The moments following a serious car accident can be overwhelming, especially when your children are in the vehicle. Determining whether your child is injured can be challenging, particularly when fear and adrenaline are running high. Here is what to watch for based on your child’s age and communication abilities.
Infants and toddlers who cannot communicate
Very young children present unique challenges because they cannot tell you where it hurts or how they feel. You must rely on observation and physical signs to assess their condition.
Watch for these warning signs in infants and toddlers:
- Inconsolable crying or unusual fussiness that persists beyond normal calming techniques
- Vomiting or appearing nauseous, particularly if it occurs repeatedly
- Unusual sleepiness or difficulty waking your child
- Visible bruising, swelling or marks on the body, especially around the chest, abdomen or head
- Difficulty breathing or changes in breathing patterns
- Refusal to move a limb
- Loss of consciousness, even briefly
Even if your infant or toddler appears fine, you should seek immediate medical evaluation after any serious accident.
Elementary age children
Children in this age range can communicate but may not accurately describe their symptoms or may minimize pain due to fear or confusion. They might also be in shock and not fully aware of their injuries.
Pay attention to complaints of headache, dizziness, stomach pain or neck and back discomfort. Watch for behavioral changes such as confusion, irritability or appearing dazed. Elementary age children may also show reluctance to move normally or difficulty walking.
Older children and teenagers
Teenagers and older children can generally communicate their symptoms more clearly, but they may also downplay injuries to avoid appearing weak or to prevent worrying you. Take their complaints seriously and watch for delayed symptoms that may appear hours or even days after the accident.
Encourage open communication and watch for signs of concussion, including memory problems, sensitivity to light or persistent headaches. Internal injuries may not be immediately apparent, so continued monitoring is essential.
Seek immediate medical attention
Regardless of your child’s age, it is generally wise to have them examined by a medical professional following a serious car crash. Some injuries, particularly internal trauma and concussions, may not show immediate symptoms but can have serious consequences if left untreated.

