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scenario a patient goes into her pediatricians office after falling from her bike she hit her head in the fall and lost consciousness for a short time the patient has vomited multiple times and has scalp swelling it is very important while we do the initial assessment to see if there are any red flags that may prompt further evaluation after the injury has occurred you know the concussions are the most common neurologic injury in sports is not the only one you know kids have suffered traumatic brain injuries whether its on the football field or in some other venue they can they can definitely suffer other problems in the brain they can have bleeding in the brain they can have skull fractures they can have just swelling in the brain its important for the pediatricians or the clinicians to know what the signs of symptoms are that maybe some other some other problem could be going on in the brain then a child who has a head injury if they exhibit certain red flags need to be evaluated