The dark side of PEM, and what should also be on your differential diagnosis for any patient you are seeing is: “was this inflicted” and “is there something more?”.…
PEM Starter pack book
We are pleased to announce our PEM Starter Pack with 12 blogs rolled into one handy iBook…
Brackium Emendo – Long bone # and NAI (DFTB18)
Fractures are the second most common manifestation of abuse in children after burns. In toddlers especially, fractures of the humerus and femur, should trigger alarm bells about non-accidental injury …
An Apple a Day keeps the Doctor Away
A 14 month-old boy presented to the Emergency Department (ED) following a choking episode the previous day at kindergarten. He had been eating a piece of diced apple at the time…
Fabricated or Induced Illness
FII is a broad term to describe a group of behaviours by parents or carers which cause harm to children.…
Fabricated or Induced Illness
Fabricated or induced illness (FII) is a form of child abuse. It is associated with significant morbidity (physical and psychological) and mortality. Recognition of FII is frequently difficult and sub…
The Collapsing Child
A 10 year old boy is brought into hospital by his mother after he had a fainting episode at school…
When Weight Loss isn’t a good thing: Neonates in the ED – Growth & Feeding
One of the most common reasons for newborns to be sent in to the ED for assessment is weight loss…
Recognition of Child Abuse in the ED
The ED plays a crucial role in raising the alarm for non-accidental injuries. Frequently, we may be the first port-of call for a child who has gone through the unthinkable, and it is our role to think…
Eye Don’t Believe It
You are on the ED observation unit morning ward round. Your next patient is a 25 year old man, admitted during the night for head injury observations following an alleged assault…