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Pediatric Abusive Head Trauma

Author: Noah Carpenter, MD and Jennifer McAnally, DNP, PMHNP-BC

CE: 2 hours
Rated 4.7 out of 5.0 based on 23543 reviews

Course Summary

Pediatric abusive head trauma, commonly known as shaken baby syndrome, is a form of child abuse that can result in significant morbidity and mortality. The traditional explanation for pediatric abusive head trauma was that violent shaking of the child or infant by an adult caused shearing and breaking of blood vessels in the brain and the eyes; however, many authorities feel that shaking alone cannot account for the damage seen in such head trauma cases. The prevalence, recognition and prevention of pediatric abusive head trauma is important for health clinicians in emergency departments and in general practice. The following sections will discuss the mechanisms of injuries, the risk factors for pediatric abusive head trauma, and the clinical characteristics for specific injuries. This will aid clinicians with detection, diagnosis, and prevention of pediatric abusive head trauma.

Course Format


Course Syllabus

.    Introduction

II.    Incidence and Recognition of Abusive Head Trauma

1. Detection of AHT
2. Prevalence of AHT

III.    Child Abuse in Infants and Young Children

IV.    Shaken Baby Syndrome

1. Mechanisms of Injury from Shaking
2. Secondary Injuries from Shaking

V.         Child Abuse in Infants and Young Children

VI.         Patterns and Risk Factors of AHT

1. Child’s Age and AHT
2. Crying and the Inconsolable Infant
3. Other Considerations that Suggest AHT
4. Pediatric Anatomy

VII.         Clinical Presentation and Diagnosis

1. AHT Triad
2. Isolated Incident
3. Fractures
4. Imaging and Testing

VIII.         Differential Diagnosis for AHT

1. Retinal Hemorrhage
2. Subdural Hemorrhage
3. Encephalopathy
4. Testing and Consultation

IX.    Management and Prevention

X.    Case Study: Pediatric AHT

XI.    Summary


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