Was this a concussion?

[NurseBeans]

So I had a kid in at about 1 hour before dismissal today, who had a headache since recess. Which was about 1 hour prior. He casually mentioned that he was on the swing at recess and he hit another kid. No head bump, just his body on the swing hit another kid who was standing. I gave motrin for the headache and let him sit for a little while. The motrin was not working 30 minutes later, so I started asking concussion questions. He was alert and had no real symptoms, except something felt strange to me. But he's a bit of a strange kid. I wrote my assessment down and left mom a voicemail. She's an ER nurse locally so I was thinking she would not only understand my notes, but also feel comfortable assessing kid later. She never called back and I ended up letting the kid go at dismissal, but now I'm questioning myself.

Did I royally mess this up? My other thought was dehydration since it was quite warm today and he looked red in the face. But still.

[NurseBeans, BSN, RN, EMT-B]

I saw him yesterday with a terrible headache again, right after recess. Called mom and discussed. She doesn't feel like it is a concussion, tends to think it is more of an allergy situation since it's right after recess both times. I almost never see this kid so I know he is probably hurting. Mom did get my head injury note, appreciated follow up, even though my follow up was "he has another headache...".

[BeckyESRN]

I saw him yesterday with a terrible headache again, right after recess. Called mom and discussed. She doesn't feel like it is a concussion, tends to think it is more of an allergy situation since it's right after recess both times. I almost never see this kid so I know he is probably hurting. Mom did get my head injury note, appreciated follow up, even though my follow up was "he has another headache...".

Ugh, not really a resolution. After recess both times could mean that activity is increasing his symptoms. As a parent, I would feel so much better ruling out a concussion, if there was any question.

[MHDNURSE]

Interestingly, my own son (11 years old) just played JV basketball for his school and they required ALL parents to do the free Heads-up concussion on-line training. I think it's great because hopefully parents understand why we get concerned, why we pull kids out of the games, etc.