Emergency Department Evaluation and Management of Nonaccidental Trauma in Pediatric Patients (Trauma CME) | Points & Pearls -
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Emergency Department Evaluation and Management of Nonaccidental Trauma in Pediatric Patients (Trauma CME)

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  • Examples of sentinel injuries include unusual bruising in infants and toddlers, and intraoral injuries such as a torn frenulum in infants. Inadequately explained or patterned burns (eg, cigarette burns), and fractures in premobile children can also be signs of nonaccidental trauma (NAT).10,11 (See Figure 1.)
  • Distinguishing routine accidental bruising from abusive bruising patterns is important when evaluating an injured child. (See Figure 2.)
  • When obtaining the history, ask open-ended questions and allow caregivers/parents to give their full side of the story, so as not to influence the narrative with leading questions.
  • Injuries that seem inconsistent with the child’s developmental age, certain injury patterns, traumatic injuries in preambulatory children, or delays to seeking care should prompt clinicians to move NAT further up the differential.
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Publication Information
Authors

Gwendolyn Hooley, MD; Sylvia E. Garcia, MD

Peer Reviewed By

Andrea G. Asnes, MD, MSW; Melissa Siccama, MD

Publication Date

September 1, 2023

CME Expiration Date

September 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credit, subject to your state and institutional approval.

Pub Med ID: 37606603

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