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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Take A Child To ER After Falling Face Down?

My two Grandson s were playing and one was carrying the other. My 6 year old Grandson felt backward and hit the close to the crown where hair sticks up on a concrete floor. We put cold pack on it immediately. He has quarter size knot that came up. I gave him childrens tylenol ,1teaspoonful. He ate and drank milk and so far is doing okay. making him rest and keep ice on his head. Pupils look fine. No vomiting or anything. just trying to keep him still and lay down for awhile. Do I need to take him to ER?
Wed, 10 Sep 2014
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Pediatrician,  's  Response
Thanks for posting your query at HealthCareMagic. I understand your concerns. Look out for the following ominous signs of head injury:
* Torrential vomiting
* Severe headache
* Unconsciousness
* Convulsions
If any of these are seen, take the child immediately to a hospital and get a CT Scan of brain done to rule out any haemorrhage. But if any of these are not present, you can ignore it. Some amount of pain is acceptable. Stay relaxed.
The dose of paracetamol/tylenol seems inadequate but I cannot comment unless I know the actual weight of the child. It is given in the dose of 15 mg/kg/dose at intervals of a minimum of 3-4 hours.

Hope that helps. If get back to me and I would try to help further.
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Should I Take A Child To ER After Falling Face Down?

Thanks for posting your query at HealthCareMagic. I understand your concerns. Look out for the following ominous signs of head injury: * Torrential vomiting * Severe headache * Unconsciousness * Convulsions If any of these are seen, take the child immediately to a hospital and get a CT Scan of brain done to rule out any haemorrhage. But if any of these are not present, you can ignore it. Some amount of pain is acceptable. Stay relaxed. The dose of paracetamol/tylenol seems inadequate but I cannot comment unless I know the actual weight of the child. It is given in the dose of 15 mg/kg/dose at intervals of a minimum of 3-4 hours. Hope that helps. If get back to me and I would try to help further.