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Mild head injury and concussion
Disclaimer: This fact sheet is for education purposes only. Please consult with your doctor or other health professional to make sure this information is right for your child.
PDF Version availableThe term concussion describes the clinical condition resulting from injury to the brain and can be observed following a mild head injury. Early on this may involve altered levels of consciousness, headache, confusion, dizziness, memory loss of events surrounding the injury and visual disturbances.
Most children with a mild head injury make a full recovery but symptoms such as tiredness and mild behavioural changes may persist for up to 2-3 months. Please read this carefully so that you are aware of the signs that may indicate the need for further assessment.
In the first 48 hours...
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Report immediately to your local medical practitioner or the nearest Emergency Department if any of the following symptoms occur:
Phone your local doctor or in an emergency dial 000 for an ambulance. Do not delay, especially if the symptoms get worse. |
In the coming weeks…
Initially you or your child’s teacher may notice some changes in your child’s behavior and/or ability to concentrate and understand information at home or at school.
Note: Children often fatigue quickly after a head injury and this can exaggerate any of these symptoms.
Physical
- Fatigue
- Headaches
- Poor coordination
- Clumsiness
- Noise sensitivity
Behaviour/Emotions
- More demanding and easily frustrated
- More fearful and anxious
- Changed sleep patterns
- Irritability
- Mood swings
Cognitive
- Slowness with thinking
- Problems with concentrating
- Memory difficulties
Return to school
It is important to let the school know about your child’s recent injury. If your child is experiencing fatigue, rest is important and consideration should be given to return to everyday activities gradually.
After your child has been back at school for one month, we suggest you talk with the teacher about whether there are ongoing changes in your child’s performance since the head injury. Any concerns should be discussed with your GP or the Brain Injury Rehabilitation Program listed below.
Return to sport
Your child should avoid contact sports and other activities where they may sustain another head injury
until all symptoms of concussion have resolved. Following a head injury your child’s reaction times and thinking will often be slower putting them at risk of further injury.
Contact and high risk sports include:
- Tackle football
- Soccer/hockey
- Basketball/netball
- Horse riding
- Motorbike/BMX riding/skateboarding
YOUR CHILD SHOULD ALWAYS REMEMBER TO WEAR THEIR HELMET
It is important, to encourage gradual return to physical activity. Encourage your child’s participation in gentle activities such as the following:
- Swimming
- Walking
- Stationary cycling
- Practice of ball skills
- Tennis
- Cricket
- Dancing
If you have any concerns or your child is experiencing any symptoms (see over) after one month please contact the Coordinator of the Brain Injury Rehabilitation Program at the following Hospitals. They will be able to give you advice and refer your child to your local service.
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Sydney Children's Hospital Randwick 02 9382 1590 |
The Children's Hospital at Westmead 02 9845 2132 |
John Hunter Children's Hospital Newcastle 02 4925 7963 |
Or go to the following website for a link to your local service: www.health.nsw.gov.au/birp/

If you have any concerns about your child after a head injury, you should contact your GP, your local Emergency Department or your local Brain Injury Rehabilitation Program.
For publications recommended by our hospitals' experts, please visit our book shop.
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The Children's Hospital at Westmead Tel: (02) 9845 0000 Fax: (02) 9845 3562 www.chw.edu.au |
Sydney Children's Hospital, Randwick Tel: (02) 9382 1688 Fax: (02) 9382 1451 www.sch.edu.au |
Kaleidoscope, Hunter Children's Health Network Tel: (02) 4921 3670 Fax: (02) 4921 3599 www.kaleidoscope.org.au |
© The Children's Hospital at Westmead, Sydney Children's Hospital, Randwick
& Kaleidoscope, Hunter Children's Health Network - 2005-2012.
& Kaleidoscope, Hunter Children's Health Network - 2005-2012.



