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9.3 - Safeguarding and Non-accidental Injury

from Section 9 - Paediatric Care

Published online by Cambridge University Press:  27 July 2023

By
Andrew J. Jones  and
Thomas Brick
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Safeguarding and child protection are the responsibility of all professionals involved in the care of children.

  2. 2. If a child is suspected of being at risk of harm, a referral to the local authority must take place.

  3. 3. Abusive head trauma is the most common form of death amongst children as a result of abuse.

  4. 4. Specific clinical findings are strongly associated with abusive head trauma in young children.

  5. 5. In the UK, a statutory process is in place to respond to the death of a child.

Keywords

safeguardingchild protectionchild abusenon-accidental injuryabusive head traumachild death
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 695 - 697
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Agrawal, S, Peters, MJ, Adams, GGW, Pierce, CM. Prevalence of retinal hemorrhages in critically ill children. Pediatrics 2012;129:e1388–96.CrossRefGoogle ScholarPubMed
Brandon, M, Sidebotham, P, Bailey, S, et al. New learning from serious case reviews: a two year report for 2009–2011. London: Department of Health; 2012.Google Scholar
Hettler, J, Greenes, DS. Can the initial history predict whether a child with a head injury has been abused? Pediatrics 2003;111:602–7.CrossRefGoogle ScholarPubMed
Keenan, HT, Runyan, DK, Marshall, SW, Nocera, MA, Merten, DF. A population-based comparison of clinical and outcome characteristics of young children with serious inflicted and noninflicted traumatic brain injury. Pediatrics 2004;114:633–9.CrossRefGoogle ScholarPubMed
Wolfe, I, Macfarlane, A, Donkin, A, Marmot, M, Viner, R. Why children die: deaths in infants, children and young people in the UK. London: Royal College of Paediatrics and Child Health and National Children’s Bureau; 2014.Google Scholar

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