PMID: 8603225Mar 1, 1996Paper

Inflicted submersion in childhood

Archives of Pediatrics & Adolescent Medicine
J M GillenwaterK W Feldman

Abstract

To improve characterization and recognition of inflicted pediatric submersions. Retrospective case series, records review. A regional children's hospital and the King County (Washington) Medical Examiner's office. Children younger than 19 years who sustained submersion injury between 1983 and 1991 and were hospitalized or autopsied. Two pediatricians, using preestablished criteria, categorized abstracted case scenarios as either inflicted or unintentional events. The two groups were compared. Of 205 submersions, 16 (8%) were judged to have been inflicted. Objective physical signs of abuse and incompatibilities between the history and the child's stage of development or physical findings were common (69% and 50%, respectively). Inflicted submersion victims were likely to be young (median age, 2.1 years). They tended to be the youngest sibling in a large (three or more children) household. Social and demographic attributes of inflicted and unintentional submersion victims did not differ significantly. Bathtubs were the most common site for inflicted submersions (9/16 [56%]), and submersions in bathtubs were frequently inflicted (9/34 [26%]). Compared with unintentional submersion victims, children who were inflicted submersion vi...Continue Reading

Citations

Jun 18, 2003·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·L Quan, P Cummings
May 1, 1997·Emergency Medicine Clinics of North America·R Braun, S Krishel
May 28, 2004·Emergency Medicine Clinics of North America·Jonathan S Olshaker
Jan 17, 2003·Critical Care Medicine·Joseph Zenel, Brahm Goldstein
Jun 2, 2006·The American Journal of Forensic Medicine and Pathology·Gino R SomersCharles R Smith
Feb 28, 2006·The American Journal of Forensic Medicine and Pathology·Gino R SomersCharles R Smith
Aug 16, 2003·Journal of Paediatrics and Child Health·F I RossD T Cass

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