A 31-yr-old flight medic struck the top of his head while loading a pa
tient onto an ambulance. He sustained a momentary alteration of sensor
ium but otherwise seemed fine. Approximately 1 week after the incident
, he experienced the onset of headaches and disabling vertigo that per
sisted over the next 2 mo, gradually decreasing in severity with time.
Although not deemed significant at the time of injury, a mild head in
jury can result in postconcussion syndrome, a collection cf neurologic
symptoms that can persist for some time before resolving. This case e
mphasizes the need for a period of observation after head trauma befor
e clearing aviators for flying duties.