24/7 Emergency Room in Irving, TX
Hit your head hard enough to wonder about it? The danger with head injuries is the bleed you cannot see. CT scan on-site, results in minutes, open 24/7.
Most bumps on the head heal with an ice pack. The problem is the exception: slow bleeding inside the skull that can feel like nothing for hours, then turn dangerous fast. According to the CDC, people can seem fine after a serious head injury and decline later the same day.
Risk climbs with age, with blood thinners, and with any hit hard enough to cause confusion or memory gaps. From the outside, a concussion and a bleed can look identical.
Our emergency room in Irving settles it with a CT scan on-site, read in minutes. You leave knowing what happened inside, not guessing.
Medically reviewed by the ER of Irving Medical Team | Updated: July 2026
The first two mean call 911. For the rest, come straight in. A CT scan settles it either way.
If they passed out and stay confused, or you cannot keep them awake, call 911.
A seizure following any head injury is a 911 emergency. Keep them safe and call.
Repeated vomiting after a head hit points to pressure building inside the skull.
Pain that builds instead of fading, especially hours after the injury.
Slurred speech, repeated questions, or simply not acting like themselves.
One pupil larger than the other, double vision, or trouble focusing.
Any head hit while taking blood thinners deserves a CT scan, even if you feel fine.
Clear or bloody fluid leaking after a head hit can mean a skull fracture.
Head injuries skip the waiting room. The exam starts with alertness, memory, and pupils.
A physician checks alertness, pupils, and memory within minutes of arrival.
Balance, reflexes, vision, and the story of exactly how the hit happened.
The scan that rules a bleed in or out takes minutes, with results read right away.
Most people go home with a clear plan. Bleeds are stabilized and transferred to neurosurgery.
The CT scan drives everything. A clean scan with concussion symptoms means rest instructions, a recovery plan, and our concussion care pathway for the days that follow. A bleed means stabilization here and rapid transfer to a neurosurgical team.
Serious injuries run through our traumatic brain injury protocol, with repeat neuro checks to catch any change early.
Kids fall constantly, and most are fine. Our pediatric emergency team examines children gently and uses CT only when the exam truly calls for it, keeping radiation exposure as low as possible.
The hit itself matters less than what happens in the hours after it.
Unconscious, a seizure, repeated vomiting with drowsiness, or one pupil bigger than the other. Do not drive them.
Confusion, a worsening headache, vision changes, a fall in someone over 65, or any hit while on blood thinners.
A light bump with no symptoms, where the person stays alert and acts normally, can be watched for 24 hours.
Go if there was any loss of consciousness, repeated vomiting, worsening headache, confusion, vision changes, or memory gaps. Go regardless of symptoms if you take blood thinners or are over 65. A hit hard enough to make you wonder is a hit worth checking.
It starts with a neurological exam and a CT scan to rule out bleeding inside the skull. A clean scan with concussion symptoms means structured rest and a recovery plan. A bleed means stabilization and rapid transfer to neurosurgery. Both paths start with knowing, not guessing.
You cannot reliably tell from the outside. A concussion is a functional injury that recovers with rest, while a brain bleed is structural and worsens with time. Early symptoms overlap almost completely, which is exactly what the CT scan is for.
Come in for vomiting, unusual sleepiness, a worsening headache, confusion, or any behavior that is not your child’s normal. For a light bump where they cry briefly and return to playing, watch them closely for 24 hours. When in doubt, bring them in.
A minor bump with no warning signs can be managed with ice, rest, and watching for changes over 24 hours. Home care is never right when there was loss of consciousness, vomiting, confusion, or blood thinner use. Those need a CT scan first, then rest.
If the hit was hard enough to make you wonder, that is reason enough. Walk in any time for a CT scan and a real answer.
