Do you have any of the following symptoms that require emergency treatment? Call 911 or other emergency services immediately.

• Breathing stops for longer than 15 seconds. Begin rescue breathing.
• Unconsciousness:
  • • Occurs for longer than a few seconds after the injury.
  • •Develops at any time after the injury.
• The head injury caused a deformity of the skull, such as a sunken spot (depression), bone fragments, or exposed brain (open head injury).
• An obvious wound penetrates the skull, such as a knife or gunshot wound (open head injury). Do not remove objects from the wound.
• A seizure occurs. Protect the person from injury during the seizure.
• Signs of shock are present.
• Severe bleeding does not slow during the first 15 minutes of direct pressure. See how to stop bleeding.
• Signs of a serious spinal injury are present, including:
  • •Inability to move any part of the body (paralysis), and the inability to move is not caused by a direct injury to that part of the body or severe pain.
  • •Severe pain in the neck or back.
  • •Weakness, tingling, or numbness in the arms or legs.
  • •Loss of bowel or bladder control.
• Signs of a serious head injury are present, such as:
  • •Confusion or obvious abnormal behavior.
  • •Difficulty waking up or sleepiness.
  • •Difficulty speaking or slurred speech.
  • •Symptoms that affect one side of the body more than the other side, such as numbness, weakness, or difficulty moving.
  • •Changes in the size or shape of the pupils.
  • •Loss of vision in one or both eyes.