How to handle when the baby falls on the head?
Children under 4 years old, head touching, swelling of the forehead, occurs quite often. There is almost no child who does not pass this age without falling or bumping a few times. However, because the head contains many important parts, we must always be mindful and worried.
The good news is that in most simple crashes and falls, when the baby plays, or falls from a low chair or low bed, head injuries are usually minor, transient, skin injuries, such as minor scratches, bruises, or sometimes bleeding from a scratch. The scalp is where a lot of blood vessels go to feed, so when it is damaged, it can cause a big bruise, or cause heavy bleeding that we think the heavier level is the real thing.
In 100 cases of head trauma, only about 1 to 2 cases may have a skull fracture. Most skull fractures, which only cause a headache that persists at the site of the fracture, and often without any intervention, heal on their own within a few weeks.
Some of the complications that can occur, although rare, that most concern doctors, are internal brain damage, causing "brain shock". Our brain, which is a very soft mass of substances, is protected by the outer skull, and an internal fluid that surrounds the brain helps reduce tremors and reduce brain damage if present. When the head is exerted by a strong enough force, the fluid inside may not be able to reduce the shock well, causing the brain to shake, hitting the hard wall of the skull, causing "brain shock". When the force is too great, it can cause crushing, bruising, or worse, rupture of the large blood vessels that feed the brain, causing brain hemorrhage. These complications can affect a person's perceptual, neurological levels, and can also cause unwanted death. These complications can occur immediately after the injury, or can be delayed a few days, or weeks later. Unfortunately, we cannot 100% predict which head injury is benign, and which head injury is dangerous. However, there are some of the following signs that can help us recognize the signs of danger, need to see a doctor right away.
Danger signs should see a doctor immediately
- If child is unconscious (after a fall, child is unconscious, has no eyes open, is unresponsive).
- If your child vomits more than once (more than 2-3 times).
- If the child has neurological signs such as seizures, weakness in limbs, unsteadiness, unsteadiness.
- If, after a fall, the child becomes drowsy, too tired.
- If the child looks pale, not as rosy as it used to be, and the paleness lasts more than 1 hour.
- If your child shows signs of bleeding, or unusual fluid is flowing from the ear, or nose.
- If the baby is fussy, long-lasting, and uncomfortable.
- If the child does not recognize acquaintances, and is disturbed about places and people (depending on age).
- In older children, if they complain that they cannot see clearly, or see an object in two, they should see them immediately.
- If you feel a baby's head, there is a large dent, or bruise, in place right after the fall.
- If your child has a large, long, deep bleeding cut.
- If your child complains about strange noises in the ears.
- If 24 hours after the incident, and the child still complains of headache.
- If you have any concerns!
- If the child is under 1 year old - this is an unpredictable age for injury, as well as difficult to judge by family members.
For these cases, the child needs to see a doctor, or go to the emergency room immediately, for a situation assessment, to decide on hospitalization, treatment, and diagnostic tests, such as x-rays - head of the skull, or CT scan, brain MRI ... depending on the severity of the disease. Long, deep cuts may need to be re-sewn to stop bleeding and to heal better.
In mild cases, after a fall, the child will be awake, fussy and cry, or just vomit once or twice, then can eat and drink normally and completely without any one. Which of these danger signs above, we can rest assured to stay at home watching, and perform basic first aid routine for children.
The usual basic first aid for children
- If your child has a bruise, ice should be applied to the swollen area immediately. Apply ice continuously for about 15 - 20 minutes. This initial treatment will help the bruise not get better, and help the child to make the pain much better. If you see a lot of bruising, you can apply the ice again 1 hour later, and do it regularly, 2-3 times a day, for 1-2 days.
- If there is a shallow scratch, wash it off with soap and water.
- If little bleeding is noticed, use a clean medical gauze, or a clean cloth, press straight into the wound to stop the bleeding for about 10 minutes, or until the bleeding no longer exists.
- If the child vomits 1-2 times, the child should rest, drink only filtered water if needed. If your child can drink and does not vomit any more, you can start feeding them normally 1-2 hours later.
- After that, let the child lie down to rest, closely monitor the child for the first 2 hours after the injury.
- If your child complains of local pain, or headaches, you can give them pain relief when needed, but wait at least 2 hours after the injury to start giving them! This 2 hour gap, is to help prevent the child from vomiting when taking the medicine right after the first encounter, making us even more nervous. Safe drugs to use are Acetaminophen (Tylenol, Efferalgan, Hapacol, Pandadol, ... for children), or Ibuprofen (Brufen, Advil, ...). Should carefully check the dose appropriate for the weight and age of the child. If your child still complains of headache 24 hours after the injury, they should see a doctor.
- If the child is stable, completely normal, you can follow the baby more for the next 48-72 hours, to make sure there is nothing to notice.
- Another important thing to remember is not to just focus on your head. Should check to see if the child has an injury elsewhere or not, especially the neck!
Read more: 6 dangerous signs after a baby falls
These are basic tips for simple head injuries. For the cases of children falling from a height, or being hit with their head too hard, or in a traffic accident, or there is a suspicion of a child being assaulted,…. The best thing is that parents should see a doctor immediately, for prompt monitoring, evaluation, and management.
And of course, the prevention of the risks of falls and injuries is still the first important thing that we should pay attention to, to reduce the risk for children, friends!
Share it so that many mothers know how to handle it! Thank you ^^