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Head Injury, Age 4 and Older
Overview
Most injuries to the head are minor. Bumps, cuts, and scrapes on the head and face usually heal well and can be treated the same as injuries to other parts of the body. Minor cuts on the head often cause heavy bleeding. This is because the face and scalp have many blood vessels close to the surface of the skin. Often the injury is not severe, and you can stop the bleeding with home treatment.
Some head injuries are more serious. This is called a traumatic brain injury (TBI). A TBI can range from a mild concussion to a severe head injury. Common causes of a severe head injury include car crashes, falls, sports-related injuries, work-related accidents, and assaults and violent attacks.
Anyone with a head injury should be watched, especially when it's from the above causes. If you think any symptoms are serious, see a doctor to be checked.
When a head injury has occurred, look for other injuries to other parts of the body that also may need attention. Trouble breathing, shock, spinal injuries, and severe bleeding are all life-threatening injuries that may occur along with a head injury and require medical attention right away. Injuries to the spine, especially the neck, must be considered when there has been a head injury. Be sure to check for other injuries to the face, mouth, or teeth when there is a head injury.
Check Your Symptoms
The medical assessment of symptoms is based on the body parts you have.
- If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
- A fall from more than a few feet.
- A very hard blow to the head, such as a car crash or a forceful sports injury.
- A fall in which your head hits something hard, like concrete or ice.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
Symptoms of a spinal cord injury in an adult or older child may include:
- Severe neck or back pain.
- Not being able to move a part of the body. (This is not the same as being unable to move because of pain or because of a direct injury to that area.)
- Weakness, tingling, or numbness in the arms or legs.
- New loss of bowel or bladder control.
Symptoms of a skull fracture may include:
- Clear or bloody fluid draining from the ears or nose.
- Bruising under the eyes or behind the ears.
- Drooping of the face.
- A dent anywhere on the head.
The symptoms of a skull fracture may appear at the time of the injury or hours or days later.
Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.
Adults and older children often have several symptoms of shock. These include:
- Passing out (losing consciousness).
- Feeling very dizzy or lightheaded, like you may pass out.
- Feeling very weak or having trouble standing.
- Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.
Symptoms of a serious head injury may include:
- Passing out.
- Confusion.
- Extreme sleepiness.
- Unsteady walking.
- Slurred speech.
- A difference in the size of the pupils of the eyes.
- New vision problems.
Other symptoms related to a head injury that may appear later include:
- Repeated episodes of feeling dizzy or lightheaded.
- Changes in mood or personality. For a baby or toddler, you may notice this as the child being a lot fussier than normal.
- Changes in the ability to concentrate and listen.
- Ringing in the ears.
With severe bleeding, any of these may be true:
- Blood is pumping from the wound.
- The bleeding does not stop or slow down with pressure.
- Blood is quickly soaking through bandage after bandage.
With moderate bleeding, any of these may be true:
- The bleeding slows or stops with pressure but starts again if you remove the pressure.
- The blood may soak through a few bandages, but it is not fast or out of control.
With mild bleeding, any of these may be true:
- The bleeding stops on its own or with pressure.
- The bleeding stops or slows to an ooze or trickle after 15 minutes of pressure. It may ooze or trickle for up to 45 minutes.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Do not move the person unless there is an immediate threat to the person's life, such as a fire. If you have to move the person, keep the head and neck supported and in a straight line at all times. If the person has had a diving accident and is still in the water, float the person face up in the water.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Put direct, steady pressure on the wound until help arrives. Keep the area raised if you can.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Self-Care
Many minor head injuries, such as bumps, cuts, and scrapes, can be treated at home. But anyone with a head injury should be watched. If you think that any symptoms may be serious, see a doctor for an evaluation.
Follow these steps to treat at home a minor head injury, such as a bump, cut, or scrape.
- Stay calm.
If you or a loved one have an accident, try to stay calm. This will help reduce everyone's anxiety and allow you to assess the situation.
- Stop any bleeding.
Apply firm pressure directly over the wound with a clean cloth or bandage for 15 minutes. If the cut is deep and may have penetrated the skull, emergency treatment is needed.
- Use ice or cold packs.
Apply ice or cold packs to reduce the swelling. A "goose egg" lump may appear anyway, but ice will help.
- Check for other injuries.
Check for injuries to other parts of the body, especially if a person has fallen. The alarm from seeing a head injury may cause you to miss other injuries that need attention.
- Relieve pain.
You may be able to relieve pain from a minor head injury. Ask the doctor if your child can take an over-the-counter pain medicine, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin). Be safe with medicines. Read and follow all instructions on the label.
- Watch for symptoms.
- Call 911 or go to an emergency room right away if unconsciousness or seizure activity develops.
- Seek medical care right away, usually in the emergency room, if you notice symptoms of a concussion. These include vomiting, a severe headache, blurred or double vision, confusion, or unsteadiness.
Signs of possible abuse
Most injuries are not caused by abuse. But bruises are often the first sign of possible abuse. Suspect physical abuse of a child or vulnerable adult when:
- Any injury cannot be explained or does not match the explanation.
- Repeated injuries occur.
- Explanations change for how the injury happened.
You may be able to prevent further injuries by reporting abuse. Seek help if:
- You suspect child abuse or elder abuse. Call your local child or adult protective agency, police, or a health professional, such as a doctor, nurse, or counselor.
- You or someone you know is experiencing intimate partner violence (IPV).
- You have trouble controlling your anger with a child or other person in your care.
When to call for help during self-care
Call a doctor if any of the following occur during self-care at home:
- Seizure.
- New or worse swelling or bleeding.
- New or worse headache. (A baby with a headache may cry and be fussy.)
- New or worse nausea or vomiting.
- New trouble waking up or extreme sleepiness.
- New or worse confusion or not acting normally.
- New or worse weakness in any part of the body.
- Symptoms occur more often or are more severe.
Learn more
Preparing For Your Appointment
You can help your doctor diagnose and treat your condition by being prepared for your appointment.
Related Information
Credits
Current as of: December 20, 2023
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: December 20, 2023
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
