5 Things That Happen After a Car Accident Breaks Your Skull

Pick the one part of your body that you don't want to suffer a traumatic injury. Everyone should have the same answer, aside from all of the dudes pointing at their junk: the head. Because when the head goes wrong, shit gets weird.

Just ask Augusto Coaracy. Six years ago, his skull was crushed by a disem-bused wheel, breaking his neck in the process. And as startling as it is to have something like that happen without warning, the really strange stuff happens after ... like a constant urge to show strangers your dick.

He told us ...

#5. Disaster Strikes Out of Nowhere

Lars Lentz/iStock/Getty Images

So you're rolling along one day, not a care in the world, when this falls out of the blue sky and smashes your head in:

Augusto Coaracy
Never mess with the Wheel of Fortune.

That insane sequence out of a Final Destination movie happened to a college student named Augusto Coaracy. He was driving over to a friend's house, seconds away from crossing under an overpass. Above him, a city bus was chugging along. Out of nowhere, one of the wheels on the bus decided it didn't want to go 'round and 'round anymore. It careened off the vehicle, tumbled over the edge of the overpass, fell to the street below, bounced twice in Augusto's direction, and crash landed on his car. If you're thinking this is just a hunk of inflatable rubber that probably boinked harmlessly off his windshield, you've obviously never picked up a bus tire before -- here's what it did to Augusto's car (top: The bus, with its back wheel missing; bottom: Augusto's car):

Augusto Coaracy
"Oh, that's not too bad. You can probably buff that out. You're not going to call the cops, right?"

When the bus wheel came down on his head, it shattered his C1 vertebra in three parts -- that is, it smashed the neck bone that's in charge of supporting the skull and shielding the spinal cord. "The X-ray of my neck that night -- it's the most shocking thing from my accident," Augusto says, "It shows my vertebra in pieces."

How shocking? Well, the first person on the scene happened to work for the Brazilian health department. He later told Augusto that the accident was so horrific, he literally decided to quit his job the next day. That's right -- the injury was so gruesome that it inflicted traumatic splash damage on bystanders.

Keith Brofsky/Photodisc/Getty Images
"Remember when Mr. Potato Head put all his parts into a tortilla in Toy Story 3? It was like that."

The paramedics got Augusto to the hospital, and he was relatively stable until a blood clot in his brain began to grow. And grow. And grow. His left eye looked ready to pop. The only thing doctors at the severely under-resourced hospital could do was take an honest-to-God jackhammer to his head and remove a chunk of skull for his brain to decompress. The intensive care unit at the public hospital didn't have room for him, so he was transferred to one that did ... and they forgot to fit him with a neck brace for the ambulance ride over.

They forgot to put a brace on the guy whose neck bones were in shards, and whose spinal cord was completely unprotected. A speed bump could have killed him. But it didn't, and Augusto's strange journey began ...

#4. Then You Go Fucking Insane

belchonock/iStock/Getty Images

First, you get mean. Pure balls-to-the-wall aggression is common soon after a brain injury, and it can really get in the way of treatment. When the first guy arrived at the scene, Augusto's reaction was to slap him across the face. "I must have felt threatened or something. Like, who the hell is this guy screaming at me through my car window?" The man, in turn, assumed Augusto was Middle Eastern. "I was ranting in some gibberish language I made up on the spot," Augusto says. "Apparently, it sounded like Arabic."

Alexei Novikov/iStock/Getty Images
"Nope, still gibberish. Hit him again, Rocko."

Augusto was either unconscious or completely uncontrollable for the rest of the night. "My neck was broken and my skull had cracked. In my jumbled mind, though, there was no way I'd stay in a hospital. I was gonna muscle my way out of there." He was so uncooperative during the first night, as well as his week-long stay in the ICU, that doctors kept him strapped to the bed by his wrists and ankles. Whenever they tried to insert a catheter into him, he would rip it right out.

Next came an inability to hold a memory in his head for more than a few minutes. His family had to explain the accident to him over and over again, everything continually resetting like in Memento:

AlexRaths/iStock/Getty Images
Cruelly, he finally understood the plot to Memento, but then promptly forgot it 30 seconds later.

"Right when I'd say something like, 'Holy shit! You're telling me a bus wheel fell on my head?!' then bam! I'd be asleep again. The whole thing -- waking up, asking what happened, not believing it, finally starting to believe it, falling asleep -- would start over in two-and-a-half minutes. Really -- my brother timed it."

And then came the loss of inhibition. When awake, Augusto displayed all the recklessness and impaired judgment of a drunk. At one point a friend came over. Augusto's mother was in the room with them, fretting over whether all these visits would be bad for his recovery. His reaction was to pick up his cellphone from the bedside table and text his buddy, "Dude, my mom needs to smoke a joint and chill." Unfortunately for him, in his discombobulated state, he didn't send the text to his friend. He sent it to his mom.

tetmc/iStock/Getty Images

And that was far from the most embarrassing thing he did ...

#3. You Get the Uncontrollable Urge to Show Your Genitals to People

Photodisc/Photodisc/Getty Images

Of all of the symptoms of head trauma, this has to be the one the patient's friends and family are the least prepared for. When Augusto's friends came to visit, he would whip his dick out and show it to them. And yes, this is a symptom of a head injury, not something he always secretly wanted to do. "I would do this, by the way, in the most mortifying manner for everyone involved," he says.

mizar_21984/iStock/Getty Images
"I'm so sorry for you loss."

Incredibly, this is a common symptom -- a lot of patients become sexually uninhibited following such an injury. Becoming a dick-flasher falls on the more extreme end of the scale, so Augusto has that going for him. But he's also far from the most extreme case -- there are rare head trauma cases where heterosexual patients have woken up after a brain injury identifying as gay, and vice versa. And while you'd presumably adjust to that, it pales in comparison to the truly horrifying situations where survivors of brain trauma come out at the other end as pedophiles.

But for Augusto, it was just a matter of seeing his inhibitions drop temporarily. He describes his attitude after the accident as "freestyle mode: I could say whatever I wanted, do whatever I wanted, and never get reprimanded for it. Everyone would still love me."

Rosie Greenway/Getty Images Entertainment/Getty Images
Sort of like being a Grand Theft Auto character, just with less homicide.

And that's the thing -- part of it was due to the injury, but part of it was knowing that this was the one time he could get away with it -- like that friend who's pantsless at the party after half a wine cooler. "My thought process went something like, 'I know I shouldn't, but still ...'" This was Augusto's golden opportunity to test the boundaries of conventional behavior, and he made full use of it.

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