Head injury
                  Alternative names:
                   brain injury; concussion - first aid; injury to the head 
                   Definition:
                   Trauma to the head (See also concussion). 
                   Considerations:
                   The signs and symptoms of a head injury may occur immediately 
                    or develop slowly over several hours. 
                     
                    Most head injuries are minor. The skull provides the brain 
                    with considerable protection form injury. Most head injuries 
                    are mild, but head injury may be a serious problem when it 
                    occurs. Accidents are the leading cause of death or disability 
                    of men under age 35, and over 70% of accidents involve head 
                    injuries and/or spinal cord injuries. Common causes of head 
                    injury include traffic accidents, industrial/occupational 
                    accidents, falls, physical assault, and accidents in the home. 
                     
                    If a child begins to play or run immediately after getting 
                    a bump on the head, serious injury is unlikely. However, the 
                    child should still be closely watched for the next day, since 
                    sometimes symptoms of a head injury are delayed. 
                     
                    When encountering a victim of a head injury, try to find out 
                    what happened. If the victim cannot tell you, look for clues 
                    and ask witnesses. 
                     
                    Even if the skull is not fractured, the brain can bang against 
                    the inside of the skull and be damaged. If there is bleeding 
                    inside the skull, complications may follow. 
                   Causes:
                   Injury or trauma to the head can result in 
                   
                    -  concussion--the head sustains a hard blow
 
                    -  intracranial hematoma--blood vessel ruptures between 
                      the skull and the brain (see subdural 
                      hematoma)
 
                    -  skull fracture
 
                   
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