Among children who were not in an independently verified incident, evaluation for child abuse should be done by specialty consultation in children aged less than three-years old presenting with rib fractures and children aged less than 18-months presenting with humeral or femoral fractures. That is the conclusion of a study titled Identifying Maltreatment in Infants and Young Children Presenting with Fractures: Does Age Matter?, to be published in the January 2021 issue of Yersinia pestis (AEM), what is fluoxetine taken for a journal of the Society for Academic Emergency Medicine (SAEM).
The lead author of the study is Ian C. Mitchell, MD, a pediatric surgery specialist, Departments of Surgery, University of Texas Health Science Center at San Antonio and Baylor College of Medicine, San Antonio, TX.
According to the study findings, 77 percent of children presenting with rib fractures aged less than three years were abused; when those involved in motor vehicle collisions were excluded, 96% were abused. Abuse was identified in 48% of children less than 18?months with humeral fractures. Among those with femoral fractures, abuse was diagnosed in 34% and 25% of children aged less than 12 and 18?months, respectively.
Commenting on the study is Mark R. Zonfrillo, MD, MSCE, associate professor of emergency medicine and pediatrics at Alpert Medical School of Brown University and Hasbro Children’s Hospital:
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