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29 November 2009
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Head injury

Head injuries

All head injuries are potentially serious and require medical attention.


What are they?

Head injuries may produce concussion - a period of unconsciousness followed by complete recovery.

Other head injuries may produce compression of the brain, which is life threatening. A head wound can indicate deeper damage, such as a skull fracture.

Skull fracture

Recognition

  • Wound or bruise to head
  • Soft area on scalp
  • Impaired consciousness
  • Leakage of clear fluid from nose/ear

Treatment

  • Call 999
  • Control any bleeding from the head
  • If there is discharge from an ear, cover ear with a sterile dressing but don't plug it

Cerebral compression

Recognition

  • Confusion
  • Headache
  • Heavy, slow breathing
  • Asymmetrical pupils
  • High temperature, flushed face

Treatment

  • Call 999
  • If the casualty is conscious, support them in a comfortable position

Concussion

Recognition

  • Loss of consciousness
  • Dizziness/nausea on recovery
  • Loss of memory
  • Headache
  • Pale face

Treatment

  • Sit casualty down quietly
  • Treat bruise or wound with cold compress
  • Watch casualty and if they do not return to normal within a few minutes, seek medical advice

This article was reviewed by the British Red Cross in April 2007.


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