Head injuries can range from minor bumps to serious, life-threatening trauma. Because complications such as brain bleeding or swelling can occur even if the person seems fine, every head injury should be treated with caution.
1. Initial Assessment
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Check responsiveness – Gently tap and ask if they are okay.
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Check breathing and pulse – If not breathing, call emergency services immediately and begin CPR.
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Look for danger signs: confusion, loss of consciousness, drowsiness, vomiting, seizures, severe headache, clear fluid or blood from nose/ears, unequal pupils.
2. Call Emergency Services Immediately (911/999/112) if:
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The person is unconscious, even briefly.
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They have persistent confusion, drowsiness, or memory loss.
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They vomit more than once.
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They have seizures, weakness, or difficulty walking/speaking.
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There is bleeding from the head or face that won’t stop.
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There is clear fluid or blood coming from ears or nose.
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They have unequal pupil size or vision problems.
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They fell from a significant height, had a high-speed accident, or were struck forcefully.
3. While Waiting for Help
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Keep them still – Ask them not to move their head or neck. Support the head in the position found if you suspect neck or spine injury.
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Apply gentle pressure to bleeding wounds with a clean cloth or bandage, but avoid pressing hard if you suspect skull fracture (e.g., if the skull looks misshapen or there’s fluid leakage).
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If unconscious but breathing, place them in the recovery position to maintain an open airway, unless a neck injury is suspected.
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Do not remove helmets if the person was in a sports or road accident—wait for professionals.
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Do not give food, drink, or medication, as surgery or loss of consciousness may follow.
4. For Minor Head Injuries (No Red-Flag Symptoms)
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Apply a cold pack to the bump for 15–20 minutes to reduce swelling.
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Observe the person closely for 24–48 hours.
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If symptoms like drowsiness, vomiting, worsening headache, or confusion develop, seek urgent medical attention.
5. Ongoing Care
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Rest is essential—avoid strenuous activity, sports, or screen time for at least 24–48 hours.
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Follow up with a healthcare provider before resuming normal activities, especially for children and athletes (to rule out concussion).
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