PEDS
Pediatric Evaluation and Diagnostic Services
What is the second most common type of injury caused by physical abuse?
Fractures
What fracture is often associated with head injuries?
Rib fractures
What do long bone fractures include?
femur, humerus, and tibia
What type of fractures typically occurs at top or bottom of the bone
Buckle or Torus fractures
When do you make a mandatory PEDS referral?
Suspected skin injury (bruises, cuts, welts, abrasions) for child 0 to less than 12 months, head/neck injury for child 0 to less than 6 years old, fracture for child 0 to less than 3 years old and a burn for child 0 to less than 3 years old
What percentage of fractures in infants and toddlers are the result of physical abuse?
12-20%
What is a common birth fracture?
Clavicle Fracture
What is a spiral break in the tibia, or shin bone, that occurs in young children. It's a common injury in children who are learning to walk?
Oblique Fractures
What do spiral fractures resemble?
corkscrew or winding staircase
What are some important facts to include in a referral?
repeated unsub history or substantiated history
DV
general concerns
pets
siblings
What does CML stand for?
Classic Metaphyseal Lesion
How do CML fractures happen?
Occurs when the extremity is pulled, yanked, and twisted forcibly, or with violent shaking
What type of fracture has a line that is essentially a 360-degree line around the bone?
Spiral Fracture
What fractures are also known as complete fractures because the break goes all the way through the bone?
Transverse fractures
Who is contracted with PEDS?
Only DCS
In all cases of suspected physical abuse for children less than 24 months.
What does non displaced mean?
The bone remains aligned
What occurs from low impact and short height falls
Simple Linear Skull Fracture
What Typically, the result of significant squeezing injury or front to back compression of chest?
Rib Fractures