HEAD INJURY

 

Symptoms | When to call | Homecare Advice

 

HOME CARE ADVICE FOR SCALP INJURIES

  1. Wound Care:  If there is a scrape or cut, wash it off with soap and water. Then apply pressure with a sterile gauze for 10 minutes to stop any bleeding.
  2. Local Cold:  Apply ice for 20 minutes to any swelling (big lumps are common).
  3. Observation:  Observe your child closely during the first 2 hours following the injury.
    • Encourage your child to lie down and rest until all symptoms have cleared. (Note: mild headache, mild dizziness and nausea are  common.)
    • Allow your child to sleep if he wants to, but keep him nearby.
    • Awaken after 2 hours of sleeping to check the ability to walk and talk.
  4. Diet:  Offer only clear fluids to drink, in case he vomits.  Regular diet OK after 2 hours.
  5. Avoid Pain Medicines:  If the headache is that bad, he needs to be examined.
  6. Special Precautions at Night:
    • Awaken your child at your bedtime and again 4 hours later for 2 nights.  
    • Check the ability to walk and talk.  
    • Sleep in same room as your child for 2 nights.
    • After 48 hours, return to a normal routine.
  7. Expected Course:  Most head impact only causes a scalp injury.  The swelling may take a week to resolve.  The local headache at the site of impact usually clears in 2 to 3 days.
  8. Call Your Doctor If:
    • Pain becomes severe.
    • Your child becomes worse or develops any of the "Call Your Doctor" symptoms.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Pediatric SelfCareNavigator. Copyright © 2000-2004 Barton Schmitt, M.D. FAAP

Reviewed 8/2004

Revised 8/2004

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