طفل عمره ١٢ سنة اصطدم رأسه بلاعب آخر في كرة القدم، فقد الوعي ثواني، ثم صحا بصداع خفيف. الفحص العصبي طبيعي، ولا يحتاج أشعة حسب التقييم، ويُخرَّج للبيت مع أهله. أي علامة يجب أن ترجع العائلة بسببها فوراً؟

A 12-year-old clashed heads with another player at football, lost consciousness for seconds, then woke with a mild headache. Neurological exam is normal, imaging is not indicated, and he is discharged home with his family. Which sign should make the family return immediately?

1. Repeated vomiting or drowsiness that is hard to wake from
2. Tiredness and wanting to sleep early
3. Slight difficulty concentrating on homework
4. A mild headache that improves with paracetamol

Answer: A) Repeated vomiting or drowsiness that is hard to wake from. Red flags after head injury: repeated vomiting, hard-to-rouse drowsiness, confusion, worsening headache, seizures, limb weakness or unequal pupils. Rest is followed by a graded return to sport.