Welcome to FirstAid4Free

Welcome to my first aid site. I'm a first aid trainer and assessor. I've been teaching first aid for about 10 years now. Everyone should have some first aid knowledge for in the home and work place. Not everyone has the chance to attend a full first aid course so I'll provide some key first aid points every week.

Important Notice

The information on this site is for guidance only. The first aid procedures are those in the current edition of the First Aid Manual at the time of inclusion on the site. Attendance on a first aid course to practice these procedures is always recommended.

Head Injuries 3: SKULL FRACTURE

If the mode of injury is a heavy blow to the head suspect a skull fracture. A skull fracture is a very serious injury due to the possibility of underlying damage to the brain. It is good practice to suspect a skull fracture for any casualty that has an obvious head wound or impaired consciousness - treat for the worst, hopefully it won't be that bad. Always suspect that a casualty with a severe head injury has a spinal injury too - maintain a neutral alignment of the casualty's neck and back.

  • Wound or bruise to the head.
  • Soft area or depression of the scalp.
  • Bruising or swelling behind one ear.
  • Bruising around one or both eyes.
  • Loss of a clear, watery fluid (cerebrospinal fluid) from the ear (a very obvious tell tale sign).
  • Blood shot eyes.
  • Distortion or loss of symmetry about the head or face.
  • Deteriorating responsiveness. Casualty may become unconscious.
  • To get urgent medical help.
  • To maintain the casualty's airway and breathing.
  • If the casualty is conscious help them to lie down. Support the casualty's head. Do not allow the head to rock or turn.
  • Control any bleeding from the head by direct pressure.
  • Send for urgent help. If you are by yourself go and summon help and return to the casualty quickly.
  • If there is a discharge from the ear, lightly cover it with a sterile dressing or pad. Do not plug the ear.
  • Monitor the casualty's responsiveness, airway, breathing and pulse. If the casualty stops breathing be prepared to perform resuscitation.
REMEMBER: Get help urgently and suspect a spinal injury.