Head Injury After Motorcycle Accident: What to Do Next?

Head injury from a car accident?

I'm not sure which specialty to consult.
I was hit by a motorcycle and fell to the ground, impacting the right side of my head.
I was wearing a helmet and a mask, so I have no external injuries.
At the time, I experienced dizziness, pain, and a sensation of nasal bleeding (though there was no actual bleeding).
After returning home, I slept, but my vision feels a bit strange, and I have some discomfort in the upper part of my head, along with pain in my right chest.
What should I do? What is the severity of my injuries? Do I need to return for treatment? Should I consider rehabilitation or see a traditional Chinese medicine practitioner? I need to be discharged, and I was prescribed anti-inflammatory and pain relief medication to take home, but I haven't taken it! What further examinations are necessary to confirm that everything is okay? I have a history of rheumatoid arthritis, and I have some bruises on several joints from the impact, which are quite painful.
I had an X-ray taken.
After the accident, I went to the emergency room; should I see a rheumatologist? The emergency room didn't provide any specific treatment (they did administer a tetanus shot), correct? Is there no comprehensive care for accident victims in the country?

Hua Hua, 40~49 year old female. Ask Date: 2011/11/13

Dr. Gao Qingyun reply Family Medicine

Dear Hua Hua,
1.
Regarding the various symptoms you are experiencing after your injury (vision changes, headache, chest pain), it is recommended that you return to the surgical outpatient clinic for a comprehensive evaluation.
2.
Clinically, patients with rheumatoid arthritis are indeed more likely to experience cervical dislocation, so careful assessment of the cervical spine is also necessary.
3.
The management of general trauma should be based on a comprehensive evaluation of the patient's condition, followed by individualized treatment according to specific circumstances; there is no standardized protocol for such cases.
Wishing you safety and health.
Dr.
Kao Ching-Yun
Department of Family Medicine
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2011/11/13

More Info

After experiencing a head injury from a motorcycle accident, it is crucial to understand the potential implications and necessary steps for recovery. Given the details of your situation, including the impact to the right side of your head, the presence of symptoms such as pain, nasal bleeding, and altered vision, it is essential to approach your recovery with caution.

Immediate Concerns and Symptoms
1. Head Injury Symptoms: Following a head injury, symptoms can vary widely. Common symptoms include headaches, dizziness, confusion, and changes in vision. The fact that you experienced nasal bleeding and altered vision raises concerns about possible intracranial injury, even if there are no visible external wounds.
2. Potential Risks: Although you were wearing a helmet and did not sustain visible injuries, the risk of a concussion or more severe brain injury cannot be ruled out. Symptoms like persistent headaches, confusion, or changes in consciousness warrant immediate medical attention.
3. Chest Pain: The right chest pain you mentioned could be related to the fall or impact. It’s important to monitor this symptom closely, as it could indicate a rib injury or other complications.

Recommended Actions
1. Seek Medical Evaluation: Given your symptoms, it is advisable to follow up with a healthcare provider, preferably a neurologist or an emergency medicine physician. They can conduct a thorough evaluation, which may include imaging studies such as a CT scan to rule out any serious brain injuries or bleeding.

2. Monitor Symptoms: Keep a close eye on your symptoms. If you experience worsening headaches, confusion, difficulty waking up, or any new symptoms, seek immediate medical attention.

3. Medication Management: You mentioned being prescribed anti-inflammatory and pain relief medications. It is important to take these as directed unless contraindicated due to your rheumatoid arthritis (RA) medications. Managing pain effectively can help with your overall recovery.

4. Rest and Recovery: Rest is crucial after a head injury. Avoid strenuous activities, including sports or heavy lifting, until cleared by a healthcare professional. Gradually reintroduce activities as tolerated.

5. Follow-Up Care: Since you have a history of rheumatoid arthritis, it is also important to follow up with your rheumatologist. They can assess any exacerbation of your arthritis symptoms due to the accident and adjust your treatment plan accordingly.

6. Consider Rehabilitation: If you experience persistent symptoms such as headaches or dizziness, physical therapy or rehabilitation may be beneficial. This can help improve balance and coordination, which may be affected after a head injury.

Nutrition and Self-Care
1. Dietary Considerations: Eating a balanced diet rich in antioxidants (fruits and vegetables), omega-3 fatty acids (found in fish), and adequate hydration can support brain health and recovery. Foods high in magnesium, such as nuts and leafy greens, may also be beneficial.

2. Avoid Alcohol and Drugs: It is advisable to avoid alcohol and recreational drugs during your recovery, as they can exacerbate symptoms and interfere with healing.

3. Sleep Hygiene: Ensure you are getting adequate sleep, as rest is essential for recovery from any injury, particularly head injuries.

Conclusion
In summary, after a head injury from a motorcycle accident, it is vital to monitor your symptoms closely and seek appropriate medical care. Follow up with specialists as needed, manage your pain with prescribed medications, and prioritize rest and nutrition to support your recovery. Given your history of rheumatoid arthritis, maintaining communication with your rheumatologist is also essential to manage any related concerns. Always err on the side of caution and seek medical attention if you have any doubts about your condition.

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