Being a Kid Should Be Fun: Recognition of Non-Accidental Trauma-Video: Being a Kid Should Be Fun: Recognition of Non-Accidental Trauma

Video Transcription

Video Summary

The webinar focused on recognizing non-accidental trauma (child abuse) in children, with pediatric trauma nurse Missy Anderson outlining key definitions, warning signs, and response steps. She emphasized that child abuse is not only physical abuse, but also includes neglect, emotional abuse, and sexual abuse, often overlapping. She reviewed alarming national statistics, including high rates of injury and fatality, especially in infants and young children, and discussed disparities by race and gender.  <br /><br />A major section covered the 10-4-FACES-P screening tool for pre-verbal children, highlighting suspicious bruising and injuries to the trunk, ears, neck, frenulum, eyes, and patterned areas. Anderson stressed “strip them and flip them” to ensure a full exam, and noted that fractures, burns, rib injuries, and submersion burns can be red flags. She also reviewed abusive head trauma, signs such as vomiting, lethargy, seizures, and findings like subdural and retinal hemorrhages.  <br /><br />The talk outlined the importance of mandated reporting, careful documentation, and a structured NAT workup including imaging, labs, consultations, and safe disposition planning. She ended with prevention strategies, focusing on parent education, community resources, and support for overwhelmed caregivers. A case study illustrated how subtle findings and careful investigation can uncover abuse.

Keywords

non-accidental trauma

child abuse

pediatric trauma

10-4-FACES-P

mandated reporting

abusive head trauma

suspicious bruising

child neglect

pediatric assessment