Page My Doctor

Anywhere Pediatrics Southeast
9094 E. Anywhere Avenue #100
Anywhere, CO 80112
PH:(303) 000-0000
FX:(303) 000-0000
Office Hours | View Map

Anywhere Pediatrics Parker
16830 Anywhere Drive #150
Anywhere, CO 80134
PH:(303) 000-0000
FX:(303) 000-0000
Office Hours | View Map

Anywhere Pediatrics Southwest
10901 W. Anywhere Drive #101
Anywhere, CO 80127
PH:(303) 000-0000
FX:(303) 000-0000
Office Hours | View Map

  • Office Info & Locations
  • Our Providers
  • Appointments
  • Rating-Experience
  • Sick & Well Visits
  • Walk-Ins & After Hours
  • Rating-Thank-You
  • Insurance
  • Hospitals
  • About Us
  • FAQs
  • Patient Information
  • Register
  • Forms & Policies
  • Immunization Forms
  • Newsletter
  • Pay My Bill
  • Practice News
  • Prescription Refills
  • Office Info
  • Emergencies
  • Referrals
  • Alerts
  • AP Blog
  • AP WordPress
  • Select from over 100 symptoms to read more about managing your child's illness.

    Is Your Child Sick? TM


    Head Injury

    Is this your child's symptom?

    • Injuries to the head
    • Includes the scalp, skull and brain

    Types of Head Injuries

    • Scalp Injury. Most head injuries only damage the scalp. Examples are a cut, scrape, bruise or swelling. It is common for children to fall and hit their head while growing up. This is especially common when a child is learning to walk. Big lumps (bruises) can occur with minor injuries. This is because there is a large blood supply to the scalp. For the same reason, small cuts on the head may bleed a lot. Bruises on the forehead sometimes cause black eyes 1 to 3 days later. This is caused by blood spreading downward by gravity.
    • Skull Fracture. Only 1% to 2% of children with head injuries will get a skull fracture. Most often, there are no other symptoms except for a headache. The headache occurs at the site where the head was hit. Most skull fractures occur without any injury to the brain. They heal easily.
    • Concussion. A head injury that changes how the brain normally works. It is usually caused by a sudden blow or jolt to the head. Most children bump or hit their heads without causing a concussion. The most common signs are a brief period of confusion or memory loss. This happens after the injury. Other signs of a concussion can include a headache or vomiting. Dizziness or acting dazed can also be signs. A person does not need to be knocked out to have had a concussion. Following a concussion, some children have ongoing symptoms. These can include headaches, dizziness or thinking difficulties. School problems or emotional changes can occur. These symptoms can last for several weeks.
    • Brain Injuries (Serious) are uncommon. This includes bleeding, bruises or swelling within the brain. They are suspected by the symptoms listed below:
    • Hard to wake up or keep awake or
    • Acts or talks confused or
    • Slurred speech or
    • Weakness of arms or legs or
    • Walking is not steady.
    • These symptoms are an emergency. If they happen, call 911.

    Concussion Treatment

    • Treating a concussion requires both Physical Rest and Brain Rest.
    • Brain rest means a gradual return to full studying and school attendance.
    • Physical rest means a gradual return to normal activity, work and gym class.
    • If symptoms occur (like a headache), the child needs to return to the previous level of physical and mental activity. In 24 hours, they can try again to take it to the next level.
    • Athletes involved in sports need to have a stepwise plan for "return to play." Progressing through stages should be supervised by a doctor or athletic trainer.

    Pain Scale

    • Mild: Your child feels pain and tells you about it. But, the pain does not keep your child from any normal activities. School, play and sleep are not changed.
    • Moderate: The pain keeps your child from doing some normal activities. It may wake him or her up from sleep.
    • Severe: The pain is very bad. It keeps your child from doing all normal activities.

    When to Call for Head Injury

    When to Call for Head Injury

    Call 911 Now

    • Seizure occurred
    • Knocked out (unconscious) for more than 1 minute
    • Not moving neck normally (Caution: protect the neck from any movement)
    • Hard to wake up
    • Acts or talks confused or slurred speech present now
    • Walking not steady or weakness of arms/legs present now
    • Major bleeding that can't be stopped
    • You think your child has a life-threatening emergency

    Call Doctor or Seek Care Now

    • Age less than 1 year old
    • Knocked out (unconscious) for less than 1 minute
    • Skin is split open or gaping and may need stitches
    • Bleeding that won't stop after 10 minutes of direct pressure
    • Large swelling (larger than 1 inch or 2.5 cm)
    • Large dent in skull
    • Blow from hard object (such as a golf club)
    • Fall from a dangerous height
    • You think your child has a serious injury
    • You think your child needs to be seen, and the problem is urgent

    Call Doctor Within 24 Hours

    • Headache lasts more than 24 hours
    • You think your child needs to be seen, but the problem is not urgent

    Call Doctor During Office Hours

    • Dirty cut and no tetanus shot in more than 5 years
    • Clean cut and no tetanus shot in more than 10 years
    • You have other questions or concerns

