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Do not move a person with a head injury unless it is necessary to save his or her life. Call 911 and wait for help. Head trauma often comes with severe neck injury. Sudden movements can result in paralysis.
Call 911 right away after a head blow that results in:
Prolonged loss of consciousness (more than a few seconds) or somnolence (prolonged drowsiness)
Memory problems or confusion
Nausea or vomiting
Pupils dilated or different sizes
Blood or watery fluid leaking from nose or ears
Broken skull or a soft spot on skull
Loss of balance
Weakness of or trouble using an arm or leg
Here is what will happen:
A neurological exam is likely. This is a series of simple questions and tests that evaluate the nervous system. Reflexes, response to pain, and mental state are assessed.
The healthcare provider shines a bright light into the eyes to check how the pupils respond. This can reveal more about any head injuries.
A computed tomography (CT) scan may be done. A CT scan does not always need to be done, especially if symptoms are minor or have resolved. This test combines X-rays and computer scans to create detailed images of the brain.
Here is what is generally done:
Sometimes, severe head injuries cause bleeding on the brain that requires immediate surgery. In certain cases, the injured person will be watched closely and taken for surgery only if injuries become worse. After surgery, special care helps prevent further brain damage.
Minor head trauma may need little treatment beyond pain control. The healthcare provider may suggest using cold packs to reduce swelling and pain.
At home, call 911 right away if the affected person:
Becomes very drowsy or confused
Has a headache or trouble seeing
Has a stiff neck or muscle weakness
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