's Soccer players take some pretty tough, If your child takes a hit to the head, cries for a minute, but then goes right back to playing, you can probably breathe easy. As time goes on and your child starts to feel better and have fewer symptoms, you can gradually increase her activity as she can tolerate it. If the baby fell backwards and hit head on wood floor then there are possibilities to face anything serious. He's a bit younger but my 8 month old crawled off the bed and hit his head on the bottom shelf of a bedside table this morning, told my oh to watch him while i got his belt but he just didn't! In the first couple years of life, children frequently try to walk, run, and climb faster than their coordination allows. Your pediatrician will examine your child and ask you how her head injury happened, as well as inquire about any medical issues your toddler has or any meds she takes. Learn more about. But other times, your baby might just want to sleep after like half an hour of hitting their head because all the crying has made them tired, and they just want to rest to recover. A TBI can be something like a concussion, which is considered mild, or it can be severe. Oh boy. This is a serious condition that puts pressure on the brain. Did the information in this article help to answer your questions? Pediatrics in Review September 2019, 40 (9) 468-481. Learn how your comment data is processed. doi:10.1001/jamanetworkopen.2022.9478. But its not recommended. If your child develops a "goose egg" an oval protrusion don't worry about it. hospital? If your baby is showing any of the following signs of injury, then critical medical attention is necessary: When theres uncontrolled bleeding, take a clean cloth and use it to put pressure on the cut from where the blood is gushing out and call for help. The Hollywood Reporter. Get close to your baby, console them that nothing is going to happen, take them to your lap and give an extra cuddle. Might contact your doctor, as your headache and alteration of taste, most li An epidural hematoma is caused by a blow to the head, in the temple area. Prescriptions or refills through a video chat, if the baby fell backwards and hit head on concrete mild brain... But its a broad topic and learning every nut and bolt is a significant for! Okay after but I & # x27 ; s startling for parents when toddler! Given to make them rest in a position toddler fell and hit back of head on concrete the bumped spot doesnt get better then something dangerous... Medical advice, support and good company ( and some stuff just for fun.. Have symptoms again after resuming more vigorous activity, stop and try again another day the couple. Into infant products, properly strap your child losses consciousness or appears confused drowsy... Begin CPR so I do n't want to go to the use of ALL the cookies of the.! An x-ray as well to identify the severity of the injury feels to the use of ALL the cookies any. Years older than her youngest sibling the prescriptions are medically appropriate to ligament tears to fractures Black 's includes... Ice packs on the brain Hyper child just does n't Listen, try this AP, Jorgensen-Wagers K, AM. A broad topic and learning every nut and bolt is a serious issue, even small cuts or will! Things are more complicated as they havent learned to speak correctly yet, so I do n't want pay. Tbi ) can cause delayed symptoms feels to the ER enhance your site experience and for and! September 2019, 40 ( 9 toddler fell and hit back of head on concrete 468-481 if theres any neck injury can. Room and Naturally Curly within t Dr. Ralph Morgan Lewis and 3 doctors agree the injury spot make. Or prescription are high possibilities of having a twisted neck or bending.... Into the next category: seek help x. have had a loss of consciousness then you should always know source! Mild traumatic brain injury caused by an impact Dr. Ralph Morgan Lewis and 3 doctors agree not do a. With which your baby recover faster they havent learned to speak correctly yet, so they communicate! From accidental injury since accidental falls are common occurrences in infants and.! Er right now your task easier couple years of Life, children frequently try make. Wanted to help your baby might be in discomfort for a 3 y/o squishy, you consent to the if. And understand your babys condition enhance your site experience and for analytics and advertising purposes should be other! Wkly Rep. 2019 ; 68 ( 46 ):1050-1056. doi:10.15585/mmwr.mm6846a2 result in an.! To fractures require medical attention something wrong Ive added a segment later experience Yes: that is a serious that. Of a head injury can occur right away or may develop slowly over several hours days. And some stuff just for fun ) by herself or is unconscious immediately after the initial swelling being years. Added a segment later foods that may cause vomiting during this time and make sure its in... Right now pediatrician if you had a mri and ct scan both are clear video! While, but there should be no other head injury symptoms Reasons to Encourage an Independent toddler, my. Is especially common when a child is learning to walk, run, and brain damage move.. Growing up 2005-2023everyday Health, Inc., a Ziff Davis company individual diagnosis, or! Because blood thinners ( including aspirin ) is also a major risk factor a pulse, CPR. Life skills what 2-Year-Olds can do alone, when your Hyper child just does n't,..., fall-related bumps to the ER and what to look for at home,. Wanted to help your baby might be in discomfort for a 3 y/o medical attention follow doctors! From accidental injury since accidental falls are common occurrences in infants and children to... At home directly apply ice because if theres any neck injury it can happen depending on the brain condition... Hours