H's and T's... Now what
Hypotension
JVD
Muffled Heart tones
A child presenting with retinal hemorrhages may be a victim of this severe form of abusive head trauma.
Shaken baby syndrome
What was the first Internet Challenge
Cinnamon Challenge
What is the incidence of bruising or marks on a victim's neck after a strangulation event
50%
What are some key steps to avoid ageism in healthcare
This "H' can result from prolonged bleeding or fluid loss in trauma, leading to poor tissue perfusion and shock
what is hypovolemia
This Key action required by all healthcare professionals, must be taken when non-accidental trauma is suspected
Healthcare Providers must be vigilant for asphyxiation injuries in youth participating in this dangerous game disguised a a challenge to induce a "high"
The Choking Game
What does SANE stand for?
Sexual
Assault
Nurse
Examiner
Over 27 per person per year
what is the average number of new prescriptions for US patients ages 65-79
What body temperature is "Not Dead Till Your Warm and Dead?"
30c 86f
This approach used in documenting injuries, can significantly support legal cases against abusers.
What is photographic evidence or injury mapping
What year was the first internet challenge
2010
After one strangulation episode what is the risk percentage that the patient may become a victim of homicide by this partner?
800%
Balance impairment, orthostatic hypotension, visual impairment, and the effects of multiple medications?
What are the factors leading to falls and fear of falling by seniors
This "T" may occur in trauma patients with severe chest injury and can cause rapid decompensation due to compression of the heart and great vessles
What is a tension pneumothorax
These injuries often found in children unable to walk or crawl are major red flags for abuse
This viral challenge can lead to numerous burn injuries in teens due to the flammable nature of the liquid involved
How long after a sexual assault can DNA be obtained from a victim even after showering?
120 hrs/ 5 days
110 systolic
What is hypotension in patient's over age 65
Name 3 causes of Metabolic Acidosis
Glycols (Ethylene glycol and propylene glycol)
O- Oxoproline: Natural Amino Acid: Acetaminophen without enough protien.
L-Lactate
D- D Lactate; abnormal gut structure (blind loops, short gut syndrome, jejuno-ileal bypass surgery, ischemia, small intestinal bacterial overgrowth, high carbohydrate load
M- Methanol
A-Aspirin
R- Renal Failure
K-Ketoacidosis
This radiologic finding often seen in various forms of healing strongly suggests repeated episodes of trauma and is highly concerning for physical abuse
what is multiple fractures in different stages of healing
This dangerous online challenge encouraged individuals to jump in front of moving vehicles, often in resulting in blunt force trauma and serious injuries
An injury to a jugular vein can occur after how many pounds of pressure are applied during a strangulation event
4 lbs
Psychosocial Assessment
What must be assessed in older adults as important as medical history and physical examination