A head injury can happen anytime — from a fall, road accident, or sports trauma. While some may appear minor at first, even a small impact can lead to serious internal brain injury if not handled properly.
The first 24 hours after a head injury are critical for diagnosis and treatment. Acting quickly can save a life and prevent long-term neurological damage.
At Neurospineone, Bhubaneswar, Dr. Atmaranjan Dash, an AIIMS-trained neurosurgeon, provides expert care for all types of brain and spine injuries.
Understanding Head Injuries
Head injuries range from mild concussions to severe brain trauma. Depending on the impact, they may cause:
Concussion: Temporary brain function disturbance.
Contusion: Bruising or bleeding within the brain.
Skull Fracture: Crack or break in the skull bone.
Intracranial Hemorrhage: Life-threatening bleeding inside the skull.
Even if symptoms seem mild, never ignore a head injury — internal bleeding can develop slowly and silently.
What to Do Immediately After a Head Injury
Step 1: Ensure Safety First
Move the injured person away from danger (e.g., traffic or debris). Keep them still and calm.
Step 2: Check Responsiveness
Ask simple questions like “What is your name?” or “Where are you?”
If there’s confusion, drowsiness, or no response — it’s a medical emergency.
Step 3: Observe for Warning Signs
Seek immediate medical help if any of the following appear:
Persistent or worsening headache
Vomiting (especially repeated)
Dizziness or loss of balance
Seizures or twitching
Clear fluid or blood coming from nose or ears
Unequal pupil size or blurred vision
Slurred speech or confusion
Weakness or numbness in limbs
Step 4: Control External Bleeding
Apply gentle pressure with a clean cloth or sterile gauze.
Do not press hard if you suspect a skull fracture (depression, crack, or swelling).
Step 5: Avoid Common Mistakes
🚫 Do not shake or move the person unnecessarily.
🚫 Do not give food, drink, or medicine without medical advice.
🚫 Do not assume a person is fine because they are conscious — internal injuries may develop later.
The First 24 Hours — Critical Monitoring
If the patient is stable, observation is crucial for 24 hours:
Keep them awake for brief intervals and check orientation.
Note any vomiting, confusion, or drowsiness.
Let them rest in a comfortable position, preferably with the head slightly elevated.
A family member should stay with the patient to monitor for changes.
If symptoms worsen at any time, go to the nearest emergency hospital immediately.
Medical Evaluation and Treatment
At Neurospineone, Bhubaneswar, head injury patients undergo:
CT or MRI Scans to detect internal bleeding or fractures.
Neurological Assessment to evaluate brain function.
Emergency Surgery if there is a blood clot (hematoma) or skull fracture.
Observation in Neuro ICU for critical cases.
Dr. Atmaranjan Dash and his team follow AIIMS-level neurosurgical protocols to ensure accurate diagnosis and timely intervention.
Recovery and Follow-up Care
Avoid strenuous physical activity for at least 1–2 weeks.
Get adequate sleep and hydration.
Follow your doctor’s schedule for follow-up scans and evaluations.
Report any delayed symptoms such as mood swings, memory problems, or dizziness.
Contact Information
Dr. Atmaranjan Dash – MCh Neurosurgery (AIIMS New Delhi)
Clinic: Neurospineone, Near SBI ATM, Acharya Vihar, Bhubaneswar, Odisha
Phone: +91 94399 71946
Email: atmanranjan@gmail.com