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

Introduction

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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