Program OverviewSentinel Events is a TCAA course (from a previous live webinar) designed to help learners identify and evaluate visible minor injuries in pre-cruising infants due to possible child abuse.
Estimated completion time: 60 minutes
Target Audience: The Trauma healthcare team and other clinical departments
Learning Objectives
At the conclusion of this course, the learner should be better able to:
1. Discuss the barriers to identification
2. Review what is a "sentinel event"
3. Review the evaluation for sentinel event
Faculty Presenter: Dr. Arne Graff
Presenter Bio
Dr. Arne Graff is a family medicine doctor in Rochester, Minnesota and is affiliated with multiple hospitals in the area, including Altru Health System-Grand Forks and Mayo Clinic. He received his medical degree from University of North Dakota School of Medicine and Health Sciences and has been in practice for more than 20 years. He also has a Fellowship in Child Abuse/Forensic Pediatrics from Lifespan Rhode Island Hospital, Brown University Medical School.
Lindbery, D. Testing for abuse in children with sentinel injuries. Pediatrics 136(5);831-838
Sheets, L. Sentinel injuries in infants; evaluation for child physical abuse. Pediatrics 2013: 131 ( 4. ) ; 701-707
AAP Clinical Report: The evaluation of suspected child physical abuse. Pediatrics 2015: 135 (5); 1337-1354
Petska,H. Ped Clin NA 20144; 61 (5): 923-935
Maguire,S. Diagnosis Abuse: A systematic review of torn frenulum and intraoral injuries AnnDis child 2007; 92: 1113-1117
Kudek,M. Sublingual hematoma: When 2 suspected child abuse. Clin Peds 2014; 53 ( 8): 809-819
Harper,N. Additional injuries in young infants with concern for abuse and apparently isolated bruises J of Peds 2014;1-6
Pierce, M. History, injury and psychological risk factors common among cases a fatal in near fatal physical child abuse Child Abu N 2017; 69:26 3-277
Petska,H. Facial bruising as a precursor to abusive head trauma Clin Peds 2013; 52 ( 1): 86-88
Thorpe, E. Missed opportunities to diagnosis child physical abuse Ped Emerg Care 2014; 30 ( 11): 771776
AAP Clinical Report: Oral and dental aspects of child physical abuse and neglect Peds 2017; 140 (2)
Dorfman,M. Oral injuries and the cold child male treatment in children. Evaluation for abuse Ann Dis Child 2017; 0:1-6
Skaggs, D. Pediatric elbow trauma Ped Emerg Care 1997; 1366:425-434
Boyette, D. Subluxation of the head of the radius Journal of Pediatrics 278-281
Broomfield, D. The old elbow Trauma 2004; 6:25 5-259
Newman, J. Nursemaid’s elbow in infants 6 months and under J of Emerg Med 1985; 2: 40 3-404
Takashi,I. Investigation on 2003 131 cases of pulled elbow over 10 years Ped Rep 2014; 6 (2): 5080
Sugar, N. Bruises in infants and toddlers Arch Ped and Adoles Med 1995; 153:39 9-4 0
Feldman, K.The bruised pre mobile infant Peds 2009; 25 ( 1): 37-39
Jenny, C. Analysis of missed cases of abusive head trauma JAMA 1999; 282 ( 7): 621-626
Spitzer,S. Isolated subconjunctival hemorrhages in non accidental trauma J of AAPOS 2005; 9 ( 1): 53-56
DeRidder,C Subconjunctival hemorrhages in infants and Children Ped Emerg Care 2013; 29 (2): 222-226
Dr. Kim Wallenstein