A member asked:

4 yr old fell back onto concrete; hit head, but was somewhat braced by arm. showing no signs of concussion, & is running around. take to dr?

11 doctors weighed in across 3 answers
Dr. Allison Greco answered

Specializes in General Practice

Yes!: An epidural hematoma is caused by a blow to the head, in the temple area. These involve bleeding that is initially confined between membranes within the skull cavity, so a person may appear totally normal at first. Undiagnosed and untreated, pressure builds, can be rapidly fatal. (natasha richardson ring a bell?) bleed around brain (subdural hematoma) can cause delayed mental status changes. C md.

Answered 3/28/2013

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Dr. Robert Cabry answered

Specializes in Sports Medicine

Observe: Its ok to just observe, if the child looks tired or confused or if there is vomiting, go to the er.

Answered 8/20/2013

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Dr. James Ferguson answered

Specializes in Pediatrics

Depends: By definition a backward fall has limited momentum & bracing negates some of the impact. If into a corner or edge with a visable defect, a period of loss of consciousness, dizziness or disorientation or recurrent vomiting, i'd go see the dr. If kid cried immediately, rubbed head & resumed play at similar intensity, i'd monitor.

Answered 3/18/2012

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