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Emergency Preparedness

Did You Know?

The signs of mild brain injury—concussion—can be subtle and may not occur for days or even weeks after the injury.

Following a brain injury, you should be alert for symptoms that may not show up for days or even weeks after the injury.

A child should return to the emergency department or see his/her physician immediately if:

  • You cannot wake the child

  • The child seems increasingly sleepy

  • The child cannot stop vomiting (throwing up)

  • The child has a seizure(s) or a sudden onset of daydreaming or a fixed stare

  • The child has mood swings, very irritated, sad, or agitated

  • The child says he/she cannot see clearly or has blurred or double vision

  • The child is not speaking clearly, seems confused, or doesn’t know who you are

  • The child has blood or clear fluid from the nose or ears

  • The child has increased headaches or neck stiffness

  • The child’s pupils (black center of the eye) are different sizes

  • The child is stumbling or has other problems with walking

An adult should return to the emergency department or see his/her physician immediately if they experience any of the following:

  • Trouble answering simple questions (What day is it? What happened to you?)

  • Trouble waking up completely

  • A headache that is getting worse even after medication

  • Changes in behavior or personality and not knowing family and friends

  • Still vomiting (throwing-up) 8 hours after the injury. Or vomiting that starts 1 to 2 hours after the injury

  • Pupils (black center of the eye) that are different sizes

  • Stumbling or other problems with walking

  • Double vision (seeing two of everything), blurred vision, or field cuts

  • Slurred speech, or repeating questions

  • Seizures (convulsions), fixed stares, or “daydreaming”

  • Blood or clear fluid from the nose or ears

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