Role of the surgeon in non-accidental trauma

Pediatric Surgery International
Bindi J Naik-MathuriaDavid E Wesson

Abstract

Non-accidental trauma (NAT) represents a significant cause of morbidity and mortality in the pediatric population. The management of these patients often involves many care providers including the surgeon. Victims of NAT often present with multiple injuries and as such should be treated as trauma patients with complete trauma evaluation including primary, secondary and tertiary surveys. Common injury patterns in NAT include extremity fractures, closed head injury and intra-abdominal injury. Brain imaging is of importance to rule out acute or sub-acute intracranial hemorrhage. Children under the age of 5 years with acute intracranial pathology should also be evaluated by an ophthalmologist to rule out retinal hemorrhages, which are considered pathognomonic for child abuse from violent shaking. In instances when abdominal injury is suspected, prompt evaluation by a surgeon is recommended along with CT imaging. Finding of extremity fractures should prompt evaluation by an orthopedic surgeon. At our institution, all patients with suspected NAT are admitted to the pediatric surgery service for complete evaluation and management. We encourage other pediatric trauma centers to employ a similar approach so that these complicated patien...Continue Reading

References

Jan 1, 1984·Pediatric Radiology·D F MertenJ C Leonidas
Jul 7, 1962·JAMA : the Journal of the American Medical Association·C H KEMPEH K SILVER
Jun 19, 2004·Pediatric Rehabilitation·Karen BarlowRobert A Minns
Oct 19, 2006·Pediatric Emergency Care·Matthew TrokelRobert D Sege
Sep 6, 2007·Pediatric Neurosurgery·Jill C Glick, Kelley Staley
May 1, 2009·Pediatrics·UNKNOWN Section on Radiology, UNKNOWN American Academy of Pediatrics
May 4, 2010·Journal of Neurosurgery. Pediatrics·Joel S KatzMichael H Handler
Jul 24, 2010·Clinical & Experimental Ophthalmology·Glen Gole
Jul 28, 2010·Pediatrics·Alex V LevinUNKNOWN Committee on Child Abuse and Neglect, Section on Ophthalmology
Oct 14, 2010·Clinical Orthopaedics and Related Research·Ernest L SinkPaul Kleinman
Nov 26, 2010·Pediatric Radiology·Melissa A HilmesJ Herman Kan
Oct 22, 2011·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Sharyn E ParksJames A Mercy
Mar 9, 2012·Child Abuse & Neglect·Wendy Gwirtzman LanePatricia Dischinger
Dec 29, 2012·The Journal of Trauma and Acute Care Surgery·Lauren SowreyNilda M Garcia
Jan 16, 2013·Pediatrics·Daniel M LindbergUNKNOWN ExSTRA investigators
Jul 13, 2013·Journal of Pediatric Surgery·Emily L LarimerBindi J Naik-Mathuria
Jan 29, 2014·Pediatrics·Emalee G FlahertyUNKNOWN Society for Pediatric Radiology

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Citations

Jan 27, 2016·Pediatric Surgery International·Mauricio A EscobarElizabeth C Pohlson
Nov 28, 2015·African Journal of Paediatric Surgery : AJPS·Pathoom Sukkaromdee, Viroj Wiwanitkit
May 20, 2016·Anesthesia and Analgesia·Jennifer K LeeNina Deutsch
Sep 15, 2016·Journal of Pediatric Surgery·Cristen N LitzNicole M Chandler
Jun 1, 2018·The Journal of Trauma and Acute Care Surgery·Jamie E AndersonJoseph M Galante
Jul 2, 2017·Indian Pediatrics·G Karthikeyan, G K Monish
Jul 31, 2021·American Journal of Surgery·Adil A ShahMikael Petrosyan

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