Practical Reviews

When You Suspect Child Abuse, Should Your Evaluation Be Standardized?

Background: In the United States (2015 stats), of nearly 700,000 children considered victims of maltreatment, 1670 died. While it is a critical aspect of emergency medicine, it often goes unrecognized. About 25% of children who finally had a diagnosis of nonaccidental trauma (NAT) had a sentinel injury that was misdiagnosed. Objective: To describe a quality improvement initiative that would establish age-specific guidelines in the evaluation of suspected NAT. Design: Retrospective more...
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