By Jonas Wilson, Ing. Med. How is Shaken Baby Syndrome treated? Shaken baby syndrome (SBS) is the leading cause of death in abused children. More than 4 out of every 10 of these deaths are seen in children who did not reach their first birthday. Also commonly referred to as abusive head trauma, SBS is the consequence of an infant being violently shaken with resultant neurological damage. This damage causes a sequence of events in the brain, starting with hypoxia, which leads to cerebral edema and an increased intracranial pressure (ICP). The increase in ICP leads to ischemia and a decrease in the cerebral perfusion pressure, which has devastating consequences. Infants typically have retinal and subdural hemorrhages, which are pathognomonic …show more content…
Prompt identification and treatment can be life-saving. Management typically involves a multidisciplinary medical team and the involvement of law enforcement, since it is a criminal offense in many countries. If responsible, the caretaker of the infant might be reluctant to admitting having shaken the baby. The guardian, if he or she is the perpetrator, might attempt to deceive healthcare professionals by stating the child may have fallen. Treatment depends on how severe the child’s condition is and may require respiratory support, if respiration is depressed, and surgery to bring an end to the …show more content…
Performing CPR with a ratio of 30 chest compressions to 2 rescue breaths will be necessary until medical help arrives. The mainstay of therapy at the hospital is supportive care in terms of maintaining adequate blood pressure and stabilizing other vital signs. If needed, mechanical ventilation is provided. Surgical care, particularly surgical evacuation, may be necessary for subdural hematomas. Retinal hemorrhages, on the other hand, usually do not require any therapy, because they tend to resolve on their own. However, in babies with retinal hemorrhages that do not resolve spontaneously or in cases where there is extensive retinal detachment, surgical intervention is crucial. Prognosis The morbidity and mortality associated with SBS are much worse than what are seen in accidental trauma. Up to as many as a third of affected infants die as a consequence of being shaken. SBS-associated morbidity is seen in approximately sixty percent of survivors. The degree of disability may be categorized as moderate to severe and include epilepsy, cerebral palsy and blindness. These children may also experience behavioral and cognitive disturbances. Some neurological sequelae may not be apparent until the child’s sixth birthday, but they eventual become evident and may necessitate lifelong medical care. References • http://my.clevelandclinic.org/childrens-hospital/health-info/diseases-conditions/hic-Shaken-Baby-Syndrome
1. Explain the different forms of child abuse? Include Shaken Baby Syndrome in your response. The different forms of child abuse are , Physical Abuse , Emotional Abuse , Sexual Abuse , and Neglect. Physical abuse is violence directed toward a child by a parent or other adult caregiver. Emotional abuse is when a caregiver causes the child to feel worthless and rejected . Sexual abuse towards a child may be in a verbal way , leading to physical contact with the child. Finally , Neglect is when the parent or caregiver fails to care for their child's basic physical , emotional , disciplinary , and/or educational needs. Shaken Baby Syndrome is when an individual shakes a child violently over a period of time leading to
There are typically no witnesses and in 50 – 75 percent of all cases, no prior signs of child abuse. Unfortunately, there is no dependable method for collecting statistics and the true number of incidences is unknown. More importantly, it can be difficult to detect especially for mild cases. This syndrome is the most common reason of death and long-term disability in infants and young children. The disorder primarily takes place in children two years old and younger with the average age between three to eight months
Imagine yourself as a sweet, innocent, precious little baby. You are totally dependant upon adults to give you what you need and most importantly love. Your only means of communication is crying so you cry when you need to be fed, when you need your diaper changed, when you aren’t feeling so well, or when you just want some attention. You are crying and someone comes over to you. They pick you up, but instead of holding you and comforting you, talking affectionately to you, they shake you violently and vigorously. You are a baby, imagine the fear and pain that the shaking causes you. This is a form of child abuse and what is even harder to believe is that it actually happens. The correct term is Shaken Baby Syndrome
Shaken baby syndrome is violent shaking of infants and young children and most people do this because they're frustrated and overwhelmed. preterm babies, babies with alcohol withdrawal, colic babies, babies with disabilities = these babies tend to get SBS the most. the neck in a child doesn't have the same strength as an adult. there is fluid around the brain. the shaking causes brain to rotate in the skull and it tears the blood vessels and neurons causing intercranial bleeding and retinal hemorrhages. holding the child and shaking child can cause fractures of the long bones and the ribs and these children usually have no other sign of injury. but 45% of these kids have had some other kind of injury prior to examination. signs and symptoms of sbs: flu like symptoms, lethargy, can sometimes be totally unresponsive, poor feeding, vomiting, seizures, posturing, apnea, listless and maybe even death. so, take a break, put the baby down and leave the room and count to
Shaken baby syndrome is when a child is shaken violently, causing fractured bones, internal organ injuries, and severe brain damage. The effects of SBS are often undetected because they injuries are internal thus signs of injuries go unnoticed by adults. SBS can result in developmental impairments because of the injuries it cause and since it, undetected babies do not get the immediate medical care they need.
