Pediatric Emergency Digest Volume 4
This edition of Pediatric Emergency Department is a brief synopsis of the TEN-4, FACES and PIBIS scores for the detection of physical child abuse.
Fracture Fridays: A chip off the old bucket handle (Re-post)
Metaphyseal corner fractures in infants are very concerning for child abuse. Seeing one on X-Ray should always prompt a workup for non-accidental trauma.
AAP 2016 Top 10 #5: Testing for abuse in children with sentinel injuries of NAT
The 5th article from the AAP SOEM NCE Top 10 of 2016 determined rates of abuse evaluation and diagnosis among children with sentinel injuries of non-accidental trauma
PEM Currents podcast on unexplained bruising in the young child
PEM Currents, the Pediatric Emergency Medicine podcasts brings you a discussion on the workup of a child with unexplained bruising.
Emergency Department workup for unexplained bruising in the young child
This is not something that any of us wants to evaluate in the Emergency Department, but it is a necessary part of the job. First, look for suspicious or atypical bruises: A case control study of 95 PICU trauma patients under the age of 4 showed that: Bruises on the torso, ear, or neck for a child ≤4 years of [...]
Fracture Fridays: A chip off the old bucket handle
The case An infant presents with swelling of the ankle after being picked up from the babysitter. He has been able to pull to stand and cruise for a while now, but appears to be in pain when he attempts to bear weight after he pulls up to stand. X-Rays reveal the following. Diagnosis This is a metaphyseal corner fracture. [...]
Child abuse and patterns of injury: A summary
Here is a summary of some of the high points from an excellent review on child abuse and patterns of injury. If you want to see more like this in real time you can always follow me on twitter @PEMTweets. [View the story "Summary of child abuse lecture live tweet" on Storify]
