My grand dog pulled me down

[CentralMass]

12. Elderly people who fall and hit their head should look for the following symptoms, as they may indicate a serious brain

injury or internal bleeding:
​Immediate "Red Flags" (Seek Emergency Care)
​Loss of consciousness: Even if it was very brief.
​Seizures: Any uncontrollable shaking or fits.
​Worsening headache: A pain that does not improve or gets significantly more severe.
​Repeated vomiting: Throwing up more than once.
​Confusion or agitation: Being unable to recognize people, acting restless, or showing unusual behavior.
​Unequal pupil size: One pupil (the black center of the eye) is larger than the other.
​Weakness or numbness: Difficulty moving limbs or pins-and-needles sensations in the hands or feet.
​Slurred speech: Trouble forming words or being understood.
​Signs of Delayed Injury (Watch over 24–48 hours)
​Older adults, especially those on blood thinners, are at risk for a "subdural hematoma" (slow bleeding in the brain), which can show symptoms days or weeks later:
​Lethargy: Being extremely sleepy or difficult to wake up.
​Vision changes: Blurred vision or double vision.
​Balance problems: Difficulty walking or increased clumsiness.
​Memory loss: Forgetting the fall itself or feeling "in a fog."
​Fluid discharge: Clear fluid or blood draining from the ears or nose.
​First Steps
​Stop any bleeding: Apply gentle pressure with a clean cloth.
​Monitor closely: Do not leave the person alone for the first 24 hours.
​Consult a doctor: Even if symptoms are mild, it is safer to get a professional evaluation (and likely a scan) given the high risk of complications in seniors.
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