The first hours and days after a concussion are crucial for your recovery.
Here’s a simple guide on what you should do — and what you should avoid — during the first 24-48 hours.
Seek Medical Advice — and Again if Symptoms Worsen
Always contact a doctor, emergency clinic, or on-call medical service if you suspect a concussion.
Seek help again if symptoms worsen, especially if you experience:
- Severe or worsening headache
- Double vision
- Weakness or tingling in arms or legs
- Seizures or loss of consciousness
- Persistent vomiting
- Confusion or unusual drowsiness
- Agitation or irritability
Pause Work and School Activities
Avoid work or school tasks for the first 24-48 hours.
Only return gradually — when you can handle everyday activities without worsening your symptoms.
Avoid Sports and Intense Physical Activity
Keep your heart rate close to resting level.
Avoid:
- Exercise or sports
- Heavy cleaning (like vacuuming)
- Lifting heavy objects
Get sleep
It’s safe to sleep after a concussion, make sure to get a good first nights sleep to let your brain heal.
Avoid Alcohol
Alcohol can make symptoms worse and delay recovery.
Wait until a doctor confirms it's safe.
6 Extra Tips for the First 48 Hours
1. Avoid Stress and Conflicts
Slow down. Avoid busy places and intense conversations.
Give your brain quiet time to recover.
2. Limit Social Activities
Keep conversations short.
It’s okay to talk briefly with someone close — just take breaks when needed.
3. Limit Screen Time
Phones, TVs and computers can sometimes worsen symptoms.
Reduce screen use if it triggers discomfort.
4. Balance Rest and Gentle Activity
Don’t stay in bed all day.
Mix rest with light activity like showering, folding laundry or listening to music.
Pause before, during and after activity if needed.
5. Eat and Stay Hydrated
Regular food and fluids support brain recovery.
Keep your energy steady.
When to Seek Immediate Medical Attention
Contact emergency services right away if you experience:
- Fainting or “blackouts”
- Severe or worsening headache
- Frequent vomiting
- Confusion or memory loss
- Slurred speech or odd behavior
- Seizures or paralysis
- Vision problems
- Blood or clear fluid from ears or nose
Reminder
Even if it’s been more than 48 hours, it’s never too late to start recovery.
Heads is here to support you — one step at a time.
References:
Centers for Disease Control and Prevention (CDC)
“Concussion at Play: Opportunities to Reshape the Culture Around Concussion”
https://www.cdc.gov/headsup
Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children
JAMA Pediatrics, 172(11): e182853
DOI: 10.1001/jamapediatrics.2018.2853
Guidelines for Diagnosing and Managing Pediatric Concussion
https://pedsconcussion.com
Benefits of strict rest after acute concussion: a randomized controlled trial
Clinical Journal of Sport Medicine, 25(3): 241–247
DOI: 10.1097/JSM.0000000000000137
Information og anbefalinger til håndtering af hjernerystelse
https://dcfh.dk