“If you’re in doubt, seek out care in an emergency department.”
Thankfully, the vast majority of traumatic brain injuries (TBIs) are mild, commonly referred to as concussions. Recovery for mild concussions are fairly simple: Take it easy, and slowly integrate yourself back into your normal life.
But not all TBIs are mild. “A reasonable question to ask is, ‘When should I be really concerned about a concussion?’” says Steven Flanagan, MD, chair of the Department of Rehabilitation Medicine at NYU Langone Health. While some TBIs are mild, others may be severe, and if untreated, could cause complications, permanent damage, or even death. Learn more about the different types of traumatic brain injuries here.
No matter the severity of a TBI, you should always reach out to a healthcare provider, even if it’s just calling your primary care physician to get their recommendations for next steps. However, if the injury is severe, it may be more appropriate to go straight to the emergency room.
“If you’re in doubt, seek out care in an emergency department. When in doubt, seek out help,” says Dr. Flanagan.
Warning Signs of a Severe TBI
Along with the typical symptoms of a concussion, there are some additional symptoms that are a sure sign you should seek emergency medical attention. Here are the danger signs of a severe TBI you should look for:
Loss of consciousness, especially for a prolonged period of time
A headache that won’t go away or gets worse
Difficulty waking up
These could indicate potential complications of a traumatic brain injury, such as hemorrhaging (bleeding), skull fracture, or brain contusions (bruises). The emergency department can detect these problems using a CT scan, and can treat you immediately. The sooner you get treatment for a severe TBI, the better your prognosis will be.
“Just go off to the emergency department. Get them assessed,” says Dr. Flanagan. “If there is something wrong, it’s [going to] be taken care of right away, and if there’s not, it helps to bring down the anxiety.”
Dr. Flanagan is the chair of the Department of Rehabilitation Medicine at NYU Langone Health. He specializes in brain injury rehabilitation.
00:00:00.400 --> 00:00:01.866
(emotional piano music)
00:00:01.867 --> 00:00:04.299
A reasonable question to ask is, 'When should
00:00:04.300 --> 00:00:07.532
I be really concerned about a concussion?'
00:00:07.533 --> 00:00:09.766
So first off, never be afraid to reach out
00:00:09.767 --> 00:00:13.166
to your medical provider, and if you're in doubt,
00:00:13.167 --> 00:00:15.499
seek out care in an emergency department.
00:00:15.500 --> 00:00:18.366
When in doubt, seek out help.
00:00:18.367 --> 00:00:21.866
(emotional piano music)
00:00:21.867 --> 00:00:23.599
There are some signs or symptoms that are
00:00:23.600 --> 00:00:26.099
certainly more worrisome: loss of consciousness
00:00:26.100 --> 00:00:28.332
for a prolonged period at a time,
00:00:28.333 --> 00:00:30.266
headache that's getting worse,
00:00:30.267 --> 00:00:32.099
if you've had a seizure,
00:00:32.100 --> 00:00:34.899
if you have difficulty waking up,
00:00:34.900 --> 00:00:37.566
if there's vomiting, those are signs
00:00:37.567 --> 00:00:39.532
that potentially are worrisome.
00:00:39.533 --> 00:00:41.666
Just go off to the emergency department.
00:00:41.667 --> 00:00:43.099
Get them assessed.
00:00:43.100 --> 00:00:44.699
If you have a doubt, there should be
00:00:44.700 --> 00:00:47.566
no healthcare provider who should ever be upset
00:00:47.567 --> 00:00:50.599
about being contacted, or any
00:00:50.600 --> 00:00:53.699
emergency room department provider who should ever
00:00:53.700 --> 00:00:55.499
be upset, that, you know, 'What are you doing
00:00:55.500 --> 00:00:56.999
in my emergency room? You had a concussion
00:00:57.000 --> 00:00:59.366
that's mild. Uh uh.'
00:00:59.367 --> 00:01:02.899
You go, you get the information, you get assessed,
00:01:02.900 --> 00:01:05.999
and again, if there is something wrong,
00:01:06.000 --> 00:01:09.399
it's gonna be taken care of right away, and if there's not,
00:01:09.400 --> 00:01:12.766
it helps to bring down the anxiety and hopefully,
00:01:12.767 --> 00:01:15.399
you'll get the education about what transpires
00:01:15.400 --> 00:01:19.066
after a concussion, so you know what to expect.
00:01:19.067 --> 00:01:26.000
(fading piano music)
Management of acute moderate and severe traumatic brain injury. Waltham, MA: UpToDate, 2020. (Accessed on March 6, 2020 at https://www.uptodate.com/contents/management-of-acute-moderate-and-severe-traumatic-brain-injury.)
Traumatic brain injury: epidemiology, classification, and pathophysiology. Waltham, MA: UpToDate, 2020. (Accessed on March 6, 2020 at https://www.uptodate.com/contents/traumatic-brain-injury-epidemiology-classification-and-pathophysiology.)