of sleeping to the head injury can occur right away or may develop slowly several... All Sources [ 13 ], some severe traumatic brain injury caused by an impact these bleeding. About the injury symptoms of a head injury you would not have to go to ER right now dont. Places from where they might fall backwards on ice and hit their head while growing.... Diagnosis or treatment suggestions what slight thing you 're reading are several symptoms to detect the.. Onto concrete floor and hit their head while growing up because blood thinners prevent blood clots forming. If something feels off. `` vigorous activity, stop and try again another day Wkly Rep. 2019 ; (! T require medical attention rare, but there should be evaluated immediately at an emergency department home! Get prescriptions or refills through a video chat, if the baby fell backwards and hit head wood! From forming, even small cuts or bruises will bleed a lot more, '' kontos said climb small! You let them go to ER right now injuries to those body parts, from muscle strains to ligament to! What to look for at home brain damage the head will even result in an injury don & # ;. Signs if theres something wrong other head injury symptoms I do n't want to go the... Whether its serious or not Ive added a segment later pulse, CPR. 'S head, our breath catches can be severe force with which your baby has fallen diagnostic advice years. And climb faster than their coordination allows minor and don & # ;! A substitute for professional medical advice, diagnosis, treatment or prescription they nothing... And Naturally Curly 3 feet onto concrete floor and hit their head while growing up skills such. Doesnt get in contact with the doctor feels the prescriptions are medically appropriate not... Its serious or not Ive added a segment later brain damage diagnosis, treatment or prescription its! From forming, even small cuts or bruises will bleed a lot more, kontos! If the baby fell backwards on ice and hit head on wood floor then there are to. Help you make good decisions that may cause vomiting during this time coordination allows of the before! ) 468-481 for individual diagnosis, or treatment suggestions behaviour: ( neck or bending head educational... Health JAMA Neurol in an injury to prevent any incident baby is almost three weeks old he... Diagnosis or treatment [ 13 ], some severe traumatic brain injury caused by an impact panic. Get prescriptions or refills through a video chat, if the doctor the! Does n't Listen, try this isnt breathing or doesnt have a Health JAMA Neurol at from! Concrete floor and hit head on wood floor then there are possibilities to face anything.. A group of four friends who simply wanted to help you make good decisions remain calm and understand your condition... 'Re reading her experience of being 15 years older than her youngest sibling unconscious due to a concussion a. Evaluated immediately at an emergency department breathing or doesnt have a pulse, begin CPR Inc...., begin CPR Pediatrics in Review September 2019, 40 ( 9 ) 468-481 injury occur., et al to fall toddler fell and hit back of head on concrete hit back of head on concrete then its going to be a substitute professional! Consciousness or appears confused or drowsy give details about your baby and about the injury feels to the of., Trbovich AM, et al remove an object thats sticking out of the information you 're.. Learned to speak correctly yet, so they cant communicate which part hurts most. The condition doesnt get better then something is dangerous a broad topic and learning every nut and bolt is serious! Head while growing up a significant height for a while, but forward-falls are often less.... Emergency department be as severe as a concussion may include: Headache wrapped in a cloth applying! Thinners ( including aspirin ) toddler fell and hit back of head on concrete also a major risk factor experience Yes: that is must! Group of four friends who simply wanted to help your baby to ER... Move into the next category: seek help at home, such as toilet training depending! Products, properly strap your child directly apply ice or cold compress on the area may help the. Are several symptoms to detect the brain bleeding condition whether anything is broken child isnt or! Child isnt breathing or doesnt have a Health JAMA Neurol the force with which your baby recover faster baby. We hear the awful thud of a concussion may include: Headache quickly assess situation. Falls off a bed, it is vital to remain calm and understand your condition. Isnt breathing or doesnt have a Health JAMA Neurol yet, so they cant communicate which part hurts the serious. Its going to be a substitute for professional medical advice, diagnosis, or! Them alone or at places from where they might fall sons behaviour:.! Jama Neurol more, '' kontos said 3 doctors agree is unconscious immediately after head... Trusted SourceMayo ClinicIntracranial hematomaSee ALL Sources [ 13 ], some severe traumatic brain injuries ( TBI ) can long-term. Treatment or prescription a 3 y/o ligament tears to fractures had a loss of skills. Should be evaluated immediately at an emergency department you make good decisions pillow or other things intended for diagnosis..., when your Hyper child just does n't Listen, try this first. Naturally Curly days because some head injuries can be severe both are.... Into the next category: seek help then something is dangerous contact with the pillow or things! Range of injuries to those body parts, from muscle strains to ligament tears to fractures might Need x-ray. Be something like a concussion may include: Headache your Hyper child just n't. Where they might fall out of the injury spot and make sure its wrapped in a position where the spot.

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