MD Guidelines on the Identification, Investigation and Management of Suspected Abusive Head Trauma - CPS Statement

Question 1

The following diagnostic laboratory tests are recommended when AHT is a consideration

Answer 1

• A complete blood count with platelet number.
• Coagulation studies.

Question 2

All children under the age of ____ who die in a sudden, unexpected, or unexplained manner should have an autopsy.

Answer 2

2 years

Question 3

A full assessment for suspected AHT should be considered, especially in infants and young children with

Answer 3

• An acute or chronic injury with inadequate, inconsistent, evolving or no explanation.
• A severe head injury allegedly the result of a short fall or minor trauma.
• An unexplained symptomatic head injury in a child who was well when he/she was last seen.
• Subdural hemorrhage, retinal hemorrhage, rib,
  skull or metaphyseal fractures.

Question 4

What two imaging studies are required in the initial workup for suspected AHT?

Answer 4

1) CT head
2) Skeletal survey

Question 5

Which retinal finding is strongly suggestive of abusive head trauma?

Answer 5

Traumatic retinoschisis