Abusive Burns

Knox, Barbara L.; Starling, Suzanne P.

doi:10.1016/b978-1-4160-6393-3.00028-2

Cited by 3 publications

(2 citation statements)

References 118 publications

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“…Thermal burns are the most common form of accidental and nonaccidental burns in children. Burn patterns can help distinguish between accidental and nonaccidental burns (Knox & Starling, 2011). For suspected immersion in hot water, burn patterns typically demonstrate a uniform depth, a linear demarcation between burned and unburned areas, absence of splash marks, and bilateral burn symmetry, particularly in the lower extremities.…”

Section: Causes Of Burns In Childrenmentioning

confidence: 99%

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School Nurses on the Front Lines of Healthcare: Red Flags and Red Herrings: Improving the Recognition of Bruises and Burns Associated With Physical Abuse in School-Age Children

2020

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Through a series of case scenarios, this article describes the assessment and management of suspected physical child abuse presenting as bruises and burns. Although it is not uncommon for school-age children to have accidental injuries, recognizing patterns associated with physical child abuse and understanding red flags for abuse is vital. Failure to recognize injury patterns suspicious for physical child abuse, and thus failure to intervene appropriately, may leave children at risk for more serious injury or death.

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Section: Causes Of Burns In Childrenmentioning

confidence: 99%

“… Source. Knox and Starling (2011); Makoroff and McGraw (2011). Note. School nurses must proceed with caution in the assessment of the student in areas covered by clothing and should refer the child to a pediatrician for further evaluation when possible if concerned for injury.…”

Section: Extra Credit Point: What Are Suspicious Patterns For Burns?mentioning

confidence: 99%

School Nurses on the Front Lines of Healthcare: Red Flags and Red Herrings: Improving the Recognition of Bruises and Burns Associated With Physical Abuse in School-Age Children

2020

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et al. 2022

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Differences Between Viral Meningitis and Abusive Head Trauma

Horton¹,

Burrell²,

Moffatt³

et al. 2022

Pediatrics

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OBJECTIVES: To evaluate the hypothesis that viral meningitis may mimic abusive head trauma (AHT) by comparing the history of present illness (HPI) and clinical presentation of young children with proven viral meningitis to those with AHT and those with subdural hemorrhage (SDH) only. We hypothesized that significant differences would exist between viral meningitis and the comparison groups. METHODS: We performed a 5-year retrospective case-control study of subjects aged <2 years, comparing those with confirmed viral meningitis (controls) to those with SDH evaluated by the hospital child abuse pediatrics team (cases). Cases were classified as SDH with concomitant suspicious injuries (AHT) and without concomitant suspicious injuries (SDH-only). Groups were compared across demographic (5 measures), HPI (11 measures), and clinical (9 measures) domains. Odds ratios were calculated for measures within each domain. RESULTS: Of 550 subjects, there were 397 viral meningitis, 118 AHT, and 35 SDH-only subjects. Viral meningitis differed significantly from AHT subjects on all demographic measures, and from SDH-only subjects on age. Viral meningitis differed significantly from AHT subjects in all HPI measures with odds ratios ranging from 2.7 to 322.5, and from SDH-only subjects in 9 HPI measures with odds ratios ranging from 4.6 to 485.2. In the clinical domain, viral meningitis differed significantly from AHT subjects in all measures, with odds ratios ranging from 2.5 to 74.0, and from SDH-only subjects in 5 measures with odds ratios ranging from 2.9 to 16.8. CONCLUSIONS: Viral meningitis is not supported as a mimic of AHT.

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Abusive Burns

Cited by 3 publications

References 118 publications

School Nurses on the Front Lines of Healthcare: Red Flags and Red Herrings: Improving the Recognition of Bruises and Burns Associated With Physical Abuse in School-Age Children

School Nurses on the Front Lines of Healthcare: Red Flags and Red Herrings: Improving the Recognition of Bruises and Burns Associated With Physical Abuse in School-Age Children

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Differences Between Viral Meningitis and Abusive Head Trauma

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