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.

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The 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...

Report immediately to your local medical practitioner or the nearest Emergency Department if any of the following symptoms occur:

  1. Persistent vomiting
  2. Excessive drowsiness
  3. Worsening headache
  4. Severe dizziness
  5. Unsteady when walking
  6. Increasing confusion, restlessness and agitation
  7. Slurred speech
  8. Convulsion or seizures

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.

 

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/
 
 
Remember
 
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.

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Kids Health (CHW)
The Children's Hospital at Westmead
Tel: (02) 9845 0000
Fax: (02) 9845 3562
www.chw.edu.au
Sydney Children's Hospital, Randwick
Sydney Children's Hospital, Randwick
Tel: (02) 9382 1688
Fax: (02) 9382 1451
www.sch.edu.au
Kaleidoscope, Hunter Children's Health Network
Kaleidoscope, Hunter Children's Health Network
Tel: (02) 4921 3670
Fax: (02) 4921 3599
www.kaleidoscope.org.au