Head Injuries: What to Do After a Fall - Surgery

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When someone experiences a head injury, especially from a fall, it is crucial to monitor their symptoms closely. Your friend's situation, where she fell and hit the back of her head, raises several important considerations regarding potential injuries and the appropriate steps to take afterward.

Firstly, it is essential to understand that head injuries can range from mild to severe. The symptoms you mentioned—swelling at the impact site, headaches, nausea, and dizziness—are common indicators of a concussion or other forms of traumatic brain injury (TBI). Even if your friend is conscious and her awareness seems intact, she may still be experiencing a concussion, which can manifest with various symptoms, including confusion, headache, dizziness, and fatigue.

The swelling you observed is likely a result of soft tissue injury, which can occur when the head strikes a hard surface. This swelling, known as a hematoma, can sometimes be accompanied by bruising. While some swelling is normal, it is essential to keep an eye on it, as significant swelling or changes in the size of the bump can indicate a more serious injury.

In terms of what to do next, here are some recommendations:
1. Monitor Symptoms: Keep a close watch on her symptoms over the next 24 to 48 hours. Look for any changes in her condition, such as increased headache severity, persistent vomiting, confusion, difficulty waking up, or any signs of seizures. If any of these symptoms occur, seek medical attention immediately.

2. Rest: Encourage her to rest both physically and mentally. This means avoiding strenuous activities, sports, and even excessive screen time, as these can exacerbate symptoms.

3. Hydration and Nutrition: Ensure she stays hydrated and eats light, nutritious meals. Sometimes, nausea can be alleviated with small, bland snacks.

4. Pain Management: If she experiences headaches, over-the-counter pain relief such as acetaminophen (Tylenol) can be used, but avoid NSAIDs like ibuprofen or aspirin initially, as they can increase the risk of bleeding if there is an underlying injury.

5. Follow-Up: If symptoms persist or worsen, it is crucial to seek medical evaluation. A healthcare professional may perform a neurological examination and possibly imaging studies (like a CT scan) to rule out any serious injuries such as intracranial bleeding.

6. Avoid Alcohol and Sedatives: These substances can mask symptoms and may complicate recovery.

7. Gradual Return to Activities: Once she starts feeling better, she should gradually return to her normal activities, but only after consulting with a healthcare provider.

In conclusion, while your friend may not exhibit severe symptoms at the moment, it is vital to remain vigilant. Head injuries can have delayed effects, and early intervention can be crucial in preventing complications. If there is any doubt about her condition, it is always better to err on the side of caution and seek medical advice.