Head Injury Symptoms & Advice – First Aid Training – St John Ambulance

If you think someone has had a head injury,
there six key things you may find. They may have become unresponsive even for a
short time. There may be a scalp wound. They may complain of dizziness or
nausea. They may have memory loss of events at
the time of the injury or before the injury occurred. They may complain of a headache. They may be confused. If you’re worried about someone who has had a head injury, you should get medical advice. With someone who has had a severe
head injury, you may find that they have had a severe blow to the head, unresponsiveness or a deteriorating level of response, leakage of blood or watery fluid from the ear or nose, unequal pupil size. If the casualty has any of the
signs of a severe head injury, seek emergency medical help. To treat someone with a minor head injury, sit them down and give them something cold to hold
against the injury like an ice back or frozen vegetables wrapped in a cloth. Assess their level of
response using the AVPU scale. Ask yourself:
A – is the casualty alert? Are their eyes open? Do they respond appropriately to
commands? V – does the casualty respond to your voice? Can she answer simple
questions? P – does the casualty only respond to pain? If you pinch their ear lobe, do
they open their eyes? U – are they unresponsive to any of the above? If they can respond
normally, the head injury is probably minor. Keep monitoring the level of
response, breathing and watch for any changes. Treat any scalp wounds like a
bleed, by applying direct pressure to the wound. When the casualty has recovered, ask a
responsible person to monitor and look after them. If a casualty has sustained
an injury to the head while playing sports do not allow them to return to the sport until
they have been fully assessed by a medical practitioner. Advise to seek medical advice if: the
condition gets worse, they are over 65, they have had previous brain surgery, they’re taking
anti-clotting medication, they have been drinking or taking drugs, or if there is no responsible person to look after them. If you check their level of response and
they’re not alert, and so you think that they’ve had a severe head injury, call
999 or 112 for emergency help and tell them that you suspect a head injury. If you can, use a speakerphone so you can continue to treat the casually while
making the call for help. If they are responsive but breathing normally following
head injury, open the airway in the position that they were found just in
case they have sustained a spinal injury as well. This is to reduce further
movements to the neck. Call 999 or 112 for emergency help. Continue to monitor
their levels of response while waiting for help to arrive. If you think someone with a minor head
injury is getting worse, they may show these signs: increased drowsiness,
persistent headache, confusion, dizziness, difficulty walking, difficulty speaking,
vomiting, double vision, seizures. If you’re concerned, call 999 or 112 for
emergency help and monitor their level of response. So remember: when treating minor head
injury, sit them down, treat any scalp wounds, and check their level of response. If they have a severe head injury, call 999 or 112 for emergency help. And that’s how we treat someone with a head injury. If this video has been helpful to you, help
support St John Ambulance by going to sja.org.uk/donate


  1. In the United States dial 911….
    And Thank You for this helpful video. I would like to add that if someone with (Arnold) Chiari Malformation gets a whiplash injury they should go to the Emergency Room because any swelling in the brain stem area is life threatening for Chiari patients!

  2. Few first

    Not reacting to sequence scene situation
    But what you can do to me

    int time

  3. please help me mere dad ka pair phisal gaya aur vo peeche we gir gaye unhe head me laga hai khoon nahi nikal raha hai but unhe bahot dard ho raha hai please help me kya karu

  4. quick question im a kid im 9
    were at the pool i slipped and hit my head but i was able to walk and after sometime i watched some youtube cause im bored only thing i feel is the part where my head was hit

    also the part of my head that has been hit hurts when you touch it
    but completly fine
    any thing i have to do?

  5. I got hit on head by book for about 10 times
    Now i am feeling dizziness and headache
    Bot not memory loss etc …..
    Is it a head injury ?

  6. I hit the back of my head on an iron bridge when I was in a rowing boat. It swelled very quickly and I didn't get to put ice on it for a while later. I don't have access to any medical help at the moment. Although I am able to remember it and I can still talk normally. It hurts where I hit it. Should I be concerned about the swelling?

  7. Starting to feel sorry for that girl. On the other video, she was unconscious and being put into the recovery position. Now she has a head injury.

    But joking aside, a well presented video.

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