    Self Care at Home

    • Minor head injury

    Call 911 Now

    • Seizure occurred
    • Knocked out (unconscious) for more than 1 minute
    • Not moving neck normally (Caution: protect the neck from any movement)
    • Hard to wake up
    • Acts or talks confused or slurred speech present now
    • Walking not steady or weakness of arms/legs present now
    • Major bleeding that can't be stopped
    • You think your child has a life-threatening emergency

    Call Doctor or Seek Care Now

    • Age less than 1 year old
    • Knocked out (unconscious) for less than 1 minute
    • Skin is split open or gaping and may need stitches
    • Bleeding that won't stop after 10 minutes of direct pressure
    • Large swelling (larger than 1 inch or 2.5 cm)
    • Large dent in skull
    • Blow from hard object (such as a golf club)
    • Fall from a dangerous height
    • You think your child has a serious injury
    • You think your child needs to be seen, and the problem is urgent

    Call Doctor Within 24 Hours

    • Headache lasts more than 24 hours
    • You think your child needs to be seen, but the problem is not urgent

    Call Doctor During Office Hours

    • Dirty cut and no tetanus shot in more than 5 years
    • Clean cut and no tetanus shot in more than 10 years
    • You have other questions or concerns

    Self Care at Home

    • Minor head injury

    Care Advice for Head Injuries

    1. What You Should Know About Mild Head Injuries:
      • Most head injuries only cause a swelling or bruise to the scalp.
      • The main symptom is pain.
      • Swelling of the scalp does not mean there is any swelling of the brain. The scalp and brain are not connected. They are separated by the skull bone.
      • The skull bone protects the brain from getting injured.
      • The mildest brain injury is a concussion. Most of those also turn out fine.
      • Here is some care advice that should help.
    2. Wound Care:
      • If there is a scrape or cut, wash it off with soap and water.
      • For any bleeding, put direct pressure on the wound. Use a gauze pad or clean cloth. Press for 10 minutes or until the bleeding has stopped.
    3. Cold Pack For Swelling:
      • Use a cold pack or ice bag wrapped in a wet cloth. Put it on any swelling. Do this for 20 minutes.
      • Reason: Prevent big lumps ("goose eggs"). Also, helps with the pain.
      • Repeat in 1 hour, then as needed.
    4. Watch Your Child Closely for 2 Hours:
      • Watch your child closely during the first 2 hours after the injury.
      • Have your child lie down and rest until all symptoms have cleared. Note: mild headache, mild dizziness and nausea are common.
      • Allow your child to sleep if he wants to, but keep him nearby.
      • Wake him up after 2 hours of sleeping. Check that he is alert and knows who you are. Also, check that he can talk and walk normally.
    5. Diet - Start With Clear Fluids:
      • Offer only clear fluids to drink, in case he vomits. Allow a regular diet after 2 hours.
    6. Pain Medicine:
      • To help with the pain, give an acetaminophen product (such as Tylenol). Another choice is an ibuprofen product (such as Advil). Use as needed.
      • Exception: Do not give until 2 hours have passed from injury without any vomiting.
      • Caution: Never give aspirin to children and teens. Reason: Always increases risk of bleeding.
    7. Special Precautions For 1 Night:
      • Mainly, sleep in same room as your child for the first night.
      • Reason: If a problem occurs, you will recognize it if you are close by. Problems include a bad headache, vomiting or confusion. Also, look for any change in your child's normal behavior.
      • Option: If you are worried, wake your child once during the night. Check how he walks and talks.
      • After 24 hours, return to a normal sleep routine.
    8. What to Expect:
      • Most head trauma only causes a scalp injury.
      • The deep headache usually clears in 24 hours.
      • The scalp pain at the site of impact may last 3 days.
      • The swelling may take a week to go away.
    9. Call Your Doctor If:
      • Pain or crying becomes severe
      • Vomits 2 or more times
      • Your child becomes hard to wake up or confused
      • Walking or talking is not normal
      • Headache lasts more than 24 hours
      • You think your child needs to be seen
      • Your child becomes worse

    And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

    Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

    Copyright 2000-2018. Schmitt Pediatric Guidelines LLC.

    Laceration - Scalp

    This scalp laceration (cut) is gaping open. It will require closure with sutures or medical staples.

    First Aid Care Advice:

    • Apply direct pressure for 10 minutes to stop any bleeding.
    • Wash the cut with soap and water.
    First Aid - Bleeding Head
    • Apply direct pressure to the entire wound with a sterile gauze dressing or a clean cloth.
    Laceration - Scalp

    This scalp laceration (cut) is gaping open. It will require closure with sutures or medical staples.

    First Aid Care Advice:

    • Apply direct pressure for 10 minutes to stop any bleeding.
    • Wash the cut with soap and water.
    Laceration - Scalp (After Staples)

    This photo shows a scalp laceration after it has been closed with 4 metal medical staples.