Detection of non-accidental injuries presenting at emergency departments

Emerg Med J. 2004 Sep;21(5):562-4. doi: 10.1136/emj.2003.008607.

Abstract

Objectives: To investigate whether cases of possible non-accidental injury as identified using five risk indicators give rise to any subjective concerns of child abuse.

Methods: Questionnaires were completed by the triage nurse and attending doctor for every child attending the general hospitals of the North Western Health Board, with an injury, during a six month period. The questionnaires included an assessment of subjective concerns about the injury occurrence and five risk indicators of child abuse.

Results: Children presenting with an injury who had two or more positive indicators failed to raise subjective concerns in the attending emergency department staff.

Conclusions: The introduction of a policy of identifying positive indicators from the five risk indicators of child abuse needs additional computer support within emergency departments.

MeSH terms

  • Adolescent
  • Child
  • Child Abuse / diagnosis*
  • Child, Preschool
  • Clinical Competence*
  • Clinical Protocols
  • Emergency Nursing / standards
  • Emergency Service, Hospital / standards*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Medical Records Systems, Computerized / standards
  • Medical Staff, Hospital / standards
  • Northern Ireland
  • Risk Factors
  • Wounds and Injuries / etiology*