Head Injury with Sleep Monitoring (Child)
Your child has a head injury. It does not appear serious at this time. But symptoms of a more serious problem, such as mild brain injury (concussion), or bruising or bleeding in the brain, may appear later. For this reason, you will need to watch your child for the symptoms listed below. Once at home, also be sure to follow any care instructions you're given for your child.
Watch for the following symptoms
For the next 24 hours (or longer, if directed), you or another adult must stay with your child. If your child is resting, he or she will need to be woken up every 2 hours to be checked for symptoms. This is called sleep monitoring. Symptoms to watch for include:
- Nausea or vomiting
- Sensitivity to light or noise
- Unusual sleepiness or grogginess
- Trouble falling asleep
- Personality changes
- Vision changes
- Memory loss
- Trouble walking or clumsiness
- Loss of consciousness (even for a short time)
- Inability to be awakened
- Stiff neck
- Weakness or numbness in any part of the body
For young children, also watch for crying that can't be soothed, refusal to feed, or any signs of changes to the head such as bruising, bulging, or a soft or pushed-in spot.
If your child develops any of these symptoms, get emergency medical care right away. If none of these symptoms are noted during the first 24 hours, keep watching for symptoms for the next day or so. Ask the provider if sleep monitoring needs to be continued during this time.
- If your child was prescribed medicines for pain, be sure to given them to your child as directed. Note: Don't give your child other pain medicines without checking with the provider first.
- To help reduce swelling and pain, apply a cold source to the injured area for up to 20 minutes at a time. Do this as often as directed. Use a cold pack or bag of ice wrapped in a thin towel. Never apply a cold source directly to the skin.
- If your child has cuts or scrapes on the face or scalp, care for them as directed.
- For the next 24 hours (or longer, if advised), your child will need to:
- Avoid lifting and other strenuous activities.
- Avoid playing sports or any other activities that could result in another head injury.
- Limit TV, smartphones, video games, computers, and music or avoid them completely. These activities may make symptoms worse.
Follow up with your child's healthcare provider, or as directed. If imaging tests were done, they will be reviewed by a doctor. You will be told the results and any new findings that may affect your child's care.
When to seek medical advice
Unless told otherwise, call the provider right away if:
- Your child is 3 months old or younger and has a fever of 100.4?F (38?C) or higher. (Get medical care right away. Fever in a young baby can be a sign of a dangerous infection.)
- Your child is younger than 2 years of age and has a fever of 100.4?F (38?C) that lasts for more than 1 day.
- Your child is 2 years old or older and has a fever of 100.4?F (38?C) that lasts for more than 3 days.
- Your child is of any age and has repeated fevers above 104?F (40?C).
Also call the provider right away if your child has any of the following:
- Pain that doesn't get better or worsens
- New or increased swelling or bruising
- Increased redness, warmth, drainage, or bleeding from the injured area
- Fluid drainage or bleeding from the nose or ears
- Sick appearance or behaviors that worry you