<< Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment (Trauma CME)


In 2015, about 683,000 infants and children in the United States were determined by Child Protective Services (CPS) to have been maltreated and, of these, 17.2% were physically abused.1 Based on self-reports by victims, the incidence of maltreatment, including episodes not reported to CPS, is likely much higher.1-5 Most maltreatment-related fatalities occur in children aged < 3 years.1 The majority of children with injuries concerning for abuse are seen in emergency departments (EDs).6-9 Notably, approximately 30% of children who died from abuse were previously evaluated by healthcare providers, often in the ED setting, for injuries that were not recognized to be the result of abuse.10-13

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