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Recognizing the Signs of Non-Accidental Pediatric Trauma

It's not always easy to detect non-accidental injury of a child and knowing what to do when you suspect it may be even more difficult. Dr. Hampton reviews the AAP recommendations, including the TEN 4 rule, to help you recognized the signs that may indicate abuse in an injured child. Along with the overview, he includes a few case studies illustrating how these signs present themselves in the real world and what to do when you encounter these delicate situations.

William Hampton, DO, FACOEP
Emergency Physician and Assistant Medical Director; Assistant Clinical Professor of Emergency Medicine, Holy Family Memorial; Midwestern University, Downers Grove, Illinois
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Expert Practice Series Presentations
William Hampton, DO, FACOEP
Emergency Physician and Assistant Medical Director; Assistant Clinical Professor of Emergency Medicine, Holy Family Memorial; Midwestern University, Downers Grove, Illinois
(319)
161 Comments
William Hampton, DO, FACOEP
Emergency Physician and Assistant Medical, Director, Holy Family Memorial, Assistant Clinical Professor of Emergency, Medicine, Assistant Clinical Professor of Osteopathic Manipulative Medicine, Midwestern University, Downers Grove, Illinois
(617)
118 Comments, last 1 day ago
William Hampton, DO, FACOEP
Emergency Physician and Assistant Medical Director; Assistant Clinical Professor of Emergency Medicine, Holy Family Memorial; Midwestern University, Downers Grove, Illinois
(146)
31 Comments
William Hampton, DO, FACOEP
Emergency Physician and Assistant Medical Director, Holy Family Memorial, Assistant Clinical Professor of Emergency Medicine, Assistant Clinical Professor of Osteopathic Manipulative Medicine, Midwestern University, Downers Grove, Illinois
(416)
76 Comments, last 8 days ago
Latest Comments
"53 years ago, when I arrived in Fresno as the new chief of pediatrics at our teaching hospital, over the next few months I noted a rash of infants in our ER with severe injuries and a non-conformational history. Coincidentally in Denver, Dr Brandt Steele and Elizabeth Davoren, MSW, published their similar findings and coined the term, Battered Child Syndrome.. The tip off, was nature of these injuries (fractured femurs, egg shelled skull fractures, etc. We developed a protocol for working up these suspect inflicted injuries which included total body x-rays. Uniformly we discovered multiple fractures in multiple stages of healing revealing a pattern of severe physical abuse Consequently I team led a panel of responsible agencies consisting of the Juvenile Court, Probation, Child Welfare, Law Enforcement, and representatives of the local medical society. We met semi-weekly to review recent cases and exchange "confidential info" to further understand the family dynamics. Our role at the Hospital was to insure the child's safety. We left the element of who dunnit and the consequences of guilt and punishment to the police and the courts. We played a significant role in the development of Child Protective Services for the State and their guidelines that the professional agencies were required to report when there was "reasonable cause to suspect". Immunity was given to citizens under the same provision. Thereafter we followed these families with respect and support to insure both safety to the child when once released from court supervision and to be of assistance in family counselling with ultimate habilitation of the family constellation. A couple of additional comments: these children tended to be under 2 years of age with the median age of 3 mos. If interested in additional info, do contact me"
Bill Ziering, MD
118 Comments, last 1 day ago
"Bill, great case, as usual! These details can never be overemphasized! I repeat! I teach these all these yrs! keep alert, do not be afraid to call authorities!How many do you see in a month in your ER?like these, battered child cases? love to hear fom you!"
Hariharier Subramanian, MD
Pediatric Surgeon, University of Central Florida College of Medicine
76 Comments, last 8 days ago
 
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