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Emergency medicine

G/TUES/EME1 PREDICTION OF PHYSICAL ABUSE IN ACCIDENT AND EMERGENCY DEPARTMENTS BASED ON AGE, TYPE OF INJURY AND REPEAT ATTENDANCE
J. Woodman¹, M. Pitt¹, D. Hodes¹, B. Taylor¹, R. Gilbert¹.¹Institute of Child Health, London, UK; ²Peninsula Technology Assessment Group, Exteter, UK; ³University College London Hospital, London, UK; ⁴Islington Primary Care Trust, London, UK

Introduction: Protocols used to promote the detection of physical abuse in Accident and Emergency departments state that children at high risk of physical abuse should be assessed by a paediatrician. Children considered to be at high risk are injured infants (under 2 years), particularly with fractures or head injury. RCPCH guidelines state that children who repeatedly attend A&E for injury are also at high risk. In practice, A&E staff see two or three injury attendances a year as potentially worrying.

Aims: We aimed to evaluate the effectiveness of protocols specifying young age, type of injury or repeated attendance for detecting physical abuse in A&E.

Methods: We did a series of systematic . . . [Full text of this article]