Paediatric Trauma: Non-accidental injuries(NAI)

Question 1

what children are most commonly seen with non-accidental injuries

Answer 1

children in poverty, children with special needs/disability, children of parents with substance abuse

Question 2

what raises general suspicion of NAI or child abuse

Answer 2

multiple fractures of varying ages(with different amounts of healing/callus), or multiple trips to A&E with different injuries

Question 3

what features of the history of an injury should raise suspicion of NAI or child abuse

Answer 3

inconsistent/changing history of events

Question 4

what types of injuries should raise suspicion of NAI or child abuse

Answer 4

injuries non consistent with age(eg not walking), multiple bruises of varying age, atypical injuries(eg cigarette burn), rib fracture, trunk burns, metaphyseal fractures in infants