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Course Orientation and Legal-Ethical Foundations

Welcome, Scope, and Learning Objectives for ER Providers

Mandatory Reporting, Consent, and Chain of Custody in Suspected Child Abuse

Recognition: Red Flags and Differentiation of Injury Patterns

History Red Flags: When the Story Does Not Fit the Injury

Physical Exam Red Flags and Sentinel Injuries in Infants and Children

Differentiating Accidental from Non-Accidental Injury by Mechanism and Developmental Stage

Pediatric Trauma Evaluation Tailored to Possible Abuse

Primary Survey: Prioritizing Airway, Breathing, Circulation, Disability, Exposure (ABCDE)

Secondary Survey: Head-to-Toe Exam with Photodocumentation

Initial Diagnostic Pathway: Imaging and Laboratory Testing in Suspected Abuse

Abusive Head Trauma: Rapid Recognition and Neurocritical Priorities

Occult Abdominal and Thoracic Trauma in Child Physical Abuse

Teamwork, Documentation, and Safety Planning

Interdisciplinary Coordination: Social Work, Child Protection, Forensics, and Law Enforcement

High-Quality Documentation and Clinical Coding for Suspected Abuse

Communication Skills for Difficult Conversations and Trauma-Informed Care

Case-Based Application and Protocols

Algorithm: Rapid ED Pathway for Suspected Child Physical Abuse

Case Simulations: Infant with Bruising, Toddler with Abdominal Pain, School-Age Head Injury

Knowledge Checks: Quizzes

Quiz 1: History Red Flags and Developmental Plausibility

Quiz 2: Sentinel Injuries and TEN-4-FACESp Criteria

Quiz 3: Fracture Patterns Suggestive of Abuse

Quiz 4: Burn Injury Differentiation

Quiz 5: Primary Survey Priorities in Pediatric Abuse

Quiz 6: Secondary Survey and Photodocumentation Standards

Quiz 7: Imaging Selection and Radiation Stewardship

Quiz 8: Laboratory Evaluation for Mimics and Occult Injury

Quiz 9: Abusive Head Trauma Recognition and Management

Quiz 10: Occult Abdominal Trauma Cases

Quiz 11: Thoracic and Rib Injury Identification

Quiz 12: Mandatory Reporting and Chain of Custody

Quiz 13: Interdisciplinary Coordination and Consult Triggers

Quiz 14: Documentation Quality and Coding Accuracy

Quiz 15: Trauma-Informed Communication with Caregivers

Quiz 16: ED Algorithm Application to Triage and Disposition

Quiz 17: Case Synthesis—Infant with Bruising

Quiz 18: Case Synthesis—Toddler with Abdominal Pain

Quiz 19: Case Synthesis—School-Age Head Injury

Quiz 20: Comprehensive Final Knowledge Check

Course Wrap-Up and Feedback

Putting It All Together: Safeguarding the Child and the Team

Learner Feedback Survey

Pediatric Trauma Assessment for ER: Recognizing and Responding to Abuse is a practical, case-driven course built for busy emergency clinicians. From triage to disposition, you’ll learn to rapidly differentiate accidental from non-accidental injuries while prioritizing stabilization, safety, and legally sound documentation. Using clear algorithms, photo-documentation tips, and communication scripts, the course streamlines your workflow for high-risk presentations such as sentinel bruising, abusive head trauma, and occult abdominal injury. You’ll master age-specific trauma assessment (ABCDE), developmentally plausible histories, and imaging/lab pathways that balance diagnostic yield with radiation stewardship. The program also demystifies mandatory reporting, consent when a caregiver may be the perpetrator, and chain-of-custody essentials so your evidence and records stand up to scrutiny. Interdisciplinary coordination with social work, child protection teams, pediatrics, forensics, and law enforcement is woven throughout, ensuring safe disposition and continuity of care. Interactive cases and targeted quizzes reinforce recognition of red flags, fracture and burn patterns, and the nuanced differences between cultural practices, medical mimics, and abuse. Whether you’re in a pediatric ED or a community hospital, you’ll finish with a ready-to-use ED algorithm, standardized documentation tools, and trauma-informed strategies to communicate with caregivers while protecting your team and, most importantly, the child.

Pediatric Trauma Assessment for ER: Recognizing and Responding to Abuse

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            <p>Pediatric Trauma Assessment for ER: Recognizing and Responding to Abuse equips emergency clinicians with a practical, legally sound, and trauma-informed approach to identifying and managing child physical abuse within the tempo of the ED. Anchored to triage-through-disposition workflows, the course emphasizes rapid pattern recognition, safe trauma evaluation, and coordinated actions that prioritize both stabilization and the child’s safety. Learners will refine skills to distinguish accidental from non-accidental injuries using integrated history, exam, imaging, and laboratory data, while adhering to mandatory reporting requirements and documentation standards that meet medical and legal needs. Expectations, time commitments, and assessment structures are outlined to support efficient progression and measurable competency.</p>

<p>The curriculum begins with legal-ethical foundations critical to ER practice—mandatory reporting statutes, consent considerations when caregivers may be implicated, and chain of custody procedures for forensic evidence—before moving into recognition modules that operationalize red flags in history and physical exam. Clinicians will review sentinel injuries, TEN-4-FACESp criteria, developmental plausibility, and injury pattern differentiation across mechanisms, ages, and mimics. The evaluation sequence mirrors ED priorities: an ABCDE-driven primary survey tailored to infants and toddlers; a meticulous, child-centered secondary survey with standardized photodocumentation; and an initial diagnostic pathway for imaging and labs that balances sensitivity with radiation stewardship. Dedicated modules address abusive head trauma and occult abdominal/thoracic injuries, highlighting high-risk clues, consultation triggers, and neurocritical or surgical priorities. Team-based sections detail coordination with social work, child protection, forensics, and law enforcement; high-quality documentation and coding; and trauma-informed communication that maintains safety without accusatory language. Case algorithms and simulations translate concepts into real-time decisions at triage, during reassessment, and at disposition, while a comprehensive series of knowledge checks reinforces mastery. The course culminates with a readiness checklist, institutional resources, and next steps for continuing education and quality improvement—aligning clinical vigilance with systematic, defensible practice in the ER.</p>
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