【Major Points】
  1. A head injury may not cause obvious external wounds. Common symptoms include dizziness and nausea.

  2. After a head injury, adequate rest and continued observation are important.

  3. If symptoms such as dizziness or vomiting continue to worsen, seek medical attention immediately.

What is head injury?

Head injury refers to an injury to the head caused by external forces, such as falls, traffic accidents, falling objects, or falls from a height.

What are the common symptoms? 

After a head injury, you may have a mild concussion or other complications. Common symptoms include a mild headache, dizziness, nausea, vomiting, drowsiness, and temporary memory loss. Older adults, patients who cannot express their symptoms, and young children should be examined by a doctor promptly if they become unusually irritable or cannot be comforted.

How is a head injury treated?
Treatment is focused on symptom management. Adequate rest can improve post-injury symptoms.
1.Rest in a quiet environment.
   A. Avoid activities that require a lot of thinking or long periods of concentration.
   B. Do not ride a bicycle, motorcycle, or drive until fully recovered.
2.Medication: If you have a headache, you may take pain medication as prescribed by your doctor.
3.Begin exercising only after your doctor approves. Avoid activities that significantly increase heart rate or involve physical contact and collision, such as basketball or soccer.

If symptoms persist or worsen, it is recommended that further evaluation by a neurology or neurosurgery specialist (Request an appointment: Neurosurgery / Neurology / Pediatric Neurosurgery).

What should I pay attention to?
After the head injury, continuous observation and resting are very important. Watch for signs of delayed bleeding in the brain.
  1. Continuous observation:
    Stay with the patient during the first 24 hours and check on the patient every hour. Wake the patient every 2-4 hours. Do not leave the patient alone for the first 48 hours. Continue observing the patient for 3-7 days.
  2. Diet and Medication
    1. During the first 2 days after the injury, avoid foods or medications that may affect your level of consciousness, such as sedatives, sleeping pills, and alcohol.
    2. Do not take over-the-counter medicines or Chinese herbal medicines without your doctor's advice. 
    3. If you are taking anticoagulants (such as aspirin or clopidogrel) or any other medications you are concerned about, consult your doctor before taking them.   
  3. If you have the following conditions, please go to the emergency department immediately:
    1. Persistent dizziness, vomiting, or worsening headache that cannot be improved after resting.
    2. Altered state of consciousness, e.g. drowsiness, nonresponsive, or slurred speech.
    3. Seizure (involuntary muscle contractions).
    4. Fever combined with a stiff neck and pain.
    5. Blurred vision or seeing distorted objects.
    6. Weakness in body or limbs, numbness sensation, or unsteady gait.
    7. Urinary or bowel incontinence.
 
Reference
  1. Barlow, K. M., Ponsford, J. L., Theodom, A., Cowen, G., Davis, G. A., Anderson, V., Babl, F. E., Cole, D., Cullen, J., Dalziel, S. R., Fitzgerald, M., Flavell, H., Yates, C., Kimble, R., Olver, J. H., Orr, R., Ralfe, M., Rose, M., Rushworth, N., .... Tweedy, S. (2025). Mild traumatic brain injury and concussion and persisting post-concussion symptoms: new guidelines to support evidence-based assessment and management in Australia and Aotearoa New Zealand. Medicine Journal Australia, 223(9), 446-449. https://doi.org/10.5694/mja2.70082.
  2. Charles, B., Mills, T., Cowen, G., Takagi, M., Davies, K., Davis, GA., Anderson, V.(2026) Paediatric concussion in general practice. Australia Journal General Practice. 255(1-2), 9-15. https://search.informit.org/doi/10.3316/informit.T2026020600005090168764203
  3. Evans, R. W., & Whitlow, C. T. (2022). Acute mild traumatic brain injury (concussion) in adults. UpToDate. Retrieved February 22, 2022, from https://www.uptodate.com/contents/acute-mild-traumatic-brain-injury-concussion-in-adults?
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