Head Injury

Advice for parents and carers of children

When to worry?

If your child has had any of the following in the 48 hours following their head injury:

The head injury was high impact for example:
- A road traffic accident
- Fall from a height of more than 1 metre (more than the child’s own height, or more than 5 stairs)
A bruise, swelling or cut more than 5cm on the head
Vomits 3 times or more (at least 10 minutes between each vomit)
Behaves oddly, becomes confused or unaware of their surroundings
Loses consciousness, becomes drowsy or difficult to wake
Has a convulsion or fit (uncontrolled jerking, twitching movements)
Has difficulty speaking or understanding what you are saying
Has weakness in their arms and legs or starts losing their balance
Has new problems with their eyesight
Has clear fluid coming out of their nose or ears
Bruising around their eyes or behind their ears
Has memory loss of events before or after the injury
Takes blood thinners or has a bleeding or clotting disorder

You need urgent help

Go to the nearest Hospital Emergency (A&E) Department or phone 999

If your child has any of the following during the next 48 hours:

Has a headache that doesn’t go away (despite painkillers such as paracetamol or ibuprofen)

You need to contact a doctor or nurse today

Please ring your GP surgery or call NHS 111 - dial 111.

If symptoms persist for 4 hours or more and you have not been able to speak to
either a member of staff from your GP practice or to NHS 111 staff, recheck that your child has not developed any red features

If your child:

Is alert and interacts with you
Vomits, but only up to twice
Experiences mild headaches, struggles to concentrate, lacks appetite or has problems sleeping
If you are very concerned about these symptoms or they go on for more than 2 weeks, make an appointment to see your GP.
Watch them closely for any change and look out for any red or amber symptoms
If your child has a long term condition or disability and you are worried please contact your regular team or follow any plans that they have given you.

Self Care

Continue providing your child’s care at home. If you are still concerned about your child, contact NHS 111 – dial 111 or for children aged 5 years and above visit 111.nhs.uk

Survey for parents/carers - what was the outcome of you looking at this page?

Ensure that they have plenty of rest initially. A gradual return to normal activities/school is always recommended.
Increase activities only as symptoms improve and at a manageable pace.
It is best to avoid computer games, sporting activity and excessive exercise until all symptoms have improved.

Symptoms of concussion include mild headache, feeling sick (without vomiting), dizziness, bad temper, problems concentrating, difficulty remembering things, tiredness, lack of appetite or problems sleeping – these can last for a few days, weeks or even months. Some symptoms resolve quickly whilst others may take a little longer.
Concussion can happen after a mild head injury, even if they haven’t been “knocked out”.
9 out of 10 children with concussion recover fully, but some can experience long term effects, especially if they return to sporting activities too quickly. It is really important that your child has a gradual return to normal activities and that they are assessed by a doctor before beginning activities that may result in them having another head injury.
If you are very concerned about these symptoms or they last longer than 2 weeks, you should seek medical advice from your doctor.

Don’t allow your child to return to school until you feel that they have completely recovered.
Do not leave your child alone after a significant head injury

Repeated head injury during recovery from concussion can cause long term damage to a child’s brain.
Expect to stay off sport until at least 2 weeks after symptoms are fully recovered.
Always discuss with your child’s school and sports club to discuss a gradual return to full activity.

For further information:

Rugby: Click here.

Football: Click here.

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