Description Usually occurs afte...
Description
Usually occurs after blunt trauma. The majority are easily repaired. Fractures of the skull and injuries to the brain can occur. Further workup depends on the mechanism of injury and the symptoms experienced. If confusion, weakness, loss of consciousness, or vomiting occur with the injury immediate medical attention in an emergency department should be obtained.
Symptoms
Pain, bleeding, tenderness.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. The wound will be explored to look for skull fractures. A CT scan may be done to look for skull fracture or brain injury.
Tests:
CT Scan
Specialists:
Emergency Medicine, Urgent Care Medicine
Workup:
A history and physical exam will be performed. The wound will be explored to look for skull fractures. A CT scan may be done to look for skull fracture or brain injury.
Tests:
CT Scan
Specialists:
Emergency Medicine, Urgent Care Medicine
Treatment
Repair of the laceration with sutures. Associated skull fractures require neurosurgical evaluation. Scalp lacerations should be repaired within 6 hours to prevent infection. While waiting for treatment the laceration can be cleaned with running water and covered with gauze or a clean cloth. Pressure on the wound can be applied to stop bleeding. If the bleeding is profuse consider calling 911. A tetanus shot may be needed if the last shot was more than 5 years for a dirty wound or more than 10 years for a clean wound.