If you suspect a skull fracture, do not apply direct pressure to the bleeding site and do not remove any debris from the wound. Cover the wound with sterile gauze dressing and get medical help immediately. If the head wound is superficial, wash it with soap and warm water and pat dry. If a victim is vomiting and you don't suspect a spinal injury, turn his or her head to the side to prevent choking . If you do suspect a spinal injury, however, roll the head, neck, and body as one unit.
Children often vomit once after a head injury.
But even if the child does not vomit again and is not behaving differently, contact a doctor. Apply ice packs to swollen areas. Over the next 24 hours, observe the victim for any signs of a serious head injury. During the night, awaken the victim every 2 to 3 hours and check for alertness. Ask the victim specific questions, such as an address.