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Featured diaries
▶Ep 1 · 52:30
we're not saying that you abused your child. We're concerned that your child has been injured intentionally, and it is our job to be able to screen that and we protect, and this, we do this for every child that comes through
Pediatric Trauma Screening For Non-Accidental Trauma: Pediatric Trauma Series...
▶Ep 1 · 3:00
quotetrauma is the number one killer for children, and 48% of child fatalities each year are a result of physical abuse↗
▶Ep 1 · 3:06
host_summary48% of child fatalities each year are a result of physical abuse↗
▶Ep 1 · 3:15
host_summaryApproximately 12% of child abuse fatalities involve families that had CPS intervention in the last 5 years prior to the fatality, with the majority of these children less than 4 years of age↗
▶Ep 1 · 5:10
quoteNAT is not necessarily even considered when a young child is being evaluated in an ER for an injury↗
▶Ep 1 · 5:30
host_summaryIn Carol Jenny's study, approximately 30% of children with abusive head trauma had NAT not originally considered or recognized by physicians↗
▶Ep 1 · 5:50
host_summaryKate Dean's group demonstrated that patients with recurrent NAT had significantly higher mortality than during their first presentation↗
▶Ep 1 · 11:20
clinicalIn Mary Bridge's retrospective cohort, 89% of NAT cases had inconsistent or missing history, 79% had unwitnessed injuries, and almost 40% of patients had a prior ED visit↗
▶Ep 1 · 11:50
clinical60% of NAT patients with prior ED visits were less than a year of age↗
▶Ep 1 · 12:10
clinical41% to 73% of NAT patients were missing social history data in the chart↗
▶Ep 1 · 12:50
clinicalPerineal bruising or injury was found in a small number of patients, but the majority were less than 4 years of age and there was significantly increased risk of mortality and morbidity with this finding↗
▶Ep 1 · 13:20
clinical60% of NAT patients less than a year of age had fractures, with a fraction having undiagnosed healing fractures in other sites↗
▶Ep 1 · 14:00
clinicalA third of NAT patients had rib fractures, which were significantly associated with severe injury (ISS ≥16) and other undiagnosed healing fractures↗
▶Ep 1 · 14:30
clinicalIn the retrospective cohort, 9 patients died, and 2/3 of those had a prior ED visit↗
▶Ep 1 · 19:10
clinicalThe use of head CT did not change after implementing the NAT screening protocol↗
▶Ep 1 · 19:40
clinicalAfter implementing standardized NAT screening at Mary Bridge, ED length of stay did not change↗
▶Ep 1 · 19:55
clinicalAfter implementing standardized screening, the number of admissions went down, possibly because more standardized screening in the ER led to safer disposition planning and fewer medical holds↗
▶Ep 1 · 22:30
host_summaryThe 10-4 clinical prediction rule (torso, ears, neck bruising in children <4 years, or any bruising in infants <4 months) is highly suspicious for NAT↗
▶Ep 1 · 23:40
host_summaryIn the most recent systematic review of burns, up to 25% of children admitted to burn centers had been abused↗
▶Ep 1 · 24:05
host_summaryGreater than 95% of patients with intentional burns were aged less than 5 years↗
▶Ep 1 · 25:40
host_summaryHollow viscous injuries, specifically duodenal injuries in children less than 4 years old, are highly suggestive of abuse↗
▶Ep 1 · 26:15
host_summaryAbusive abdominal injury can occur without external signs such as bruising↗
▶Ep 1 · 26:25
host_summaryScreening for elevated liver function tests is recommended, and if elevated, further axial imaging is recommended to evaluate for intraabdominal injury↗
▶Ep 1 · 27:10
host_summaryFrenulum tears in mobile children have equivalent incidence between accidental and non-accidental trauma, so in and of themselves there is not sufficient evidence to recommend a child abuse workup↗
▶Ep 1 · 52:30
quotewe're not saying that you abused your child. We're concerned that your child has been injured intentionally, and it is our job to be able to screen that and we protect, and this, we do this for every child that comes through↗
