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A Practical Guide to the Evaluation of Child Physical Abuse and NeglectAbdominal and Thoracic Trauma

A Practical Guide to the Evaluation of Child Physical Abuse and Neglect: Abdominal and Thoracic... [Of all the types of injuries resulting from child abuse, abdominal, and thoracic injuries are the most dangerous. They rank as the second most lethal type of inflicted injuries in children after head injuries. Victims of child abuse with significant abdominal and thoracic injuries often succumb to their injuries before diagnosis and treatment. They are young and defenseless and unable to brace themselves against the very violent forces that cause these types of injuries. Blunt force caused by kicking or punching is a common mechanism. Several factors such as inaccurate and incomplete history offered by the accompanying adult, the lack of external markers, and the lack of immediately evident specific signs and symptoms often lead to a delayed presentation and diagnosis. Victims presenting late with cardiovascular instability may be assumed to have a medical cause and receive standard cardio-pulmonary resuscitation instead of management based on trauma protocols.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Practical Guide to the Evaluation of Child Physical Abuse and NeglectAbdominal and Thoracic Trauma

Editors: Giardino, Angelo P.; Lyn, Michelle A.; Giardino, Eileen R.

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References (66)

Publisher
Springer New York
Copyright
© Springer-Verlag New York 2009
ISBN
978-1-4419-0701-1
Pages
207 –229
DOI
10.1007/978-1-4419-0702-8_5
Publisher site
See Chapter on Publisher Site

Abstract

[Of all the types of injuries resulting from child abuse, abdominal, and thoracic injuries are the most dangerous. They rank as the second most lethal type of inflicted injuries in children after head injuries. Victims of child abuse with significant abdominal and thoracic injuries often succumb to their injuries before diagnosis and treatment. They are young and defenseless and unable to brace themselves against the very violent forces that cause these types of injuries. Blunt force caused by kicking or punching is a common mechanism. Several factors such as inaccurate and incomplete history offered by the accompanying adult, the lack of external markers, and the lack of immediately evident specific signs and symptoms often lead to a delayed presentation and diagnosis. Victims presenting late with cardiovascular instability may be assumed to have a medical cause and receive standard cardio-pulmonary resuscitation instead of management based on trauma protocols.]

Published: Feb 22, 2010

Keywords: Child Abuse; Blunt Trauma; Abdominal Trauma; Abdominal Injury; Pancreatic Injury

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