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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It To Be Concern About The Child Hitting The Head?

Hi my daughter hit her head when she fell of the bed she is 9 months old and she has a red spot where she hit but no bump she is the same height as the bed n cried for all of 5 mins and is playing and seems to b ok should I take her to the emergency room anyways
Tue, 3 Nov 2015
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Pediatrician, Neonatology,  's  Response
There are few danger signs post head injury which parents need to watch for, to take children to emergency room for further management:
(these are the children who would need a CT head scan within 1 hour of the risk factor being identified:)
1.loss of consciousness after the episode and persistent vomiting after the impact.
2.Post-traumatic fits but no history of epilepsy.
3.On initial emergency department assessment, GCS less than 14, or for children under 1 year GCS (paediatric) less than 15.(GCS means scoring for consciousness with maximum being 15 and for parents symptoms will appear like excessive sleepiness at home in unsual hours)
4.Suspected open or depressed skull fracture or tense fontanelle, detected by experts at emergency.
5.Any sign of basal skull fracture (haemotympanum, 'panda' eyes, ,translucent fluid /blood leakage from the ear or nose, Battle's sign).
6.Focal neurological deficit(not able to move one of the limbs/affected speech/vision)
7.For children under 1 year, presence of bruise, swelling or laceration of more than 5 cm on the head.

As a precaution,because your child is less than 1 year,it is advisable to go to emergency be seen once by a emergency physician first.
Hope this helps.



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Is It To Be Concern About The Child Hitting The Head?

There are few danger signs post head injury which parents need to watch for, to take children to emergency room for further management: (these are the children who would need a CT head scan within 1 hour of the risk factor being identified:) 1.loss of consciousness after the episode and persistent vomiting after the impact. 2.Post-traumatic fits but no history of epilepsy. 3.On initial emergency department assessment, GCS less than 14, or for children under 1 year GCS (paediatric) less than 15.(GCS means scoring for consciousness with maximum being 15 and for parents symptoms will appear like excessive sleepiness at home in unsual hours) 4.Suspected open or depressed skull fracture or tense fontanelle, detected by experts at emergency. 5.Any sign of basal skull fracture (haemotympanum, panda eyes, ,translucent fluid /blood leakage from the ear or nose, Battle s sign). 6.Focal neurological deficit(not able to move one of the limbs/affected speech/vision) 7.For children under 1 year, presence of bruise, swelling or laceration of more than 5 cm on the head. As a precaution,because your child is less than 1 year,it is advisable to go to emergency be seen once by a emergency physician first. Hope this helps.