It is common that as babies start to craw or walk, at one time they will fall. Such falls can cause minor or serious injuries. It is important for parents and child care - givers to know what to do if a child is injured during a fall.

Whenever your baby or toddler takes a serious tumble — from a couch, bed, highchair or a crib, for example — you'll need to do a thorough check for injuries, especially if he falls on his head or back.
You'll want to make sure that your child doesn't have any serious wounds, that he hasn't broken any bones, and that he hasn't suffered a concussion or other internal damage, including a serious head injury (such as a skull fracture or intracranial injury). Falls can be serious, but because baby and toddler bones are soft, they don't fracture as easily as those of an older child.

If your child looks okay to you and seems to be acting normally, chances are the fall didn't cause serious injury. Be thankful, but keep an eye on him. Continue to carefully observe your him for the next 24 hours, especially if he bumped or fell on his head.

On the side of caution: If you're uncomfortable with the severity of your child's fall — you think he must have gotten hurt — or if your child is acting irritable or confused, take him to the doctor to get checked out.

It's not necessary to keep your child awake after a fall, although if he is awake it'll be easier to monitor whether he's acting okay.

Rush to hospital if your child experiences any of the following after a fall:
1. A loss of consciousness
If your child isn't breathing, call for help to get the child to the hospital while you administer CPR. If you're alone, give your child CPR for two minutes, then call for help.
2. Bleeding that you're unable to stop with pressure.
3. A seizure.
4. If your child is breathing but not responsive — he's unconscious after the fall or you're unable to wake him up after he goes to sleep.
5. Signs of a broken bone, including an obvious deformity, like a wrist that's bent awkwardly, or an arm or a leg that seems out of alignment.
6. Signs of a possible skull fracture:
A soft, swollen area on the scalp, especially on the side of the head (above or behind the ear); blood showing in the whites of his eyes; or pinkish fluid or blood draining from his nose or ears.
7. Signs of a concussion, such as persistent vomiting or excessive sleepiness.
8. Depending on your child's age, look for a change in how he crawls or walks; headache or dizziness; weakness or confusion; or problems with speech, vision, or motor skills.
9. Signs of a possible brain injury, such as changes in pupil size and unusual eye movements.
10. Prolonged crying or screaming, which could indicate a possible internal injury such as abdominal bleeding.
Keep your children safe from falls and injuries.
On any matter relating to your health or well-being, please check with an appropriate health professional.
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