How to Respond to a Head Injury
There are two types of head injuries, external head injuries and internal head injuries. Each type of head injury requires a different response.
Things You Will Need
Ice pack or cold packSterile bandages
Step 1
External
head injuries involve the scalp. Because there are so many blood
vessels in the scalp, these types of injuries tend to bleed heavily.
These head injuries can also result in "goose egg" bumps. If the
individual has not lost consciousness, is alert and behaving normally
respond with first aid. Apply an ice pack or cold compress for 20 minutes.
Observe for signs of internal head injury (below) for 24 hours. The
individual can sleep but if they are hard to wake up, do not wake up,
their coloring is "bad", breathing pattern is disturbed or their limbs
are twitching seek immediate medical attention for the injury.
If
there is something about their behavior or appearance that makes you
uncomfortable, seek medical attention for the injury. Always seek medical attention for any head injury to an infant.
Step 2
Call 911 for serious head injuries. Internal head injuries are injuries involving fractured skulls, torn blood vessels and damage to the brain and can be deadly. Signs of serious head injury may or may not be obvious. Don't assume there is none if it's not obvious. Assume there is a head injury. Don't move the individual, there may be a neck or spinal injury. If they are vomiting, stabilize the neck and turn their body onto their left side (DO NOT just move the head). If CPR is necessary, and you are trained, respond appropriately. If the head injury leaves the person unconscious, apply an ice pack to swelling, a sterile bandage to bleeding (DO NOT apply pressure) and monitor breathing. When emergency personnel arrive, describe how head injury occurred if you witnessed it.
Step 3
inconsolable crying
neck stiffness or pain
being dizzy, dazed or lightheaded
memory loss, for events immediately before and after head injury
nausea or vomiting
headache
blurred vision
sensitivity to light
can't concentrate
difficulty with walking, balance or coordination
slurred speech or doesn't make sense
is exhausted, irritable or anxious for no reason
Step 4 Keep the individual with the head injury as still and as calm as possible. Apply sterile bandage to head injury but don't apply pressure. Don't clean wound resulting from head injury (this can cause more damage), don't remove objects from wound or head. Observe the individual and report all observations to medical personnel. Describe how the head injury occurred if you witnessed it.
It's important for all individuals involved to remain calm while dealing with a head injury.
Tips & Warnings
Once a concussion occurs, if another one occurs before the initial one heals, the recovery time increases drastically. Repeated concussion can lead to permanent brain damage.

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