Injuries: Head injury

Most head injuries are not serious and simply cause a bump or a bruise.
If your child’s head is bleeding, apply pressure for 5-10 minutes. If it continues to bleed or there is a gaping wound, they may need to have it glued (stitches are very rarely required). This may be done in a minor injuries unit or Emergency Department. Some GPs also assess and treat minor injuries.

When should I get help?


If your child has had any of the following in the 48 hours following their head injury: Vomits repeatedly i.e. more than twice (at least 10 minutes between each vomit) Becomes confused or unaware of their surroundings Cannot remember events (amnesia) for more than 5 minutes Loses consciousness, becomes drowsy or hard to wake Has a fit or seizure Has difficulty speaking or understanding what you are saying Has new 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 Does not wake for feeds or cries constantly and cannot be soothed Has a large soft swelling bigger than 5cm Has bruising around their eyes or behind their ears You should also consider bringing your child to hospital if the 'mechanism' of injury was significant i.e. falling from greater than their own height or being involved in a road traffic collision and displaying any symptoms If you have any other concerns that you child doesn't seem well	You need help now. Go to the nearest Hospital Emergency Department or phone 999

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

Vomits repeatedly i.e. more than twice (at least 10 minutes between each vomit)
Becomes confused or unaware of their surroundings
Cannot remember events (amnesia) for more than 5 minutes
Loses consciousness, becomes drowsy or hard to wake
Has a fit or seizure
Has difficulty speaking or understanding what you are saying
Has new 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
Does not wake for feeds or cries constantly and cannot be soothed
Has a large soft swelling bigger than 5cm
Has bruising around their eyes or behind their ears
You should also consider bringing your child to hospital if the 'mechanism' of injury was significant i.e. falling from greater than their own height or being involved in a road traffic collision and displaying any symptoms
If you have any other concerns that you child doesn't seem well

You need help now.

Go to the nearest Hospital Emergency Department or phone 999


If your child has had any of the following in the 48 hours following their head injury: Has a persistent headache that doesn't go away (despite painkillers such as paracetamol or ibuprofen) Develops a worsening headache	You need to speak to a doctor or nurse today. Please call 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, then consider taking them to your nearest Emergency Department.

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

Has a persistent headache that doesn't go away (despite painkillers such as paracetamol or ibuprofen)
Develops a worsening headache

You need to speak to a doctor or nurse today.

Please call 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, then consider taking them to your nearest Emergency Department.


If none of the above features are present and your child Is alert and interacts with you Vomits, but only up to twice	Self care You can keep looking after your child at home. If you are still concerned about your child, call NHS 24 – dial 111

If none of the above features are present and your child

Is alert and interacts with you
Vomits, but only up to twice

Self care

You can keep looking after your child at home. If you are still concerned about your child, call NHS 24 – dial 111

What should I do?

Your child needs to be observed by an adult for the first day after injury and should not be left unattended.
In general, if your child cries immediately after a head injury and returns to their normal self in a short time, they can be managed at home. You should observe them closely for the next couple of days, checking that they are responding normally to you. They may be pale or quieter than normal for the first couple of hours after a head injury – this is normal.
If your child is under a year of age, begins vomiting, has a headache that is getting worse, is behaving oddly or has fallen from a height taller than they are, they will need to be seen urgently by a medical practitioner. Call your GP surgery or ring NHS 111.
Let your child rest and try to avoid strenuous activity until their symptoms have settled.
Give them paracetamol (Calpol) and/or ibuprofen if they are in pain.
If your child has been concussed, a graded return to normal activities/school is always recommended. It is best to avoid computer games, sporting activity and excessive exercise for 2 weeks until all symptoms have improved. Click here for more advice about this.

How long will my child's symptoms last?

Your child is likely to return to normal within a few hours of a minor head injury.
In the few days following a more significant head injury, your child may experience mild headaches, may struggle to concentrate, may lack appetite and may have problems sleeping. If these symptoms go on for more than 2 weeks, make an appointment to see your GP.

Where should I get help?

If it is non urgent, speak to your local pharmacist or health visitor.
If your child has any of the above red or amber features, urgently see your GP. For an urgent out-of-hours GP appointment, call NHS 111.
You should only call 999 or go your nearest emergency department in critical or life threatening situations.

Self Care
For wear and tear, minor trips and everything in between. Self-care You can treat your child's very minor illnesses and injuries at home. Some illnesses can be treated in your own home with support and advice from the services listed when required, using the recommended medicines and getting plenty of rest.	Sound advice Children can recover from illness quickly but also can become more poorly quickly; it is important to seek further advice if a child's condition gets worse. More information on common childhood illnesses.
Local Pharmacist
Pharmacists are experts in many aspects of healthcare. They are the first port of call for minor ailments and can provide advice and medication (if needed) for a wide range of long term conditions and common ailments including coughs and colds. Pharmacy First is a free service. You do not need an appointment and many pharmacies have a private consultation area. Your pharmacist will let you know if you need further medical attention.	Sound advice Visit a pharmacy if your child is ill, but does not need to see a GP. Remember that if your child's condition gets worse, you should seek further medical advice immediately. Help your child to understand - watch this video with them about going to the pharmacy.
Health Visitor
Health visitors are nurses or midwives who are passionate about promoting healthy lifestyle and preventing illness through the Universal Health Visiting Pathway. They work with you through your pregnancy up until your child is ready to start school. Your health visitor may be able to refer you on to other health professionals, for example if there are hearing or vision concerns. Contact them by phoning your local health visiting team.	Sound advice Health visitors also provide advice, support and guidance in caring for your child, including: Breastfeeding, weaning and healthy eating Exercise, hygiene and safety Your child’s growth and development Emotional health and wellbeing, including postnatal depression Safety in the home Stopping smoking Contraception and sexual health Sleep and behaviour management (including temper tantrums!) Toilet training Minor illnesses For more information watch the video:What does a health visitor do?
GP (General Practitioner)
GPs assess, treat and manage a whole range of health problems. They also provide health education, give vaccinations and carry out simple surgical procedures. Your GP will arrange a referral to a hospital specialist should you need it.	Sound advice You have a choice of service: Doctors/GPs can treat many illnesses that do not warrant a visit to the Emergency Department. For minor injuries such as cuts that need stitches, broken bones, sprains and minor burns in children aged 5 or over, go to one of our Minor Injury Units (MIU).

If you’re not sure which NHS service you need, call NHS 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.	Sound advice Use NHS 24 if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.
Emergency Department
Emergency departments provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call NHS 111 for advice.	Sound advice Many visits to the Emergency Department and calls to 999 could be resolved by any other NHS services. If your child's condition is not critical, choose another service to get them the best possible treatment. Help your child to understand – watch this video with them about going to the Emergency Department or riding in an ambulance