Head injury
Hello, doctor.
My father accidentally hit his head against a metal plate while working and bled, but the bleeding has stopped.
However, he insists on not going to the hospital for a check-up due to time constraints.
Are there any specific signs or symptoms we should watch for? (My father mentioned that he did not experience any confusion at the time of the impact.) Thank you, and I wish you safety and health.
Xiao Qiang, 20~29 year old female. Ask Date: 2004/11/20
Dr. Ding Xianwei reply Neurosurgery
Hello: If there is no loss of consciousness, generally, observation is sufficient.
Please pay attention to the following issues: 1.
Is there severe vomiting? 2.
Is there any loss of consciousness? 3.
Is there any weakness in the limbs? 4.
Are there any seizures? If any of these issues arise, please take the patient to the emergency department for evaluation by a physician.
Sincerely, Dr.
Ding Hsien-Wei, Neurosurgery.
Reply Date: 2004/11/20
More Info
When it comes to head injuries, especially those sustained in a workplace accident, it's crucial to be vigilant about potential complications, even if the initial injury seems minor. Your father's situation, where he hit his head on a metal plate and experienced bleeding, warrants careful observation and consideration of several key signs and symptoms that could indicate a more serious issue.
First and foremost, it's important to monitor for any changes in consciousness. Although your father did not experience confusion or loss of consciousness at the time of the injury, symptoms can sometimes develop later. If he begins to feel dizzy, disoriented, or has difficulty staying awake, these could be signs of a concussion or more severe brain injury.
Next, watch for physical symptoms such as persistent or worsening headache, nausea, vomiting, or any unusual behavior. These symptoms can indicate increased intracranial pressure or bleeding within the skull, which may require immediate medical attention. Additionally, if your father experiences any weakness or numbness in his limbs, difficulty speaking, or problems with coordination, these are red flags that should not be ignored.
Another critical aspect to consider is the presence of any visible signs of trauma. While the bleeding has stopped, you should check for swelling, bruising, or any deformity around the injury site. If there is significant swelling or if the area feels unusually hard, this could suggest a fracture or hematoma that needs to be evaluated by a healthcare professional.
In terms of timing, symptoms of a serious head injury can sometimes take hours or even days to manifest. Therefore, it's advisable to keep a close watch on your father's condition for at least 24 to 48 hours following the injury. If any concerning symptoms arise during this observation period, seeking medical attention promptly is essential.
Even if your father feels fine now, it is generally recommended that anyone who has sustained a head injury, particularly one that involved bleeding, should be evaluated by a healthcare provider. A medical professional can perform a thorough examination, possibly including imaging studies like a CT scan, to rule out any internal injuries that may not be immediately apparent.
In conclusion, while your father may feel okay at the moment, the nature of head injuries necessitates caution. Encourage him to seek medical evaluation, especially given that he experienced bleeding. It's better to err on the side of caution when it comes to head injuries, as timely intervention can be crucial in preventing complications. If he refuses to go to the hospital, ensure that he is closely monitored for any of the aforementioned symptoms and be prepared to seek help if his condition changes.
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