CARE OF HEAD INJURIES
All children fall and hit their heads at some time or other. The bones of the head are very strong, and serious problems following head trauma are rare. However, sometimes problems do occur immediately or many hours or days later. If your child is over 12 months, a “goose egg” or swelling without other significant symptoms is common but usually not indicative of serious injury. Intermittent cold packs can help control further swelling.
If you are concerned that your child has suffered a concussion, please call the office, and make an appointment. Recovery from concussions require "brain rest", and there are specific recommendations that we follow in regards to return to activities and sports, depending your child's situation.
Call the office or 911 immediately if:
1. The child was unconscious or cannot remember the details of the accident.
2. Headache continues or becomes more severe, especially after 4-24 hours (It is okay to give Tylenol for a headache).
3. Vomiting occurs more than twice within 6 hours of injury or vomiting persists after 12 hours.
4. Drowsiness develops more than normal sleepiness should produce. Sleeping itself is not a problem, but sleep must be differentiated from unconsciousness. After a significant injury, the child should be checked for responsiveness every 1-2 hours during naps and nighttime sleep for the 24 hours after the accident.
5. Blood or other fluid drains from ears or nose.
6. Convulsions occur.
7. Staggering or increased clumsiness occurs.
8. Behavior or speech becomes unusual.
9. One pupil is a different size than the other
10. Resting pulse is less than 80 beats per minute for infants less than 5 years of age, or less than60 beats per minute for children 5 years and older.
11. You are very suspicious or very concerned about the child's general condition, or if he/she “just does not look right”.
NOTE: An athlete with any degree of concussion following head trauma should not participate in sports again until he or she has no more symptoms of concussion, and we have examined him or her.