4 hour rule Access ACS Aeromedical Airway Altitude anaesthesia Anaesthetics Anatomy Anticoagulation Aorta app app review Apple ARDS arrest Aviation Blogs blood products blunt trauma Books Brain Cadogan cardiac arrest Cardiology central access central line Checklists Child Abuse Christmas Clinical examination coagulopathy cooling CPR Critical Care CSF C-spine Developing World Digoxin toxicity Disposition Dissection Diving Dysbarism ECG ECGs Emergency Discharge Emergency Medicine EMPearls ENT epistaxis ETM course Extremity Trauma Eye Trauma FAST Fellowship Exam Flying Doctors Fractures Fun stuff GMergency! Haematology Head Injury Healthcare Human Factors hypertension hypothermia infectious diseases Intraosseous iPhone Ketamine KPI Learning Liver Injury local anaesthetic Lower Limb Malaria Massive transfusion Matrix MI Military Minh Le Cong MMassive transfusion Music Myocardial Infarction Myths neck Neuroscience Non Invasive Ventilation obesity Ophthalmology Orthopaedics Outback Paediatric Paediatric Airway Paediatric fever Papua New Guinea Paralytics PE Pharmacology Pneumonia podcast Posterior MI pre-hospital care pseudo-axiom Pulmonology Radiation Exposure Radiation Illness Radiology Random regional blocks Research Resuscitation Retrieval Review Revision RFDS ROSC rural RUSH safety Sedation sepsis Shock Simulation SMACC GOLD Smart phone Spinal cord injury Splenic Injury Star Wars stroke Surgery Systems Technical skills Technology Thoracic trauma Thrombolysis time Tourniquet Toxicology Training transfers transport Trauma Ultrasound Vascular video laryngoscopy

One of my all time heroes in Emergency Medicine - Mel Herbert at EM:RAP HQ, shamelessly plugging blog

This is an emergency medicine blog with a focus on trauma, and critical care, along with new technology & education. In addition, we will scour the existing blogs and resources out there, and attempt to keep the reader up to date with the ever expanding blogosphere...

Please subscribe by clicking "subscribe" on the menu above, for email updates on new posts etc. You may also follow us on Twitter, or Facebook, by clicking on the links in the sidebar to the right.  

Entries in Child Abuse (1)


Non-Accidental Injury in Paediatric Patients

Updated on Wednesday, February 8, 2012 at 3:43PM by Registered CommenterAmit Maini

Image via

Dr Andy Sloas from PEM-ED podcast fame has decided to share his paediatric wisdom on the topic of non-accidental injury. Warning : bumper post!!


Child abuse, or non-accidental trauma, is a subject that evokes primal emotion and response from most.  As providers that take care of children, it is hard to fathom that anyone would hurt a child.  Unfortunately, most people who present to an emergency room having intentionally abused a child are not going to be forthcoming with that information and one can only hope that they suffer the same pain that they have put their child through (primal reaction).


The actual definition of child abuse can be vague and is best left up to the legal community for interpretation. A reasonable definition (for those taking a board style exam) in the near future would be the following: Abuse is constituted by any act or a failure to act that results in the harm, death, sexual exploitation, emotional damage, or physical injury to a child.  That said, identification of abuse is the primary responsibility of anyone who routinely takes care of children.  Further more, the law holds the medical community accountable for the protection of the children in their charge.  In the United States these laws are not limited to medical personnel and this extension of responsibility has been emphasize most recently with the removal of the administrative staff of an entire American university amidst a sexual abuse scandal. We know, as medical providers, that there are multiple shades of grey that color the black and blue background of a battered child’s psyche. 

Click to read more ...