Head Bump Swelling: Home Care Protocol and Warning Signs

Scalp hematomas ("goose eggs") are common after minor head trauma due to rich vascularity.

Immediate Care (First 48 Hours)

1. Cold therapy: Ice pack wrapped in cloth, 15 min on/15 min off. Vasoconstriction limits swelling.
2. Elevation: Head of bed 30°; extra pillows. Reduces venous pressure.
3. Protect: No touching, rubbing, hats/helmets over bump.
4. Analgesia: Acetaminophen preferred (avoid NSAIDs if concern for intracranial bleed).
5. Rest: Physical and cognitive (screen time, reading).
6. Hydration: Supports circulation and healing.

Monitoring

Observe for 24–48 hours. Wake every 2–3 hours first night if moderate injury.

Emergency Indicators (Call 911 / ER)

• Loss of consciousness (any duration)
• Repeated vomiting
• Confusion, disorientation, memory gap
• Severe/worsening headache
• Seizure
• Unequal pupils, vision changes
• Weakness, numbness, slurred speech
• Clear fluid from ears/nose (CSF leak)
• Bruising behind ears (Battle's sign) or around eyes (raccoon eyes)
• Inconsolable crying (infants)

Delayed Concerns (48+ Hours)

• Increasing swelling, redness, warmth, pus (infection)
• Persistent headache, dizziness, concentration difficulty (post-concussion)
• Behavioral changes

Most scalp hematomas resolve in 1–3 weeks. When in doubt, get checked.