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Injuries in Children
Published in Ian Greaves, Keith Porter, Jeff Garner, Trauma Care Manual, 2021
Ian Greaves, Keith Porter, Jeff Garner
Non-accidental head injury is the most common form of severe NAI, and 95% of such injuries occur below the age of 1. Inflicted traumatic brain injury is not an uncommon injury in children, especially in those aged less than 1.33 The mortality is up to 30%. It is also a cause for long-term neuro-disability. The presenting symptoms and signs of shaken baby syndrome are often non-specific, and so healthcare professionals must have an index of suspicion when infants and children present with neurological and respiratory symptoms.34 This is important because, if a diagnosis of intentional harm is missed, a repeat and more severe injury may occur later.35
Out of the Box
Published in R. Annie Gough, Injury Illustrated, 2020
Since then, Mr. Dan Monnat has contracted my services for similar out-of-the-box visual exhibits. I have consulted on several child abuse cases and reviewed medical records and radiology related to shaken baby syndrome. A particular case involved a father accused of homicide. He was locked in jail while his daughter lay lifeless on a ventilator awaiting organ donation.
Ophthalmology
Published in Rachel U Sidwell, Mike A Thomson, Concise Paediatrics, 2020
Rachel U Sidwell, Mike A Thomson
A common feature of shaken baby syndrome is that there is often no external evidence of trauma around the eyes but there may be bruising on the child’s limbs or trunk from where they have been held. Intracranial haemorrhage is often co-existent.
Abusive head trauma in India: imaging raises the curtain
Published in International Journal of Injury Control and Safety Promotion, 2022
Hima Pendharkar, Shumyla Jabeen, Nupur Pruthi, K. V. L. N Narasinga Rao, Dhaval Shukla, Nitish Kamble, Kavita V. Jangam, John Vijay Sagar Kommu, Thennarasu Kandavel, Senthil Amudhan
Abusive head trauma (AHT), sometimes called ‘shaken baby syndrome’ (Christian & Block, 2009), is a public health issue of great importance globally. Most of these injuries occur in children under 3 years of age (Duhaime et al., 1992), (‘Shaken Baby Syndrome: Rotational Cranial Injuries-Technical Report’, 2001). It is a significant contributor to child morbidity and mortality with long-lasting physical, emotional and social consequences (Brenner et al., 1989; Duhaime et al., 1996; Ewing-Cobbs et al., 1998; King et al., 2003; Ludwig & Warman, 1984). The overall prevalence of physical abuse among children in India was estimated at approximately 66% in a survey conducted by the Government of India (Kacker et al., 2007), a number which cannot be overlooked. However, AHT as a subgroup of child abuse has not received its due attention in the study.
Language, intellectual and educational outcomes after moderate-to-severe traumatic brain injury sustained before the age of 18 months
Published in Brain Injury, 2019
Jeanne Vassel-Hitier, Valentine Verdier, Stéphanie Rasquier, Anaïs Chalard, Anne Laurent-Vannier, Mathilde Chevignard
This study took place in rehabilitation department devoted to children with acquired brain injury in the Paris area, France. Children were included if they sustained moderate-to-severe TBI before the age of 18 months, that required admission in the rehabilitation department at discharge from the intensive care unit, between 2000 and 2007. Children were included following accidental or non-accidental TBI (Shaken Baby Syndrome – SBS). Upon admission to the department, data is systematically collected regarding previous medical personal and family history, previous child development, and languages spoken at home. At the time of the study, all children were of school age (5 to 10 years). The medical history and family environment information were collected retrospectively in the medical files. Children with a pre-injury diagnosis of developmental, neurological (including previous TBI, which had led to an emergency room visit) or genetic condition, or family dysphasia, were not included.
Shaken Baby Syndrome Education for Mothers Awaiting Appointments in Rural OB/GYN Office
Published in Comprehensive Child and Adolescent Nursing, 2023
Ann W. Lambert, Chih-Hsuan Wang, Claire Thompson, Adelia Grabowsky
Shaken Baby Syndrome (SBS), a form of Abusive Head Trauma (AHT), causes significant morbidity and mortality in infants. It is estimated that every year, 17 to 25 out of 100,000 infants under 1 year of age experience AHT (Rabbitt et al., 2018). Infant victims typically present with unexplained intracranial hemorrhage, retinal hemorrhage, and/or skull fractures (Ornstein et al., 2016). Long-term sequelae are common for survivors and include blindness and other neurological concerns, as well as developmental and cognitive delays (Zolotor et al., 2015).