How To Deal With Serious Head Injuries

  • December 10, 2007
  • 145 Views

A blow to the head can cause permanent damage to the brain and neck. Follow these steps to learn what to do in case of a head injury.

You Will Need

  • A clean cloth or gauze pads
  • Disposable gloves (optional) (optional) (optional)
  • An ice pack (optional) (optional) (optional)
  • A clean damp cloth or towel (optional) (optional) (optional)

In addition to visible symptoms, the following may indicate a serious head injury: confusion; discoloration beneath the eyes and behind the ears; blurred vision; vomiting; loss of balance; irritability and initial improvement followed by a worsening condition.

Step 1: Call 911

Call 911 and seek emergency medical assistance immediately.

Step 2: Find out what happened

If the victim can speak, try to learn what happened; if he cannot tell you, glean what you can from the scene or ask a witness.

Do not shake a person who seems dazed and confused.

Step 3: Have victim lie on back

If able, have the victim lie on his back, keeping still, with his head and shoulders slightly elevated.

Step 4: Check breathing

Confirm that the victim is breathing normally. If not, begin CPR.

Step 5: Stabilize head

If the person is unconscious but breathing normally, assume the spine is injured. Keep the head and neck still—using your hands to stabilize the head, if necessary—and keep the head in line with the spine.

Do not move the victim of a serious head injury unless he is in further immediate danger or it’s absolutely necessary.

Step 6: Don't remove objects & put on gloves

Do not remove any object protruding from the wound. If the injury is bleeding, put on a pair of disposable gloves—if they are available—to prevent the spreading of disease.

Step 7: Apply gauze

Apply a clean cloth or gauze pad to the wound if it’s bleeding. If you suspect the skull might have been fractured, simply cover the wound; if the wound is superficial, apply pressure to the injured site to stop the bleeding.

Do not remove any blood-soaked dressings—apply a clean cloth or pad on top of the old one.

Step 8: If victim vomits

If the victim vomits, carefully roll the entire body to one side—keeping the head and neck in line with the body—to avert choking.

Step 9: If injury swells

If the injury swells—and it is safe to apply light pressure—apply an ice pack. Be careful to ice in increments no longer than 20 minutes and allow at least 45 minutes between applications.

Never apply an ice pack directly to the skin—wrap the pack in something like a damp cloth or towel to prevent frostbite.

Step 10: Give detailed account

When medical assistance arrives, give a detailed account of what happened and follow any instructions given by the emergency technicians or doctors.

Injuries resulting from bicycling without a helmet cost the U.S. health care system a total of around $81 million every year.

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