Once the child has been evaluated, or determined to have sustained only a mild head injury, the following steps should be followed:

1. If sleepy immediately after the head injury, allow the child to rest or sleep. Sleepiness is common due to exhaustion from the pain and agitation of the accident. Wake the child in one hour to access his alertness.

2. Give only clear fluids (no solid foods) until the child has gone six hours without vomiting.

3. Don’t give the child any medication that may cause drowsiness, such as antihistamines. Acetaminophen (Tempra, Tylenol) or ibuprofen (Advil, Motrin) are acceptable for pain relief.

4. Observe the child closely for 48 hours. Awaken him three times during the night: once at your bedtime, at 1:00 a.m. and at 4:00 a.m. More frequent checks may be necessary if advised. Arouse him until he is walking and talking normally.

5. Call back if:
• The headache worsens.
• The child has any vomiting two hours after the accident.
• The child is difficult to arouse, acts confused or is unable to walk.
• If there are any unusual symptoms, such as neck stiffness, vision problems, speech difficulty or fluid drainage from the ear or nose.