The First-Aid Room

Spotting the signs of concussion students

Written by Alex Oselton | Oct 14, 2025 5:00:00 AM

Kids fall - that's growing up. But a concussion is not exactly a piece of cake.

There are differences between minor head injuries and concussions, which you will be aware of - but not everyone is. 

While most head injuries in school are mild, concussions in children and young teenagers can be more problematic to spot than in older pupils or adults. Let's dive in...

What is a concussion?

A concussion is a mild traumatic brain injury (TBI) that occurs after a bump, blow or jolt to the head. It can even be caused by more severe blows to the body that transfer impacts to the head.

Symptoms in young children can often be subtle and delayed by several hours, making it especially important for school staff to monitor, record, and communicate effectively with parents and carers after any suspected head injury.

Key signs to look for in primary-age pupils

Immediately after the injury

πŸš‘ Does the individual seem confused or appear dazed?

πŸš‘ Does the individual have trouble remembering the event?

πŸš‘ Does the individual seem clumsy or have unsteady balance?

πŸš‘ Does the individual have a headache or pressure in the head?

πŸš‘ Does the individual have nausea or sudden vomiting?

πŸš‘ Does the individual begin crying more than usual/irritable

πŸš‘ Does the individual exhibit sensitivity to light or noise?

πŸš‘ Does the individual have difficulty concentrating or answering questions?

Later that day

‼️ Complaints of tiredness or trouble sleeping

‼️ Personality or behavioural changes

‼️ Complaints of "just not feeling right"

‼️ Difficulty in keeping up with classroom activity

πŸ’‘ Tip: If the student loses consciousness, even for a few seconds, seek immediate medical attention.

According to the NHS, minor head injuries are among the most common childhood injuries seen in A&E. A 2023 report from the UK Parliament’s Concussion in Sport Inquiry urged education-specific concussion protocols to be adopted more widely in schools, especially for pupils aged 5 - 11. 

Yeah, yeah, this is great, but what can I send to my colleagues to make it stick, I hear you ask?

πŸ”— Here's an email signature image. Small, unobtrusive but repeated exposure = awareness.

πŸ”— Here's a short screensaver to put on screens in your staffroom on a loop.

 πŸ”— Here's a short email template for them to send if and when needed.

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