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Why It Is a Bad Idea to Refuse Medical Care After Hitting Your Head in a Maryland Car Crash

Posted on behalf of Peter T. Nicholl in Car Accidents Published on July 16, 2025

Young man getting MRI of headAfter a car crash in Baltimore, many drivers refuse medical care for head injuries because they feel fine at the scene. This decision seems logical when you are not experiencing obvious symptoms like loss of consciousness or severe pain. However, refusing medical evaluation after hitting your head in a Maryland car accident can have serious consequences for your health and any potential legal claim you may need to pursue.

At The Law Offices of Peter T. Nicholl, our Baltimore-based car accident attorneys we know all too well that refusing medical treatment after a head injury can lead to devastating consequences. We understand that crash victims face real concerns about medical bills, time away from work, and insurance complications. Our experienced legal team helps Maryland car crash victims navigate both the immediate medical decisions and the complex legal landscape that follows a head injury accident.

Injured in a Car Crash in Baltimore? Call our trusted law firm today: 410-244-7005.

How Do I Know If My Car Crash Head Injury Is Serious Enough to Need a Doctor?

A head injury is something you should never ignore. Many crash victims mistakenly believe they can judge the severity of their head injury based on how they feel after the crash. But this assumption is dangerous and often wrong. Head injuries don’t always present obvious symptoms right away. The adrenaline brought on by the trauma of a car accident can mask pain and other warning signs for hours or even days.

If you have any type of impact to your head during a Maryland car crash, you should get an immediate medical evaluation, no matter how minor it seems.

What Happens If I Refuse Treatment From Paramedics after My Baltimore Car Accident?

When you refuse medical treatment from paramedics after a Maryland car accident, you will be asked to sign a release form acknowledging that you declined care against medical advice. This document becomes part of the official accident report and creates a permanent record that insurance companies can use against you later.

Maryland insurance adjusters specifically look for these refusal signatures as evidence that your injuries were not serious enough to require immediate medical attention. The simple act of signing that waiver can jeopardize your ability to recover compensation for your medical bills, lost wages, and pain and suffering related to your head injury.

When Should I Seek Medical Care After a Head Injury in a Car Crash?

You should seek medical care immediately after any car crash head injury, even if you feel fine at the scene. Do not wait to see if symptoms develop or worsen over time. The sooner you undergo diagnostic testing and a full medical evaluation, the better your chances of getting treatment for a potential brain injury before it becomes more serious.

Head to the nearest emergency room or urgent care center as soon as possible after your accident. Baltimore-area hospitals have diagnostic equipment and medical staff to properly evaluate serious head injuries that may not yet be noticeable following your crash. Even if paramedics clear you at the scene, you should still seek immediate medical attention at a nearby ER. Head injuries can quickly become life-threatening.

Time is critical when dealing with head injuries after a car accident. Waiting days or even hours to seek treatment could potentially worsen your condition and risk your ability to recover.

Can You Have a Brain Injury Without Losing Consciousness After a Car Accident?

Many people believe that if they do not lose consciousness during or after a car crash, they do not have to worry about a brain injury. This is a dangerous myth that prevents many people with serious head injuries from getting the medical help they need. Some people with a brain injury may lose consciousness, but not always. You can have a serious brain injury without ever losing consciousness or blacking out.

Concussions and traumatic brain injuries can occur during a car crash even if you don’t hit your head on something. The violent force of a car crash can cause your brain to move around and slam against your skull during impact. That motion is enough to cause a brain injury. Damage to brain tissue and function can occur even in relatively minor collisions. Loss of consciousness is just one possible symptom of brain injury; it is not the sole requirement for diagnosis.

The reality is that many brain injuries present with subtle symptoms that develop in the hours or days after a car accident, rather than immediate unconsciousness.

What Symptoms Should Crash Victims With a Head Injury Watch For?

Here are common red flag symptoms that may develop and indicate a serious brain injury after a Baltimore car crash:

Serious Symptoms to Watch For

Even after getting a medical evaluation, it is important to be proactive about your own care. If you begin to exhibit these red flag symptoms, you should immediately return to the ER.

