Dawna L. Cyr and Steven B. Johnson, Ph.D.
University of Maine

First Aid for Head Injuries Any threat of brain damage from a head injury should be checked by a physician. Ice applied to the bruised area will help control swelling. Any vision problems, bleeding from the eyes or ears as a result of a head injury warrants a trip to a physician.

The main concern in a head injury is that there may be bleeding inside the skull. This can occur even if the skull is not clearly damaged. The accumulation of blood may eventually put pressure on the brain and cause brain damage. Head injuries are often not serious, but brain injuries can be.

Answering the following questions will help to determine whether the victim should be taken to a physician, emergency room or treated at home.

Has unconsciousness, loss of memory about the injury, or a seizure occurred? If yes, seek medical attention.

• visual problems
• bleeding from eyes, ears or mouth
• change in behavior (sleep, irritability, lethargy)
• fluid draining from nose
• repeated vomiting
• irregular breathing or heart rate
• child under the age of two
• person under the influence of alcohol or other drugs
• possible child or domestic abuse

If yes to any of the previous, seek medical attention.

Is there a cut? Check first aid section on cuts for severity.

If answers to the above questions are no, then apply home treatment.

Apply ice to the bruised area to minimize the swelling. A bump (goose egg) often develops. The size of the bump does not suggest the severity of the injury. A small bump may be serious, and a large bump may mean only a minor injury.

Observe the victim carefully. Symptoms of bleeding inside the head usually occur within the first 24 to 72 hours.

A typical minor head injury occurs when a victim runs into someone or something and bangs his or her head. A bump usually begins to form on the stunned victim. The person may vomit once or twice in the first few hours. He or she may nap after all the excitement, but arouse easily. Neither pupil is enlarged. Within eight hours, the person is back to normal, except for the prominent goose egg swelling.