This case involves a 13-year-old girl who fractured her skull while undergoing an x-ray in a university hospital in California. The girl presented to the hospital with complaints of severe nausea and a physician determined that she needed an x-ray. In the x-ray room, a radiologic technologist asked the girl to stand against the radiology board so that they could complete the x-ray. The radiologic technologist left the room so that the x-ray could begin. Immediately upon leaving the room, the technologist heard something heavy hit the floor. The girl had fallen unconscious and fractured her skull upon hitting the floor. The girl required emergency brain surgery to remove the bleeding in her brain as a result of the fracture. An expert in protocols and procedures for radiology technologists was sought to review the case and comment on how pediatric patients with symptoms such as severe nausea should undergo imaging.