What are the symptoms of delayed concussion?

what are the symptoms of delayed concussion?

Concussions can be dangerous. But they are especially dangerous for young children as they may not be able to express how they are feeling. A concussion is a brain injury that occurs when a blow to the head or body causes the brain to move in its surrounding fluid. The brain can twist or knock against the skull, temporarily affecting how the child thinks and acts.

It is extremely important therefore to keep a close eye on children if they have had a bump or knock to the head for some time afterwards.

Signs of a concussion in babies

In young babies signs of a concussion can include:

  • Crying if you move the baby’s head
  • Vomiting
  • Irritability
  • Bruise or bump on the head
  • Confusion
  • Drainage, clear or bloody from their nose, mouth or ears

Signs of concussion in Toddlers

Toddlers may be able to indicate if their head is hurting and be more vocal about their symptoms:

  • Headache
  • Sleepiness
  • Nausea or vomiting
  • Sensitivity to noise or light
  • Sleeping more or less

Signs of concussion in children aged 2+

You may see more of a behavioural change in your child such as:

  • Feeling dizzy or having problems with balance.
  • Slow to answer questions
  • Trouble concentrating
  • Change in sleep patterns
  • Trouble remembering

When should you see a doctor?

You should go and see a Doctor if you notice that your child is acting slightly differently, concussion can appear after 72 hours of the initial accident.

Ask yourself

“Is my child acting normally?”

“Are they more drowsy than normal?”

“Is there a change in their behaviour?”

If your child is awake, active and in no signs of pain then they are mostly likely going to be fine but of course it is always good to go and get the bump checked out. If your child is showing signs of concussion especially if they are vomiting, has lost consciousness for more than 2 minutes, struggling to wake up or having a seizure then medical attention is required straight away.

Allow your child to take a nap if they want too, it is a good way for the brain to heal just be careful on how you are waking them up.

Treatment for concussion

The best way to treat concussion is to rest. The brain needs a lot of rest to heal from a concussion, and full recovery can take months up to a year, depending on how bad the concussion was. The brain needs rest from both physical and mental activities. Do not allow your child to use screens of any kind as these can overstimulate and excite the brain.

Sleeping is the best way to recover from a concussion, so encourage quiet times, nap times and early bedtimes.

If you child shows any signs or grogginess, confusion or mood swings get a follow up appointment with the Doctor. If you would like to find out more we do a Peadiatric first aid course click here for more information https://www.themidlandstrainingcompany.co.uk/product/qa-level-3-award-paediatric-first-aid-qcf/


How many first aiders do I need in my workplace?

A question we’re often asked is ‘How many first aider do I need in my workplace?’

Obviously it is a very important thing to get right and, though the hope is that first aiders are never required, it is essential that you have the right amount trained correctly to take action if anything did occur.

The law surrounding first aid requirements can be a bit vague stating that ’employers must make sure there are adequate and appropriate first aid equipment, facilities, and number of qualified first aiders in the workplace.’

Knowing what qualifies as ‘adequate and appropriate’ is where can be a little vague to know whether you are legally compliant with your first aid policy.

So, how many first aiders do I need in my workplace?

There is no right or wrong answer to the number of first aiders that you need at work in terms of the law.

The HSE recommends that if you work in a company with 5 -50 workers, there should be at least one person trained in first aid with another first-aider should be in place for every 50 workers after that.

On our website you will find our handy calculator which will help you to quickly and easily establish the answer to this question and give you peace of mind that, not only are your employees safe, but also that your company is legally compliant.

Our easy to use First Aid Requirements Calculator has 3 simple steps that should only take a few minutes to complete. It will then use the latest HSE guidance to provide you with a full breakdown of how many first aiders you need and what type of training they require.

Just click HERE and it will take you through the simple procedure.

If you have any questions about first aid requirements or courses feel free to call our friendly and helpful staff on 02476 714873 or email enquiries@themidlandstrainingcompany.co.uk

Managing an unresponsive adult casualty

Whether you are the trained first aider or not would you know what to do if you came across an injured casualty? It can take 8 minutes for an ambulance to arrive on the scene. If you have never had any training before but do find yourself in this situation we recommend you follow the NHS guidelines.

First step is always to call 999 to alert the emergency services and request an ambulance. You then must follow the following three priorities which are commonly referred to as ABC

  • Airway
  • Breathing
  • Circulation

If a casualty is unresponsive keep asking if they are okay and if they can open their eyes. IF they respond to you then you should leave them in the position they are in and await support. During this time continue to check breathing, pulse and responses.


IF they do NOT respond, with the casualty in the position they are in try and open their airway. If this is not possible gently move them on to their back and open their airway by placing one hand on the casualty’s forehead and gently tilting their head back, lifting the tip of the chin using two fingers. If you think the person may have a spinal injury, then you should place your hands on either side of their head and use fingertips to gently lift the angle of the jaw forward and upwards, without moving the head, to open the airway.Be careful NOT to move the casualty’s neck. Remember however, that opening the airway takes priority over a neck injury. This is known as the jaw thrust technique.


To understand if the casualty is breathing look to see if their chest is rising and falling. Listen over mouth and nose for any breathing sounds and place cheek over mouth and nose to feel if their is any breath on your cheek for 10 seconds. If they are breathing normally place into recovery position and await support. Continue to monitor their breathing.  If the casualty isn’t breathing call 999 and, if you can, begin CPR.


If the casualty isn’t breathing normally, then you MUST start chest compressions immediately. Agonal breathing is common in the first few minutes after a sudden cardiac arrest (when the heart stops beating). Agonal breathing is sudden, irregular gasps of breath. This shouldn’t be mistaken for normal breathing and CPR should be given straight away.

This information has been supplied by the NHS and is covered as part of our Emergency First Aid at Work course.


Childhood Illnesses – When to call a doctor

During the early years of a childs life children will pick up LOTS of different bugs. Colds, snuffles, high temperatures, sickness bugs, chicken pox and more.

They also have to go through childhood rites of passage like teething, various immunisations, nappy rashes etc. Add in ear infections, coughs, viral infections (which often come with their own rashes) and it can be quite a miserable time for the little people in your life.

But when should you be worried? When do you need to pick up the phone to your doctor, or take a trip to the walk-in centre? And when is calpol and cuddles enough?

It is important to understand the difference between a cough and cold and serious high temperature. There are simple things you can do to manage your child’s illness.

  1. Make sure you keep watch on your child for any changes. Children can go downhill quite quickly so it’s important to stay with them and keep an eye on them.
  2. If they have a temperature try to keep them cool and hydrated and ensure their temperature doesn’t go too high. You can administer liquid suspension paracetamol and ibuprofen alternately (ALWAYS check dosage instructions) to keep temperatures down.
  3. Try and keep them hydrated (especially if they have a stomach bug) with water.
  4. Keep an eye out for any rashes and changes in childs cry or behaviour.

So, when should you ask for help?

  1. If a temperature goes too high and you are struggling to keep it down. Equally if your child is unusually cold
  2. If a child is overly lethargic or becoming unresponsive.
  3. If the child is dehydrated (not going to the toilet, no wet nappies etc)
  4. If the child has a rash, mottled skin and especially if the rash does not go away when you roll a glass over it.
  5. If the child is struggling to breathe.

If any of the above happens you should contact 999 immediately.

If you are simply unsure at any point you can also call your GP or 111 for advice. NEVER think you are wasting a doctors time. They will always take the time to see and treat a small child and it’s better to be safe than sorry.