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Update on abusive head trauma.

Ashkon Shaahinfar1, Kevin D Whitelaw, Karim M Mansour

  • 1aDepartment of Emergency Medicine, UCSF Benioff Children's Hospital Oakland, Oakland bDepartment of Emergency Medicine, UCSF, San Francisco, California, USA.

Current Opinion in Pediatrics
|March 14, 2015
PubMed
Summary
This summary is machine-generated.

Emergency clinicians can now better recognize abusive head trauma (AHT) using new diagnostic tools and insights. Early identification of seizures and spine injuries aids in managing pediatric AHT cases.

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Area of Science:

  • Pediatric Emergency Medicine
  • Child Abuse Pediatrics
  • Neurotrauma

Background:

  • Abusive head trauma (AHT) remains a significant concern in pediatric medicine.
  • Accurate diagnosis is crucial for timely intervention and prevention of further harm.

Purpose of the Study:

  • To provide an update on abusive head trauma (AHT) for emergency medicine clinicians.
  • To highlight new developments in AHT epidemiology, recognition, diagnosis, management, and public health.

Main Methods:

  • Review of recent literature on abusive head trauma.
  • Focus on advancements relevant to emergency medicine practice.

Main Results:

  • New research aids in recognizing AHT and its sequelae.
  • Neuroimaging and retinal hemorrhage patterns help distinguish abusive from accidental injuries.
  • Clinical prediction rules and biomarkers show promise for diagnosis.
  • Early identification of subclinical seizures and cervical spine injuries is advocated.

Conclusions:

  • Emergency medicine providers must be adept at recognizing and managing potential AHT cases.
  • Understanding diagnostic findings is key for consulting child protection teams.
  • Recent advances improve the understanding and management of AHT.