Inadequately explained injury

(Child abuse)

Traumatic head injury due to child maltreatment
Intimate partner violence
Neglect
Physical abuse
Sexual abuse

Define the different types of child maltreatment
Recognize typical and atypical patterns of injury in children

Overview & Foundational Knowledge

The Pediatrician’s Role in Preventing Child Maltreatment: Clinical Report

https://doi.org/10.1542/peds.2024-067608

Stirling J, Gavril A, Brennan B, et al. The Pediatrician’s Role in Preventing Child Maltreatment: Clinical Report. Pediatrics. 2024;154(2):e2024067608. doi:10.1542/peds.2024-067608

Maguire S. Which injuries may indicate child abuse? Arch Dis Child Educ Pract Ed 2010 95: 170-177.

http://ep.bmj.com/content/95/6/170

Overview article in BMJ.

Clinical Resources

Christian CW et al. The Evaluation of Suspected Child Physical Abuse. Pediatrics 2015: 135 (5): e1337e1355

http://pediatrics.aappublications.org/content/135/5/e1337

Good guidelines outlining evaluation of children where physical abuse is suspected.

CPS Practise Point: Medical assessment of suspected traumatic head injury due to child maltreatment (THI-CM) (2024)

https://cps.ca/en/documents/position/medical-assessment-of-THI-CM

https://cps.ca/fr/documents/position/evaluation-medicale-du-TC-ME

CPS Practise Point: The medical assessment of fractures in suspected child maltreatment: Infants and young children with skeletal injury (2018)

https://cps.ca/en/documents/position/fractures-in-suspected-child-maltreatment

https://cps.ca/fr/documents/position/levaluation-medicale-des-fractures-en-cas-de-soupcons-de-maltraitance

CPS Practise Point: The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective (2017)

http://www.cps.ca/en/documents/position/medical-assessment-of-bruising

http://www.cps.ca/fr/documents/position/evaluation-medicale-des-ecchymoses

CPS Practise point: Recognizing and responding to children with suspected exposure to intimate partner violence between caregivers (2023)

https://cps.ca/en/documents/position/recognizing-and-responding-to-children-with-suspected-exposure-to-intimate-partner-violence-between-caregivers

https://cps.ca/fr/documents/position/savoir-detecter-lexposition-des-enfants-a-la-violence-entre-partenaires-intimes-quelle-soit-presumee-ou-divulguee-et-savoir-intervenir

Virtual Patients or Cases

Altered Level of Consciousness.

Access through https://www.pedscases.com/altered-level-consciousness

Patient case on altered level of consciousness.