Concussion
When a Head Injury Needs the ER

Not every bump on the head is an emergency. But if there is vomiting, worsening headache, confusion, slurred speech, unusual sleepiness, loss of consciousness, or the person is just clearly not acting right, get checked now. Concussion symptoms can show up right away or hours later.

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Go to the ER right away if the head injury causes:

Go now if symptoms come with:

Higher-risk situations where you should not “wait and see”:

  • The person takes blood thinners or antiplatelet medicine
  • The head injury happened in a car wreck, fall, or work accident
  • The person is older
  • There was a prior brain injury or multiple past concussions
  • Symptoms started mild, then kept building over the next few hours
  • The injury happened during sports and the person wants to “shake it off”

CDC guidance says patients on anticoagulation or antiplatelet therapy should be considered more carefully for imaging after mild TBI.

Kids do not always explain a concussion clearly. Around Angleton, parents usually know when a child is “just off.” Trust that. If your child is unusually sleepy, inconsolable, not eating, not acting like themselves, or showing any adult danger sign after a head injury, get them checked.

 

Bring your child to the ER now if they have:

  • Repeated vomiting
  • A worsening headache
  • Trouble walking or unusual clumsiness
  • Confusion or slow answers
  • Won’t stop crying and cannot be consoled
  • Will not nurse or eat
  • Seizure, fainting, or trouble waking up
  • Any concerning change after a bump, blow, or jolt to the head or body

CDC notes that concussion signs in children can look different by age, and symptoms may not show up right away.

 

What a concussion actually is

A concussion is a mild traumatic brain injury caused by a bump, blow, or jolt to the head or body that affects how the brain works. “Mild” does not mean it should be ignored. Most concussions are not life-threatening, but the symptoms can be serious, and a head injury can sometimes involve something more dangerous than a concussion.

 

Not every concussion needs a CT

This is the part a lot of pages get wrong. A CT scan is not routine for every concussion. CDC guidance for adult mild TBI says not to routinely image and to use clinical decision rules to decide who needs CT or MRI. That said, on-site CT matters when a patient has red flags or needs fast evaluation for bleeding or another more serious head injury.

 

What concussion symptoms can look like

Common concussion symptoms can affect how a person feels, thinks, acts, or sleeps. That can include:

  • Headache
  • Dizziness or balance problems
  • Nausea or early vomiting
  • Feeling foggy, groggy, or slowed down
  • Trouble concentrating or remembering
  • Light or noise sensitivity
  • Fatigue
  • Sleeping more or less than usual
  • Irritability, anxiety, or feeling more emotional than usual

Symptoms can change during recovery and may appear hours or days after the injury.

 

What Angleton ER can do for a head injury

At Angleton ER on East Mulberry, the team can evaluate head injuries quickly with a neurological exam, symptom assessment, monitoring, IV medications when needed for pain or nausea, and on-site CT when clinically indicated. Because concussions often happen with falls, sports injuries, crashes, or work accidents, trauma care and adult + pediatric emergency care matter too. If the injury requires specialized or extended hospital care, the team can coordinate direct transfer to the nearest appropriate hospital.

 

When the ER makes more sense than urgent care

A simple bump to the head without concerning symptoms may not need the ER. But if there is vomiting, worsening headache, confusion, unusual behavior, loss of consciousness, seizure, blood thinner use, or a significant mechanism of injury, ER evaluation is the safer move. In a place like Angleton, where families may drive in from Danbury, Rosharon, Clute, or Lake Jackson, getting a real emergency assessment started quickly can matter.

 

What to expect after diagnosis

Initial recovery starts with rest. As symptoms improve, people can gradually return to regular non-strenuous activities, but they should avoid anything that worsens symptoms. CDC also says not to return to sports or recreation on the same day as the injury, and athletes should wait for medical clearance before going back.

 

Why repeat head injuries are a real concern

A second head injury before the brain has healed can slow recovery and raise the risk of longer-term problems. That is one reason concussion instructions matter so much, especially for teens, young adults, and athletes who feel pressure to get back too quickly.

In Angleton and across Brazoria County, people are used to saying, “I’m probably fine.” After a head injury, that can be the wrong call. If symptoms are building, the person seems off, or any danger sign is showing up, get checked. Angleton ER is open 24/7 with on-site CT and emergency care for both kids and adults, just minutes from home.

Frequently Asked Questions (FAQs)

Do I need an appointment?

No. We’re open 24/7 and always ready for walk-ins.

Yes. We accept most major insurance plans and will help you understand your options.

Yes. You’ll see a doctor here in minutes — not hours.

Yes — we handle life-threatening emergencies and provide walk-in care for minor illnesses and injuries.

We’re open 24/7 — even when other clinics are closed.

Yes — our doctors are trained to handle chemical exposure, burns, and inhalation injuries common in Dow and BASF plants.

Yes — we care for newborns through seniors.

No — most patients see a doctor within minutes, not hours.

If possible, ID and insurance card — but don’t delay if you can’t.

We’ll still care for you and help with payment options.

Yes — usually within minutes.

Yes — free parking right outside.