Yes, Tavion’s mother’s statement of concern about the suspicion of abuse should warrant a valid reason to lunch investigation in the child injury. Moreover, the emergency department staff had suspicion about the Tavion’s injury due to the fact injury is not consistence with an injury sustained in park playground. Hospitals are mandate by law to report any suspicion of child abuse; the Child Abuse Prevention and Treatment Act enacted in 1974 was designed to encourage the reporting of child abuse cases, and prevention. In addition, most states have enacted laws to further protect abuse children, and most states protect the individual required to report cases of suspected child abuse; the following individual are eligible to report suspected cases of abuse include healthcare administrators, physicians, interns, registered nurse, chiropractors, social service workers, psychologists, dentists, osteopaths, optometrists, podiatrists, mental health professionals, and volunteer in healthcare facilities (Pozgar, 2014).
Pediatric abusive head trauma, also known as shaken baby syndrome, is a devastating form of abuse. It occurs when a young child is violently shaken. The repeated shaking back and forth motion causes the child’s brain to bounce within the skull, resulting in bruising and swelling. This intentionally inflicted injury causes trauma to the head and neck region, including cranial, cerebral, and spinal injuries. It occurs in infants and small children because the muscles of the neck region aren’t strong enough to go against the shaking force that occurs. Some make a complete recovery; others are left with debilitating handicaps, and in some cases death occurs. The Centers for Disease Control and Prevention (2012), states that among all the forms
The non-accidental injuries are like, black bruising on the eyes (particularly both eyes). Cheek/side of face, is not easy to bruising especially if there are finger marks this shows a sign. If the child’s mouth has got Tom frenulum which means that the carrier has been forcing something into their mouth like a baby bottle. Shoulders should not have bruising or grasp marks, neither the child’s genitals. Knees are quiet hard to get grasp marks. The skull is very strong so there shouldn’t be any fracture to it, if there is bruising or bleeding under skull this is from shaking the child. The ears should not have any pinch, slap marks or bruising. If the neck has bruising or even grasp marks that is not good. Upper and inner arms bruising or grasp marks shows that the child has been grabbed really hardly. Also the chest should not have any bruising or grasp marks. The back, buttocks, thighs there
* ‘Where a child sustains a potentially life threatening injury or serious and permanent impairment of health and development through abuse and neglect’
Health professionals, in particular GPs and doctors in emergency departments, may examine children with injuries which they suspect may be non-accidental. They have a duty to alert children’s social care when abuse is
If this scenario happened in an outpatient clinic or urgent care center and there were physicians who were more dedicated to patient safety a report to child protective services may have been made regarding the child’s injuries. This child deserves to have her rights observed and
Those who are affected the most from this syndrome, is the ultimate motive of reason to analyze this trend. Children who are under the age of two are most often the victims of SBS, yet it is also essential to note that children up to the age of five can also be affected (Gutierrez, Clements, & Averill, 2004, p. 25; Hennes et al., 2001, p. 26). Children whose parents are poorly educated, young or part of an ethnic minority can have an increase risk of obtaining traumatic brain injury (Fujiwara, Yamaoka, & Morisaki, 2016, p. 4; Hennes et al, 2001, p.
In the cases of inflicted brain trauma, abuse can sometimes be difficult to diagnose because the baby may not have any external marks, other than bruises on chest and extremities from where the infant was held (Lyden, 2011). Researchers say that retinal hemorrhages in infant’s eyes should be considered as signs of abuse until proven otherwise, although they acknowledge that retinal bleeding in infants can be caused by other conditions, those conditions can be ruled out through history, physical exam, and labs (Lyden, 2011).
After reviewing the deferent unique forms of homicidal violence against children the focus for this discussion board will be "Shaken Baby Syndrome". By definition by the American Academy of Pediatrics (AAP) Shaken Baby Syndrome (SBS) is the physical abuse of a child of a violent and at times deadly shaking of an infants' body or extremity. Infants who are between the ages of 2 to 4 mounts are the most vulnerable to these attacks. In any case, "whiplash" is the most shared injuries and more so internal hemorrhages leading to death. (Abuse statistics 2017, n.d.)
Haven is her adoptive parent 's first child and although they were very prepared and delighted to be taking her home, they voiced concerns regarding taking care of a premature infant. The adoptive father works on oil rigs and has a two week on/two week