HEAD INJURY

 

Symptoms | When to call | Homecare Advice

 

WHEN TO CALL YOUR DOCTOR FOR HEAD INJURY

Call 911 Now (your child may need an ambulance) If

  • A seizure (convulsion) occurred.
  • Knocked unconscious for more than 1 minute.
  • Not moving neck normally (caution: protect the neck from any movement).
  • Difficult to awaken.
  • Confused thinking, slurred speech, unsteady walking OR weakness of arms present now.
  • Major bleeding that can't be stopped.

Call Your Doctor Now (night or day) If

  • You think your child has a serious injury.
  • Age less than 1 year old.
  • Neck pain.  
  • Knocked unconscious for less than 1 minute.  
  • Had confused thinking, slurred speech, unsteady walking OR weakness of arms BUT fine now.
  • Blurred vision persists for more than 5 minutes.
  • Skin is split open or gaping and may need stitches.
  • Bleeding that won't stop after 10 minutes of direct pressure.
  • Large swelling (larger than 1 inch or 2.5 cm).
  • Large dent in skull.  
  • Injury caused by high speed (e.g. auto accident), great height (e.g. twice the child's height) or blow from hard object (eg. golf club).
  • Vomited 2 or more times since injury.
  • Watery fluid dripping from the nose or ear while child not crying.
  • Severe headache or crying.
  • Can't remember what happened.

Call Your Doctor Within 24 Hours (between 9am and 4pm) If

  • You think your child needs to be seen.
  • Headache persists for more than 3 days.

Call Your Doctor During Weekday Office Hours If

  • You have other questions or concerns.

Parent Care at Home If

  • Minor head injury and you don't think your child needs to be seen

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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