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Head injuries involve damage to the brain or structures of the skull surrounding the brain, eyes, nose, mouth, or ears. Any head injury should be treated seriously. A casualty who has been unconscious, even for a moment, must seek medical attention. Concussion is a temporary disturbance of brain function, with a loss or alteration of conscious state followed by rapid recovery. If consciousness deteriorates, there may be bleeding inside the brain requiring immediate medical attention. Blood or fluid from the ear may indicate a skull base fracture. Do not plug the ear canal; instead, place a clean pad under the affected ear and seat the conscious casualty upright with the head inclined towards the injured side to drain and relieve pressure.