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Shock on the skull that most often causes a big bump. To prevent it from getting fat, press it with ice wrapped in a cloth or plastic. Never put ice in direct contact with the skin, it could freeze.
If the child complains of headaches, vomits, seems a little haggard, watch him carefully. And if his condition worsens, consult as soon as possible.
If he is bleeding from the ears or nose, the trauma is severe and requires urgent consultation.