Treatment FAQ

when to seek treatment for an open head injury

by Dr. Calista Jacobson MD Published 2 years ago Updated 2 years ago
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See a doctor within one to two days of a significant head injury with ongoing symptoms, even if emergency care isn't required. Seek emergency medical attention if your child experiences: Unconsciousness, confusion or disorientation after a head injury

Seek Immediate Medical Attention, If Any of the Following Symptoms Occur: Repeated vomiting. Worsening or severe headache. Unable to stay awake during times you would normally be awake.

Full Answer

When should you seek help after a head injury?

If you experience any of these "red flag" symptoms after a head injury, you should seek help immediately, experts warn. After performing a stand-up comedy act in Orlando, Florida, on January 9, comedian and actor Bob Saget was found unresponsive in his hotel room, and he was pronounced dead at the scene.

What are the treatment options for open head injuries?

Treating open head injuries may vary depending on the extent of the damage in the brain. Magnetic resonance imaging (MRI), computed tomography (CT) scan and intracranial pressure monitor (ICP) are used to detect the complications and injuries that are not visible to the naked eye.

What is an open head injury?

If the skull breaks and the bone or another object punctures the brain, a doctor will refer to the injury as an open head injury or penetrating head injury. A head injury may present different symptoms depending on its severity. A bump to the head is a common injury that does not usually cause serious problems.

Should I go to the ER for an open head injury?

Nevertheless, any open head injury warrants immediate medical attention at a local emergency room, and may require treatment at a facility that specializes in brain and spinal cord injuries. The more quickly you seek treatment, the better the prognosis will be.

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What to do if you can't remember things about the injury?

Can’t remember things about the injury. Have a seizure. Begin bleeding. In addition, in the hours and days after a head injury, a patient needs to visit the Emergency Department as soon as possible if they: Have a headache that won’t go away. Behave unusually, experience mood swings or have trouble concentrating.

Can a parent keep an eye on a headache?

But that doesn’t mean a parent, spouse or other family member shouldn’t keep an eye on the person with the headache. “Head injuries can be serious, even though on the outside there may not be much visible evidence of an injury,” says Charles Emerman, MD, chair of MetroHealth’s Emergency Department. “And symptoms of a serious injury may not appear ...

How long after a head injury should you check on someone?

In the first 24 hours after a mild head injury, a person should ask someone to check on them regularly. If a person loses consciousness or shows signs of confusion or memory loss, it is vital to see a doctor. A person should avoid using drugs or alcohol, driving, or playing contact sports after a head injury.

How to tell if you have a severe head injury?

Symptoms of a severe head injury include: significant bleeding. passing out and not waking up. having a seizure. problems with vision, taste, or smell. difficulty staying alert or awake. clear fluid or blood coming out of the ears or nose. bruises behind the ears. weakness or numbness.

What is the difference between a head injury and a traumatic brain injury?

Types. A head injury may present different symptoms. There are a range of head injury types, and the injury can be more or less severe within each category. A traumatic brain injury (TBI) happens when the brain is damaged, usually because of an accident. A person may have a TBI if an object hits their head, or if an object penetrates ...

What is a concussion?

A concussion is a form of TBI that temporarily stops the brain from functioning normally. Symptoms of a concussion are not always serious or long-lasting but may cause complications. The skull is made of very hard, thick bone designed to protect the brain from injuries.

What is a TBI in the brain?

A TBI damages the brain, usually causing a blood clot or bruising. A blood clot in the brain is known as an intracranial hematoma (ICH). An ICH can be more or less severe depending on its size and location in the brain.

How long does a concussion last?

If the symptoms of a mild head injury last for more than 2 weeks, a person should also seek medical advice. The symptoms of a concussion do not always appear immediately. Sometimes, a person may develop initial symptoms days or weeks after the injury. People should always take head injuries seriously.

How to reduce swelling in the head?

A cold pack can help to reduce swelling. People can often treat mild head injuries at home. Applying a cold pack to the area can help to reduce swelling. A person can also take Tylenol but should avoid non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and aspirin, unless a doctor prescribes them.

What is it called when you have an open head injury?

An open head injury can happen in sports accidents, workplace accidents, car crashes, knife wounds or gunshot that can cause skull fracture. Even objects like a screwdriver can pierce the skull and cause brain injury. When an object exits in another location not from where it entered, this is called perforating open head injury.

What is the most common complication of an open head injury?

The most common complication of an open head injury is infection because the brain is exposed to the outside environment. Infection in the brain can cause a permanent damage or even death. Meningitis is the most common type of brain infection. It can be caused by a bacteria or a virus.

What is a depressed skull fracture?

Depressed Skull Fracture. It is caused by a blunt object and a severe blow to head. This type of fracture compresses the skull bone fragments to the brain tissue thus causing severe damage to the brain.

What percentage of open head injuries are fractures?

69% of all open head injury is crack in the skull or linear fracture. In this type of fracture there is no penetration on the brain tissue. This is considered a minor fracture and requires only a little treatment. Even though that’s the case, any type of head injury should be checked by a physician or a specialist. It is crucial that patient must receive immediate medical attention.

Why is long term rehabilitation important?

Most patients require long term rehabilitation to bring back vital neurological functions including their cognitive skills .

Why is rehabilitation time important?

It also depends on the eagerness of the patient and the emotional, psychological, and financial support coming from the patients’ family and friends.

What happens when you have an open wound?

Due to the open wound, patients can suffer from infection and contamination. An open head injury, which is also known as penetrating head injury, occurs when the dura matter or the outer layer of the head is punctured. The brain controls all body functions including your thoughts, feelings, and emotions.

