What is a non accidental injury?
Aim Non accidental injury (NAI) is defined as any abuse inflicted on a person or knowingly not prevented by a care giver. The injury is not consistent with the account of its occurrence.
When should you suspect a non accidental injury?
Points to consider in detecting non-accidental injury (NAI): Was there a delay in seeking attention following an injury? In a limping child, could this be due to a fracture or soft tissue injury? Is there a history of trauma, and is it consistent with the injury? Are there multiple injuries?
What is a typical site of a non accidental injury?
Spotting the Signs of a Non-Accidental Injury Common areas include the knees, elbows, shins and forehead. These locations tend to break a child’s fall when they are involved in a collision or trip, indicating that the trauma was unintentional. However, these marks can also appear in other locations.
What are the signs and symptoms of non accidental injury?
What are the signs and symptoms of non-accidental injury? The most common lesions caused by non-accidental injury are bruises and abrasions, followed by lacerations, scratches, soft tissue swellings, strap marks, haematomas, thermal burns and bites.
What is accidental injury example?
Accidental injury means an injury that results accidentally or from any external, violent and anticipated causes. For instance, an unintentional bodily injury resulting from any external force and against the normal course of events can be categorized as an accidental injury.
What are the signs and symptoms of non-accidental injury?
What is Ageing of bruising?
In general, bruises are said to be swollen, red, and tender initially. They darken over the next few days to become purple, brown, or black. At approximately one week, they appear green or yellowish green, and at eight to 10 days, are yellow to light brown. Most bruises resolve at approximately two weeks.
Where are the areas on the body less likely to be hurt accidentally?
The most common sites for non-accidental injury are:
- Eyes.
- Ears.
- Cheeks.
- Mouth.
- Shoulders.
- Chest.
- Upper and inner arms.
- Stomach/abdomen.
Can you accidentally abuse someone?
Deliberate abuse is vicious, but at least it’s obvious. Accidental abuse is relatively covert, complex, clandestine, and/or conditional—committed by involuntary villains whose pain and/or good intentions arguably exempt them from blame.
How is non-accidental trauma diagnosed?
A thorough examination of the skin, a neurologic exam, and an examination of the abdomen are important steps. Retinal hemorrhages, spiral fractures or femur fractures in a child who is not yet ambulatory, and unexplained visceral injuries all raise suspicion for non-accidental injury.
What is nonaccidental physical injury in children?
Nonaccidental injury is a significant cause of mortality and morbidity, especially in infants and young children. This article focuses on physical injuries that are commonly observed when children have been physically harmed as a result of abuse and neglect.
What is the protocol for imaging non-accidental injury in children?
Protocol for Imaging Non-Accidental Injury (NAI) in Children 1 Communication. All staff need to be aware that requests related to NAI may not specify NAI on the request. 2 Procedures. 3 Audit. 4 Standard Projections 5 Additional Projections (As per Radiologist) 6 Technique – Notes. 7 Image Evaluation.
How is non-accidental injury associated with urogenital trauma?
Urogenital trauma frequently raises the question of non-accidental injury, however it is uncommonly associated with it. It is important to be able to correlate the history of the injury with physical findings on examination. Thorough documentation and appropriate referral of cases suspicious for abuse is a priority of care.
When should an injured child be admitted to the ICU?
A low threshold for admission is appropriate when dealing with an injured child. Consider NAI in any infant who presents with an unexplained encephalopathy. Any infant with a cerebral injury, from shaking or direct trauma, should be admitted to ICU for monitoring overnight. Delayed deterioration may occur.