If a child begins to play or run immediately after getting a bump on the head, serious injury is unlikely. However, as with anyone with a head injury, closely watch the child for 24 hours after the incident.

Over-the-counter pain medicine, such as acetaminophen, may be used for a mild headache. Do NOT take aspirin, ibuprofen, or other anti-inflammatory medications because they can increase the risk of bleeding.

• Do NOT wash a head wound that is deep or bleeding a lot.
• Do NOT remove any object sticking out of a wound.
• Do NOT move the person unless absolutely necessary.
• Do NOT shake the person if he or she seems dazed.
• Do NOT remove a helmet if you suspect a serious head injury.
• Do NOT pick up a fallen child with any sign of head injury.
• Do NOT drink alcohol within 48 hours of a serious head injury.

Call 911 if:

• There is severe head or facial bleeding
• The person is confused, drowsy, lethargic, or unconscious
• The person stops breathing
• You suspect a serious head or neck injury, or the person develops any signs or symptoms of a serious head injury

Images

Intracerebellar hemorrhage - CT scan

Concussion

Bicycle helmet - proper usage

Indications of head injury

Head injury

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Review Date: 01/12/2011
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)