Does your child have any of the following symptoms that require emergency treatment? Call 911 or other emergency services immediately.

• Breathing stops for more than a few seconds. Call or other emergency services and begin rescue breathing.
• Loss of consciousness at any time after the injury
• A deformity of the skull, such as a sunken spot (other than the normal soft spots), bone fragments, or exposed brain
• A wound penetrates the skull, such as a knife or gunshot wound (open head injury). Do not remove objects from the wound.
• Seizure. Protect the child from injury during the seizure.
• Signs of shock
• Severe bleeding does not slow during the first 5 minutes of direct pressure. See how to stop bleeding.
• Signs of a spinal injury:
  • •Inability to move part of the body (paralysis), such as an arm or leg
  • •Weakness in the arms or legs
• Signs of a serious head injury:
  • •Confusion or not acting normal, such as extreme fussiness or uncontrollable crying
  • •Difficulty waking up or extreme sleepiness
  • •In older children, difficulty speaking or slurred speech
  • •Difficulty breathing or gasping respirations
  • •Symptoms that affect one side of the body more than the other side, such as weakness or difficulty moving an arm or leg
  • •Changes in the eyes, such as crossed eyes, droopy eyelids (usually just one eyelid), or difficulty using the eyes
  • •Abnormal eye movements, such as jerking motions or the eyes not working together
  • •Seizure
  • •Severe stiff neck