Concussion in Children: Special Considerations in the ER

Concussion in Children: Special Considerations in the ER

Apr 01, 2024

Concussions in children require urgent care and ongoing monitoring. As an emergency physician in Harker Heights, TX, I often see young patients come into Express ER Harker Heights with head injuries. While concussions may seem minor, they can lead to serious complications when not properly assessed and treated. This article provides an overview of concussion causes, symptoms, emergency room evaluation, and post-concussion care recommendations for children. Recognizing the signs early and seeking prompt medical attention can prevent dangerous outcomes.

What is a Concussion?

A concussion can be described as a form of traumatic brain injury resulting from a forceful impact to the head, either through a direct blow, bump, or jolt or from a hit to the body that causes the head and brain to undergo rapid and sudden movements. This abrupt motion can lead to the brain bouncing or twisting within the skull, inducing chemical alterations in the brain and occasionally causing stretching and harm to brain cells. Despite its invisibility, the seriousness of a concussion cannot be overstated; it’s a condition that requires immediate attention.

Common Causes of Concussions in Children

Children are adventurous by nature, making them susceptible to injuries that could lead to concussions. Some common causes include:

  • Falls from heights, like from beds or stairs
  • Sports injuries, specifically in contact sports like football or soccer
  • Accidents at home or playground mishaps
  • Bicycle or car accidents

Awareness of these everyday risks is crucial for prevention and readiness to act when necessary.

Recognizing Concussion Symptoms

Recognizing the signs of a concussion is the first step toward ensuring the safety and health of a child. Symptoms can vary widely but often include:

  • Confusion or feeling dazed
  • Clumsiness or balance problems
  • Headache or a feeling of pressure in the head
  • Nausea or vomiting
  • Dizziness
  • Sensitivity to light or noise
  • Sluggishness or drowsiness
  • Changes in mood, behavior, or personality

If you notice any of these symptoms following an injury, seek immediate medical attention. For those in Harker Heights, TX, searching for an “emergency room near me” will provide options for prompt evaluation and care.

Immediate Actions to Take

If you suspect your child has a concussion:

  1. Seek Medical Attention: Visit your nearest emergency room or healthcare provider for an assessment.
  2. Monitor Symptoms: Keep a close eye on your child for any new or worsening symptoms.
  3. Rest: Ensure the child rests, avoiding physical and cognitive activities that could exacerbate symptoms.

Misconceptions About Concussions

A common misconception is the need to keep a child awake after a head injury. While it’s important to monitor symptoms, medical professionals now advise allowing the child to sleep, as rest is crucial for recovery.

Common Causes

Children are adventurous and energetic, which unfortunately puts them at a higher risk of sustaining concussions. Common causes include:

  • Falls from bikes, beds, or during playground activities.
  • Sports injuries, especially related to contact sports like football or soccer.
  • Accidents at home or while playing.

Understanding these risks can help parents and caregivers take preventive measures to protect their children.

Recognizing Concussion Symptoms

Early recognition of concussion symptoms is crucial. Look out for:

  • Confusion or feeling dazed Clumsiness or balance problems
  • Loss of consciousness (even briefly)
  • Headaches
  • Nausea or vomiting
  • Dizziness
  • Sensitivity to light or noise

Immediate Actions

If you suspect your child has a concussion:

  1. Seek Immediate Medical Attention
  2. Monitor Symptoms
  3. Avoid Common Misconceptions

Special Considerations in the ER and Post-Concussion Care

Assessment in the ER

Upon arriving at the emergency room, the medical team will carry out a thorough assessment to determine the severity of the concussion. This includes:

  • Observation: Monitoring for any immediate changes in behavior or physical state.
  • Physical Examination: Checking for signs of trauma and assessing neurological function.
  • Imaging Tests: CT scans or MRIs might be recommended to rule out more serious injuries.

Post-Concussion Care

After the initial ER visit, the focus shifts to supporting the child’s recovery at home and preventing further injury. Key considerations include:

  • Home Care: Ensuring a quiet, comfortable environment for the child to rest.
  • Symptom Management: Following the doctor’s advice on handling headaches, sleep disturbances, or other concussion symptoms.
  • Gradual Return to Activities: Slowly reintegrating into school and play, avoiding activities that might risk another concussion.
  • Follow-Up Visits: Consult with specialists to monitor recovery and address any lingering effects.


Concussions in children must be taken seriously to protect their health and safety. If you suspect your child has suffered a concussion, trust the team to provide compassionate, specialized care. We have years of experience handling pediatric head injuries and will conduct a thorough assessment and create a special treatment plan tailored to your child’s needs. Don’t hesitate to visit or call Express ER Harker Heights if you notice any concussion symptoms arise following an injury. We’re here 24/7 to provide emergency care and support your child’s recovery every step of the way.

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