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.