Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment
Tiyyagura, G.; Beucher, M.; Bechtel, K.
Pediatric Emergency Medicine Practice 14(7): 1-32
2017
ISSN/ISBN: 1660-9379 PMID: 28665567 Document Number: 691603
Emergency clinicians are likely to encounter physical abuse in children, and they must be prepared to recognize its many manifestations and take swift action. Pediatric nonaccidental injury causes considerable morbidity and mortality that can often be prevented by early recognition. Nonaccidental injuries present with a wide array of symptoms that may appear to be medically inconsequential (such as bruising in a premobile infant), but are actually sentinel injuries indicative of child abuse. This issue provides guidance regarding factors that contribute to abuse in children, key findings on history and physical examination that should trigger an evaluation for physical abuse, and laboratory and radiologic tests to perform when child abuse is suspected.