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head injuries involve damage to the brain or the structures of the skull surrounding the brain eyes nose mouth or ears any head injury should be treated seriously the casualty who has been unconscious even for a moment must always be advised by a first aider to seek medical attention concussion is a temporary disturbance of brain function there may be a loss or alteration of conscious state followed by rapid recovery a casualty whose consciousness deteriorates may have bleeding inside the brain and therefore requires immediate medical attention blood or fluid coming from the ear may indicate a fracture of the base of the skull the ear canal should not be plugged a clean pad should be placed under the affected ear and the conscious casualties seated upright with the head inclined towards the injured side to drain and relieve pressure you're fine right yeah yeah can you just call the ambulance for us and every bit of it