my child got a scratch while she fell down on road. little bit bleeding was there. should i get her tetanus vaccine or tetanus vaccine was included in her routine vaccine given to her.

A. Any Fall injury specially head injury needs to be assessed properly . In any such case certain symptoms needs to be checked like loss of consciousness reccurrent vomiting or any abnormal moment or convulsions . Such case needs immediate medical intervention as there could be some internal injury . Otherwise application of ice locally to reduce the swelling and pain can be done along with some analgesic like paracetamol. Recurrent fall injury for a child should be avoided as it can lead to some chronic manifestations occasionally . Also teetcdh injury should be rule out in any such case which is commonly associated and can be easily missed out most of the time .