  • Severe or worsening headaches: Pain that gets worse over time rather than better
  • Repeated vomiting: Nausea that continues or vomiting that happens multiple times
  • Seizures or convulsions: Any seizure activity, even brief episodes
  • Extreme confusion or disorientation: Not knowing where you are or what happened
  • Loss of consciousness at any point: Even brief blackouts hours or days after the accident
  • Slurred speech: Difficulty speaking clearly or finding the right words
  • Weakness or numbness: Loss of feeling or strength in arms, legs, or face

Other Symptoms That May Develop if You Have a Brain Injury

Some brain injury symptoms may develop more slowly than others. Although you may already be under a doctor’s care for a traumatic brain injury (TBI), be sure to let them know of any changes to your condition, such as:

  • Memory problems: Difficulty remembering the accident, recent events, or familiar information
  • Vision changes: Blurred vision, double vision, or sensitivity to light
  • Balance and coordination issues: Dizziness, trouble walking, or frequent falls
  • Personality changes: Unusual irritability, aggression, or mood swings
  • Sleep disturbances: Inability to stay awake or difficulty sleeping at night
  • Cognitive difficulties: Problems concentrating, making decisions, or following conversations

If you experience any of these symptoms after hitting your head in a Maryland car accident, seek immediate medical attention. These warning signs can indicate serious brain trauma that requires prompt treatment.

Advanced Testing Baltimore Hospitals Provide That Paramedics Cannot

Baltimore-area hospitals have sophisticated diagnostic equipment and medical specialists that paramedics cannot provide at the crash scene. Paramedics can assess your immediate condition and provide basic neurological checks. But hospitals offer comprehensive testing that can detect brain injuries not visible during an initial evaluation. These advanced diagnostic tools are essential for identifying the full extent of head trauma from your Maryland car accident.

Advanced brain injury testing available at ERs and other trauma centers in Baltimore:

  • MRI Scans: Magnetic resonance imaging provides detailed images of brain tissue and can detect swelling, bleeding, or structural damage that CT scans might miss
  • CT Scans: Computed tomography scans quickly identify skull fractures, brain bleeding, and swelling that require immediate medical intervention
  • Neuropsychological Testing: Comprehensive cognitive assessments measure memory, attention, problem-solving, and other brain functions affected by head trauma
  • Neurological Examinations: Detailed evaluations by neurologists who specialize in brain injuries and can detect subtle signs of neurological damage
  • Balance and Coordination Tests: Specialized assessments that identify vestibular problems and balance issues commonly caused by concussions
  • Vision and Eye Movement Testing: Evaluations that detect vision problems and eye tracking issues that frequently occur with brain injuries
  • Blood Tests: Laboratory work that can identify specific proteins released when brain cells are damaged, providing additional evidence of brain trauma

These comprehensive evaluations provide the medical documentation necessary to properly diagnose and treat your head injury while also creating vital evidence for any future legal claim.

Why Insurance Companies Fight Head Injury Crash Claims When Victims Don’t Seek Medical Care

Insurance companies aggressively fight head injury claims in Maryland when victims refuse medical care after a car accident. Insurance adjusters will argue that if your injuries were truly serious, you would have accepted medical treatment at the scene or immediately after the accident. They use your refusal – and signed waiver – as evidence you were not actually hurt or that your injuries are not related to the car crash.

Insurance companies know that head injuries without immediate medical documentation are much harder to prove in court. Without proper medical records linking your head injury to the accident that caused it, they can claim your head injury symptoms were caused by some other accident or that you are exaggerating your condition.

How Maryland’s Contributory Negligence Law Complicates Your Claim When You Refuse Medical Care

Maryland follows a strict contributory negligence law that can completely bar you from recovering any compensation if you are found even slightly at fault for your injuries. When you refuse medical care after a head injury, you make room for insurers and defense attorneys to argue that you caused your injuries to worsen by failing to seek proper treatment. This legal standard makes it absolutely critical to accept medical care immediately after your Maryland car crash. Refusing treatment could be used to deny your entire claim even if the other driver caused the accident.

Need Legal Help for a Car Crash Head Injury? Call Our Trusted Baltimore Injury Lawyers Today

Our highly qualified legal team at the Law Offices of Peter T. Nicholl are ready to represent you. We have a strong history of securing favorable outcomes for our clients, including those who sustained a TBI or other serious head injury in a car accident. We understand the medical complexities of brain trauma cases and know how to build compelling evidence that insurance companies cannot ignore.

If you hit your head in a Maryland car crash, contact our Baltimore car accident attorneys today for a free consultation. We will review your case and discuss potential legal options. Our law firm always fights for the maximum possible compensation.

Call today for your free case review. There are no upfront fees or out-of-pocket costs to pay when we represent you. We only get paid if you do.