Update on abusive head trauma

@article{Shaahinfar2015UpdateOA,
  title={Update on abusive head trauma},
  author={Ashkon Shaahinfar and K D Whitelaw and Karim M. Mansour},
  journal={Current Opinion in Pediatrics},
  year={2015},
  volume={27},
  pages={308–314}
}
Purposes of review This article provides an update on abusive head trauma (AHT), focusing on new developments most salient to the emergency medicine clinician, including epidemiology, clinical recognition, diagnostic work-up, management of neurologic injury, and public health implications. Recent findings The recent literature has focused on honing the clinician's ability to recognize AHT and its immediate sequelae, to more accurately distinguish between abusive and accidental head injuries by… Expand
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References

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TLDR
The American Academy of Pediatrics recommends that pediatricians develop skills in the recognition of signs and symptoms of abusive head injury, including those caused by both shaking and blunt impact, consult with pediatric subspecialists when necessary, and embrace a less mechanistic term, abusive head trauma, when describing an inflicted injury to the head and its contents. Expand
Validation of a Clinical Prediction Rule for Pediatric Abusive Head Trauma
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Four readily available variables identify AHT with high sensitivity in young, acutely head-injured children admitted to the PICU in a new, equivalent patient population. Expand
The eye in child abuse: Key points on retinal hemorrhages and abusive head trauma
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This review presents an up-to-date overview of ocular injuries resulting from child abuse, with a spotlight on abusive head trauma, and key distinctions among retinal hemorrhage patterns, severity and frequencies are highlighted. Expand
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Although diagnosing head trauma can be difficult in the absence of a history, it is important to consider inflicted head trauma in infants and young children presenting with nonspecific clinical signs. Expand
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MRI may be helpful in patients with suspected nonaccidental trauma, with which axonal shear injury and ischemia are more common and documentation is critical, as well as in those whose clinical status is discordant with CT findings, but data are currently insufficient to support routine clinical use. Expand
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TLDR
If validated, a reliable, sensitive, abusive head trauma clinical prediction rule could be used by pediatric intensivists to calculate an evidence-based, patient-specific estimate of abuse probability that can inform—not dictate—their early decisions to launch (or forego) an evaluation for abuse. Expand
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Intracranial bleeding is a cardinal feature of AHT to be considered in case ascertainment to improve public health surveillance and identify risk characteristics for recognizing high-risk children to improvePublic health surveillance. Expand
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TLDR
Although there is a wide differential diagnosis for retinal haemorrhages, clinical appearance, when considered in the context of systemic and laboratory findings, usually leads to the correct diagnosis. Expand
Factors associated with hemispheric hypodensity after subdural hematoma following abusive head trauma in children.
TLDR
A variety of insults associated with ischemia, including intracranial hypertension, ICP-directed therapies, hypoxia, hypotension, and cardiac arrest, occurred in the children who developed HH. Expand
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