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Sentinel Events
Release and Expiration Dates
Release Date: 4/6/2020
Expiration Date: 4/6/2023
Last Reviewed Date
4/6/2020
Sentinel Events
Program Overview
Sentinel Events is a TCAA course 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.

References
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

 

Planners
Timothy Murphy
Dr. Christoph Kaufman
Jennifer Ward
Deb Myers
Dr. Britt Christmas
Peer Reviewer
Dr. Kim Wallenstein
Summary
Availability: On-Demand
Cost: FREE
Credit Offered: 1 CE Credit
1 CME Credit
1 COP Credit
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