Non-Accidental Trauma

Recommendations

1. SW Consult for all
2. State specifically that you are concerned for NAT in the chart
3. Report when appropriate to the correct county
4. Get CMP to look at LFTs to detect unexpected abdominal injury. Include Ca and Phosphate in those with fracture.
5. Consider inpatient MRI instead of CT in young normal acting infants to rule out shearing injury. 
6. If the patient may have acute hemorrhage or any abnormal CNS signs then get the CT scan, MRI may be used as an adjunct later if needed
7. Consider coagulation panel and platelet function tests

Admission Algorithm

Bleeding Test Policy in Abuse Cases

Testing for Abuse in Sentinel Injuries

Screening Burns