طفل عمره ٧ سنوات عنده هيموفيليا A، سقط على رأسه من الدراجة قبل ساعة، الآن واعٍ ويلعب ويقول إنه بخير، وعنده كدمة صغيرة فوق الأذن. العلامات الحيوية طبيعية. ما الإجراء الصحيح؟

A 7-year-old with haemophilia A fell off his bike onto his head an hour ago. He is alert, playing and says he is fine, with a small bruise above the ear. Vitals are normal. What is correct?

1. Observe at home because he is fine
2. Ice pack on the bruise only
3. Imaging in two days if headache develops
4. Give factor VIII now and assess the head urgently

Answer: D) Give factor VIII now and assess the head urgently. Head injury in haemophilia needs factor immediately, before imaging, because intracranial bleeding can present late.