Head injury is any trauma to the scalp, skull or brain resulting from direct or indirect force to the head, face or neck or from anywhere else in the body where force is transmitted through the head. Management of a head injury depends on its severity. You must consider how the injury was sustained when assessing and managing a head injury; any loss of consciousness is an important factor. Refer to the next page for characteristics of head injury. If a boy is removed due to a head trauma and shows symptoms of head injury, they must not return to play/activity, even if the symptoms resolve quickly – “If in doubt, sit them out“.
- Call the Health Centre, 9442 1700/0412 744 192 and have the student escorted to the Health Centre for assessment.
Off campus (e.g. excursion, off-campus sport training, Friday or Saturday sport, or any other school sporting fixture)
The team coach/manager, excursion organiser/staff member must:
- as soon as practicable refer the injured student to the nearest first aid post or medical facility for assessment. If in doubt, call an ambulance 000. Complete incident report for head injury.
- report directly (in person or by phone) to the most appropriate person responsible for the care of the student i.e. the parent/s, the Health Centre staff or for Boarders, the Year Group Co-ordinator or the Director of Residential Community. If this is a sport related injury inform the Director of Sport.
- handover must be to another adult who has a duty of care for the student i.e. the parent/s of the student, the Health Centre staff, Year Group Co-ordinator or the Director of Residential Community (Boarders) with a verbal explanation of the the injury accompanied by any written documentation. Confirmation that the student will be monitored for any changes to his condition is essential.
- recommend at handover to the responsible adult that they organise for the student to see a medical practitioner for a concussion assessment. The medical report must be provided to the Head of House/Director of Sport.
- if a concussion is diagnosed the student must be managed as per the Management of Concussion Injuries Guidelines.
A stage 4 medical clearance is required to return to full contact training/sport. This clearance should be provided by the same medical practitioner who determined the original diagnosis of concussion.
Characteristics of a Head Injury
Most head injuries are not serious but occasionally they can be and may result in damage to the brain. It is recommended that you seek medical attention immediately if any of the following develop as a result of trauma to the head.
- Continuing headache despite taking regular pain relief or a headache that is increasing in severity
- Vomiting – more than once
- Bleeding or watery discharge from the ear or nose
- Numbness, weakness or tingling in face arm or leg
- Confusion, drowsiness, irritability, crying or distress
- Anything that resembles a fit or seizure
- Uneven pupil size and/or blurred vision
- Becomes unconscious
- Slurred speech or difficulty swallowing
- New deafness in one or both ears
- Difficulty walking or clumsiness
- Unusual breathing patterns
- You are concerned for any other reason