Here’s the paper Dr. Foster mentioned about predicting abusive head trauma. She helped author the study which includes VCU patients.
A brief summary of the decision rule:
|To minimize missed cases, every acutely head-injured infant or young childahospitalized for intensive care who presents with ≥1 of these 4 predictor variables should be thoroughly evaluated for abuse:|
|• Any clinically significant respiratory compromiseb at the scene of injury, during transport, in the emergency department, or before admission|
|• Any bruising involving the child’s ears, neck, or torsoc|
|• Any subdural hemorrhages or fluid collections that are bilateral or involve the interhemispheric space|
|• Any skull fractures other than an isolated, unilateral, nondiastatic, linear, parietal skull fracture|