If an older adult falls, the risks of a severe injury are more significant than for a young person. Specific symptoms or signs can indicate a severe injury. This might be a fracture, especially if there is underlying osteoporosis. If there was an injury to the head, there might be a brain injury. Certain “red flags” mean a call to 911. These are a loss of consciousness, confusion, memory problems, agitation, difficulty speaking, dizziness, balance problems, drowsiness, severe headache, vomiting, visual disturbances, or hearing loss. Symptoms may be delayed for hours or even days after the injury. Certain medications such as anticoagulants (including aspirin) may cause more risk of bleeding in the brain.