If a child shows any of these symptoms, take him or her immediately to the nearest hospital emergency room

Less Serious Injury:

• Lethargy / decreased muscle tone
• Extreme irritability
• Decreased appetite, poor feeding or vomiting for no apparent reason
• Grab-type bruises on arms or chest are rare
• No smiling or vocalization
• Poor sucking or swallowing
• Rigidity or posturing

Serious Brain Injury:

• Difficulty breathing
• Seizures
• Head or forehead appears larger than usual or soft-spot on head appears to be bulging
• Inability to suck or swallow
• Inability to lift head
• Inability of eyes to focus or track movement or unequal size of pupils