紧急情况部门 triage 首席投诉 在儿童评估身体虐待的担忧
Kristine Fortin, Joanne N Wood, Sean M Udell1
1Intermountain Healthcare, Park City, Utah.
Pediatric emergency care
|May 7, 2024
概括
许多受身体虐待伤害的幼儿在急诊室提出医疗投诉,而不是创伤. 这凸显了医生培训识别儿科患者虐待指标的必要性.
科学领域:
- 儿科 儿科 儿科
- 法医医学 法医医学
- 儿童保护 儿童保护
背景情况:
- 紧急服务部门对于识别虐待儿童至关重要.
- 遭受身体虐待的幼儿往往表现出非特异性症状.
研究的目的:
- 描述急诊室负责人对幼儿的抱怨,这些孩子的伤害涉及身体虐待.
- 根据儿童保护小组的评估,对首席投诉进行比较 (滥用最有可能,事故最有可能,未确定).
主要方法:
- 对2岁以下儿童的回顾性审查报告了怀疑的身体虐待.
- 主要投诉的分类 (医疗,创伤,伤害,虐待问题,多重).
- 分析儿童保护团队的评估和统计比较.
主要成果:
- 包括422名儿童;44%被评估为最有可能遭受虐待.
- 虐待最有可能发生的群体 (47%) 与事故最有可能发生的群体 (19%) 相比,医疗主管投诉的频率更高.
- 创伤事件的投诉在事故最有可能发生的群体中 (64%) 比虐待最有可能发生的群体 (19%) 更常见.
结论:
- 很大一部分受虐待相关伤害的儿童 (47%) 在他们的首要投诉中没有提到创伤,伤害或虐待.
- 这些发现强调了医生培训识别儿科紧急护理中虐待的微妙迹象的重要性.
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