Why Head Injuries Are Scary for Parents
Kids fall, bump heads, and take tumbles — it's part of childhood. But when does a head bump become a concussion? And how do you know if it's serious? Understanding concussion signs and when to seek help can give you confidence when those scary moments happen.
What Is a Concussion?
A concussion is a mild traumatic brain injury caused by a bump, blow, or jolt to the head. The brain moves inside the skull, causing temporary changes in brain function. You don't have to lose consciousness to have a concussion — in fact, most concussions happen without loss of consciousness.
Signs of Concussion in Children
In older children and teens:
- Headache or "pressure" in the head
- Nausea or vomiting
- Dizziness or balance problems
- Blurry or double vision
- Sensitivity to light or noise
- Feeling foggy, sluggish, or confused
- Memory problems — can't remember the injury
- Feeling "not right"
In younger children and toddlers:
- Excessive crying that won't stop
- Changes in eating or sleeping patterns
- Loss of interest in favorite activities
- Unsteady walking or balance
- Irritability
What to Do After a Head Injury
- Remove from play immediately. When in doubt, sit them out
- Monitor closely for the next 24-48 hours
- Allow rest. Physical and cognitive rest is important initially
- Use ice for any bumps or swelling
- Give acetaminophen for headache (avoid ibuprofen initially as it can increase bleeding risk)
- Limit stimulation. Reduce screens, loud environments, and heavy thinking for 24-48 hours
When to Go to the ER
- Loss of consciousness
- Worsening headache that doesn't improve
- Repeated vomiting
- Seizures
- One pupil larger than the other
- Increasing confusion or unusual behavior
- Weakness, numbness, or coordination problems
- Difficulty recognizing people or places
- Fluid or blood draining from the nose or ears
Key Takeaways
- Most concussions don't involve loss of consciousness
- Rest is the primary treatment — both physical and mental
- Children should never return to play the same day as a head injury
- Most children recover fully within 2-4 weeks
- Go to the ER for worsening symptoms, repeated vomiting, or loss of consciousness
