The length of unconsciousness may relate to the severity of the concussion. Bleeding into the brain can occur with any blow to the head, whether or not unconsciousness occurs. If your child has received a blow to the head, observe closely for signs indicating possible brain damage. If any of these signs are present, contact your health care provider promptly. Clear or reddish fluid draining from the ears, nose or mouth.
Unequal size pupils.
Confusion, disorientation and memory loss. After the evaluation the child should be kept quiet. If a blow to the head during athletics leads to unconsciousness, a trained person must determine readiness for continued participation and timing for return to play. In this situation, if a child or young adult has lost consciousness, that person should not resume athletics for a period of three months. Studies have shown that there is an increased rate of brain injury and occasionally death in people who have had a previous concussion with unconsciousness.