Do I need to go to A+E

[wonderstuff]

DS, 22mo fell on head (from standing, tripped) face planted the floor, forehead collided with a big stone. He has a graze and a huge swollen bump. Was the size of half a golf ball, now gone down a little. Looks awful. But he is his normal happy self. He did cry, but not for long. But it is his head. Do I need to go to Drs? NHS direct said probably best - DH thinks I'm being daft to consider and they are just covering themselves. WWYD

i personally wouldn't unless he blacked out or vomited
But I'm no expert

I wouldn't unless he was knocked out. DD3 did a spectacular skid and crash on to a marble floor when she was a similar age and bar the bump, which was a cartoon egg, she was fine. She is my 4th though, so it would need to be an arm hanging off

I probably wouldn't, I would just keep a close eye on him for the next couple of days and go in if he has any other symptoms.

He's number 2, but number 1 wasn't this clumsy.. I'm thinking keep worrying because its his head. Why do they always land head first?

My four have all had some spectacular falls over the years, I've only gone to A&E once with a head one, but only because DS actually knocked himself out. I think you know - certainly if he seems to be back to his jolly self then he's fine. But, as with anything, if you are at all worried, go to the walk in if you have one.

that said I do what NHS Direct tell me - and they ALWAYS say go to A&E :o

phone out of hrs docs for advice...ime they're much better than nhs direct

you'll be triaged and wait for a call back

OOH might be a good option?

If he didn't lose consciousness, vomit and is responding normally just keep an eye on him. Unless he hit his temple in which case you should ALWAYS go to A&E

I personally would just keep an eye on him, You will sit for hours in A&E to be told to 'Just Keep an eye on him' :s

DS at 23 months fell down half a flight of stairs (with no carpet) and landed on his head on wooden floor. He had a similar lump on his head.
We went to A and E and they checked his pupils were the same size, blew some bubbles and checked whether he could pop them (!) and pronounced him fine.
I agree with Klaxon - just keep an eye
And give him his favourite tea.

I have generally had good advice from NHS Direct, and followed it. Rang them after DD2 fell off bed on to her head and then vomited, and they advised fine to stay at home and monitor. Something to do with whether lump on head was hard or soft, but can't remember which way round was good. Possibly lump being hard was better than lump being soft.

Why ring NHS Direct if you're not going to follow their advice anyway?

I think if it has come up in an egg that is better than a dent IYSWIM! Just keep an eye on him and if his behaviour changes, get him checked out.