What is the best way to recover from a brain injury?

Physical, occupational, and speech therapy to help you regain lost functioning. This therapy helps your brain rewire itself to work around your injury, and the more frequently you go and harder you work, the more likely it is to be effective. Education about your injury, especially education for your family and friends.

What is the best treatment for a psych injury?

Psychotherapy —and sometimes psychiatric medications—make the transition easier. Medications to address side effects of your injury; your doctor might put you on blood thinners to reduce the risk of a blood clot, or recommend antibiotics to prevent infections.

What are the different types of brain injuries?

Most doctors differentiate between four different types of open wound brain injuries. Those include: 1 Linear skull fractures: Linear skull fractures, which account for the majority of head injuries, are typically the least serious. These injuries involve only a crack in the skull, without any penetration in the brain. Bleeding is usually minimal, but is largely dependent upon the location of the fracture. Many linear skull fracture survivors make full recoveries. Rarely, patients who have suffered another type of brain injury develop a linear skull fracture when swelling on the brain ruptures the skull. 2 Diastatic skull fracture: Common among babies, diastatic fractures occur when the skull's regions are separated. Developing babies have lines in their skulls where the bones will ultimately fuse together, but some injuries separate these bones. Complications range from minor to life-threatening, but any head injury to a baby or young child is a serious medical emergency. 3 Depressed skull fracture: These injury occur when the skull is penetrated, often by a sharp object, leaving broken pieces of the skull in contact with the brain. These injuries can cause severe brain damage, in addition to constricting major blood vessels.

Why does my skull crack?

Sometimes the skull cracks as a result of a sudden blow. In other cases, an object may puncture the skull. Understanding the wide variety of skull fractures, as well as the way these injuries can affect brain health, can help you better understand your injury, ask your doctor the right questions, and assess your prognosis.

How do you know if you have a skull fracture?

If you're not sure whether you've suffered a skull fracture, some of the immediate symptoms include: Bleeding from a head injury. Swelling near a head injury, or at other locations around the head . Loss of consciousness after a blow to the head . Changes in mood or personality.

Which type of skull fracture is the least serious?

Those include: Linear skull fractures: Linear skull fractures, which account for the majority of head injuries, are typically the least serious. These injuries involve only a crack in the skull, without any penetration in the brain. Bleeding is usually minimal, but is largely dependent upon the location of the fracture.

Can you remove a foreign object from a brain injury?

Immediate treatment for an open wound brain injury focuses on stopping the bleeding and, if possible, removing the object that caused the wound. Rarely, removal is more dangerous than leaving the object in place, so you should never try to remove a foreign object yourself. Many open wound brain injury survivors require several surgeries to cauterize blood vessels, treat skull fractures, and remove foreign objects.

How to give first aid to a head trauma patient?

To give first aid to a person who has head trauma, call 911 or your local emergency number. Any of the following signs or symptoms may indicate a serious head injury:

What to do if you have a concussion and no breathing?

Watch for changes in breathing and alertness. If the person shows no signs of circulation — no breathing, coughing or movement — begin CPR. Head trauma that results in concussion symptoms, such as nausea, unsteadiness, headaches or difficulty concentrating, should be evaluated by a medical professional. Head injury.

How to keep someone from getting injured?

The injured person should lie down with the head and shoulders slightly elevated. Don't move the person unless necessary, and avoid moving the person's neck. If the person is wearing a helmet, don't remove it.

How to tell if you have a swollen head?

Any of the signs or symptoms for adults. Persistent crying. Refusal to eat. Bulging in the soft spot on the front of the head ( infants) Repeated vomiting.

Signs to look for after head trauma, according to a doctor

A month after Bob Saget was found dead in an Orlando hotel room, his family revealed that the late comedian died from an accidental head injury.

Will symptoms always show up right away after a head trauma?

After hitting your head, you may experience some initial symptoms such as a headache or confusion. These symptoms may soon subside, and you may think you are fine.

Candace Cameron Bure shares last text exchange with Bob Saget

Lindsay Lowe has been a regular contributor to TODAY.com since 2016, covering pop culture, style, home and other lifestyle topics. She is also working on her first novel, a domestic drama set in rural Regency England.

What to do if your child has a bump on his head?

The American Academy of Pediatrics recommends that you call your child's doctor for anything more than a light bump on your child's head. If your child doesn't have signs of a serious head injury and remains alert, moves normally and responds to you, the injury is probably mild and usually doesn't need further testing.

What happens if you bump your head?

Head trauma from play or sports is a common concern for parents, but rarely does a bump on the head result in serious injury. The forehead and scalp have an abundant blood supply, and injury to these areas often results in bleeding under the skin. When the bleeding is in just one area, it causes bruising and swelling (hematoma).

What are the signs of a concussion in a child?

Seek emergency medical attention if your child experiences: Unconsciousness, confusion or disorientation after a head injury. Also seek emergency attention if your child exhibits the following signs or symptoms after a head injury, which could signal a concussion: Meehan SP, et al. Concussion in children and adolescents: Clinical manifestations ...

Can a blow to the head cause a brain bleed?

Occasionally, a blow to the head may be severe enough to cause bleeding in or around the brain. This type of bleeding can cause an intracranial hematoma, a serious condition that puts pressure on the brain.

Can a head bump cause swelling?

Keep in mind that even a minor head bump can cause a large swelling. And the speed, momentum and size of the people (full-grown adolescents versus young children) and the forces involved (such as impact with a concrete floor or other hard surface) may increase the possibility of serious injury.

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