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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... [Abdominal and thoracic injuries are some of the most dangerous types of injuries resulting from child abuse. Abusive abdominal trauma ranks 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 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 cardiopulmonary resuscitation instead of management based on trauma protocols. This explains the high fatality rates associated with these injuries.] 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.
Shenoi, Rohit
Springer Journals — Dec 12, 2018
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24 pages

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Publisher
Springer International Publishing
Copyright
© Springer Nature Switzerland AG 2019
ISBN
978-3-030-00634-1
Pages
195 –219
DOI
10.1007/978-3-030-00635-8_5
Publisher site
See Chapter on Publisher Site

Abstract

[Abdominal and thoracic injuries are some of the most dangerous types of injuries resulting from child abuse. Abusive abdominal trauma ranks 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 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 cardiopulmonary resuscitation instead of management based on trauma protocols. This explains the high fatality rates associated with these injuries.]

Published: Dec 12, 2018

Keywords: Specific organic injuries; Trauma; Thoracic injuries; Abdomal abuse

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