Background: Fractures are the second most common infant and toddler injury resulting from child abuse. Yet fractures are not always evaluated for possible non-accidental trauma often due to the lack of recognition and incomplete work-up by the evaluating physician. When non-accidental injuries are missed it can result in more serious or fatal injury. In this …
Bruising may be the "sentinel" sign of non-accidental trauma in a child. [ Pierce, 2017; Pierce, 2017; Pierce, 2009] It is known to be under-appreciated in those children who later are found to be severely injured or killed. 28-64% of children who sustain severe physical abuse were found to have had a prior "sentinels" bruise.
Inconsistent history, delay in seeking medical treatment, and suspicious mechanism of injury are all red flags for non-accidental injury. Poor feeding, vomiting, and lethargy are all non-specific findings but can indicate head trauma. Signs of brain injury may include seizures, altered mental status and apnoeic episodes.
Certain "red flags" in the medical history should raise the possibility of a diagnosis of child abuse.6 In many cases, injuries to children who cannot yet …
RED FLAGS AND WHEN TO REFER • CaudaEquina Syndrome: saddle paresthesias, bowel/bladder, • Cervical Myelopathy: hyper‐reflexia, upper motor signs, • Energy of Injury: fractures • Motor Weakness and Progression • RadicularPain‐"relative"‐sooner than axial back pain • Beware of concomitant medical issues
Thus, the red flags that often indicate abuse are many (BOX 2). 1. Figure 2. Ligature mark around the neck of a . BOX 2 Red Flags That Often Indicate Physical Abuse 1. ... Fracture characteristics to distinguish between accidental injury and non-accidental injury in dogs. Vet J 2014;199(3):392-398. 7.
11 Red Flags of Workers' Compensation Fraud. As an employer, you must be vigilant in your efforts to protect your company from the few employees who do commit workers compensation fraud. Adjusters often refer to possible fraud in a workers comp claim as looking for "red flags.". A "red flag" is anything standing out from the ordinary.
Research has shown that children who present with a severe non- accidental injury have often been seen earlier with bruising or another injury – a sentinel injury. These injuries provide an opportunity to prevent the child suffering a more serious injury or being killed. ... Red Flags. Any bruising (however faint or small), fractures ...
Non-accidental trauma or child abuse is the leading cause of childhood traumatic injury and death in the United States. It is essential that medical providers recognize non-accidental trauma in order to prevent further morbidity or even mortality. Child abuse can present in a wide spectrum of forms: physical, sexual, psychological and neglect.
In this specific episode, we're talking about sentinel injuries and non-accidental trauma. Dr. Segeleon, tell us why you chose this specific topic. Dr. Segeleon: Unfortunately, in our society and every provider out there knows this, we do see child abuse and almost more importantly, we have this sneaky suspicion that we miss child abuse.
- Features (important red flags) for non-accidental injury in history, examination and presentation time - Management of pain in a young child - Management of musculoskeletal injury in outpatient setting and indications for orthopaedic referral
The priorities in dealing with child abuse are: to provide, when consent is given, a verbal or written report to Child Protection and the Police. The doctor must establish that consent has been given (by one of the parents or the child's legal guardian) to perform a clinical examination and to provide a report to Child Protection and the Police.
Red Flags For Circumstances. There are many fraudulent personal injury claims which somehow make it to the courts when the circumstances often don't make sense. Some of the more common issues include: Vague and changing evidence; The vast majority of personal injury claims will not be lodged until weeks or months after the actual event.
Henoch-Schonlein Purpura (HSP) / IgA vasculitis - is a clinical diagnosis with rash normally buttocks and below +/- abdominal pain. Non accidental injury. Haematological malignancy. RED FLAGS. Appears unwell +/- clinically shocked (including CRT >4s or hypotensive) Rash spreading within department. Purpura (>2mm)
NON-ACCIDENTAL TRAUMA (NAT) SCREENING and MANAGEMENT GUIDELINE (Inpatient and Outpatient) "Red Flag" History of Present Injury No history or inconsistent hx Changing history Unwitnessed injury Delay in seeking care Prior ED visit Domestic Violence in home Premature infant (< 37 weeks) Low birth weight/IUGR
NON ACCIDENTAL HEAD INJURY in CHILDREN Various terms are used abusive head trauma, inflicted brain injury, non accidental injury and shaken baby syndrome – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 47e930-ZThiO
Non-Accidental Injury. Non-accidental injury (NAI) is common, and potentially life-threatening. It can present with musculoskeletal problems, such as pain, swelling or limping, and all healthcare professionals who have contact with children should be alert to the possibility of abuse.
Oedema - red flag symptoms. Red flag symptoms to be aware of when a patient presents with pitting or non-pitting oedema in primary care.
Murdered baby was repeatedly hospitalised with 'red flag' bruises before death. ... Hospital bosses have accepted that that there was a "lack of consideration of non-accidental injury", and more ...
Non-accidental Injuries •Injury in non-ambulatory/totally dependent child •Incompatible/changing Hx •Delay in seeking care ... Spine Red Flags • Extremes of Age • Systemic Complaints –Fever –Night pain –Unexplained Wt Loss • Hx of Cancer • IV Drug use
NAT/Non Accidental Trauma Red Flags Family Interactions and Dynamic History –Does the story match the injury Bruising-TEN-4 rule Bruising on Torso, Ears, or Neck in kids <4yo or any bruising in kids < 4mo. Fractures in non-ambulating child or …