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85 comments:
The most common areas a child exhibits accidental trauma are:
1. the shins & knees,
2. hands & elbows, and
3. the forehead & circumferentially around the coronal third of the head.
Sydon Arroyo #102
65% of injuries inflicted on children is to their head and the other 35% is distributed over the rest of the body. If you see bilateral damage to the eyes on a child, most likley it is purposeful abuse and not accident.
- Neilesh Patel
#165
If a kid is abused, 65% of the time will be above the neck. If a kid is abused, theres a 50% chance of reinjury. Child abuse or neglect can be the result of stress from the parents.
Tina Duong #125
Child abuse is not only physical abuse, It also involves negligence and psychological abuse. We, as dental professionals are mandatory reporters and even if we only suspect any abuse, we should inform to the authorities within 36 hours.
Claudia Rodriguez #531
Around 80% of death from child abuse or neglect is due to head trauma. It is a negligence is we fail to report child abuse
Heidi Gonzalez
526
90% of all child abuse is a single event done by the parent in a fit of rage and not a consistant act. Therefore we should question the parent with this in mind and not assume that they regularly abuse their child.
Shannon Lazarian
#133
Natalie Nguyen #159:
Dentists are mandated reporters of suspected child abuse and neglect. Most victims are less than 5 years old. Bilateral bruising and submental trauma are usually non-accidental.
Most victims from CAN are less than 5 y/o and 80% death are from injury in head and neck.Intraorally we can see fractured teeth, laceration, fractured jaws and oral burns.
Tiffany Hsu #529
It's important to recognize and be aware of CAN so that it can be properly reported to help the child as soon as possible.
-Carol Kim (138)
DDS can be sued if dentist failed to report child abuse. It is a reminder to us that we are not just treating teeth. rita chen 109
Dentists and dental Hygieneists are mandated reportists. They can be sued for neglegence, for not reporting child abuse.
Most victims are less than 5 years of age.
Dilshad Abtin #524
As a dentist, we are obligated to report any suspected cases of CAN. Never think that this is a burden because we may save a child's life. Scary but true.
Kim Pham #167
65% of inflicted injuries to children are in the head region b/c it is where emotion and expression are shown.
-Shelton Chow #111
It is our responsibility to report Child abuse. Usually the signs of trauma occur at the bilateral head and neck area. Doctors and staff could be held responsible for not report Child abuse cases.
Xiang Li #146
When a child presents with multiple bilateral lesions,lesions with various stages of healing, or submental lesions there is a high probability that these lesions were inflicted as a result of child abuse.
Bozhena Fisher #128
It's important to realize that dental neglect may be a clue that other forms of neglect and abuse are also happening with the child.
Multiple bruises seen with varying colors (meaning they happened at different times and are healing at different times) is a clue that they may not be accidental.
Steph Morphis
#154
To help distinguish between accidental and inflicted injuries, look for multiple wounds, wounds in different stages of healing, and listen for stories that just don't sound right.
Emmy Le #142
Children will have bumps and bruises but you can distinguish "normal" accidents from suspected abuse by the pattern of injury. For example bilateral bruising, multiple stages of healing, hand imprints.
Liz Miltner #150
FLKs (Funny looking kid) may be a sign for underlying abuse in the household.
Ernest Lai
#141
90% of abuse cases are a result of parents just being stressed out.
If we are concerned about a bruise or a wound on our patient, talk to the parents about it. Discuss the matter away from the patient, show concern and don't jump to conclusions.
Ryan Plewe
#168
Jonathan Do #121
Most child abuse victims are less than 5 years old and the head is the area of abuse 65% of the time. Dentists have to legal obligation to report child abuse or negligence even it it means violating patient confidentiality.
Child abuse is more likely to be observed first by a dentist as they more commonly treat the head area, which is where the majority of abuse occurs on the body.
Sean Nguyen, #160
The most common type of CAN related intra oral inury is fractured teeth.
Orly Hendizadeh, #134
If we suspect child abuse, report to SCAN (info: Nancy Hayes 825-9590.) Once we graduate, the number for CA is 800-540-4000. Also rely on staff to report any unusual activities
Eric Cheung #110
Dentists are mandated reporters of child abuse. Failure to report suspected child abuse is grounds for imprisonment. When interviewing child/parent/guardian for suspected abuse, make sure that that their story is sound. Accidental trauma are usually present at isolated locations and trauma caused by abuse are usually at multiple site and may have varying healing stages
Repost: Sorry
Dentists are mandated reporters of child abuse. Failure to report suspected child abuse is grounds for imprisonment. When interviewing child/parent/guardian for suspected abuse, make sure that that their story is sound. Accidental trauma are usually present at isolated locations and trauma caused by abuse are usually at multiple site and may have varying healing stages
Jun Flores #130
Being dental professionals, we are required to report any suspected abuse. Failure to do so can result in being sued for negligence.
Farshid Siami
#177
65% of CA injuries are evident in the head and neck area, which is why dentists can often be the first form of interaction, not to mention that it is also a legal responsibility to report.
Sanam Soroudi
#180
Most cases of abuse occur in children < 5 yrs old. 50% will exhibit oral/facial lesions.
And when interviewing the parent/child, it is important to have a staff member present as witness.
J. Oka #162
Children who have been abused or neglected are 50% likely to be abused again.
[Colby Smith #178]
When we see suspicious lesions on children we must decide whether they match the story or not. If not, we as dentists are mandated reporters and may be saving a child's life because 50% of the time abuse is repeated.
Josh Cardwell #108
When a child presents with an injury and a story as to how it occurred, a good clinician uses common sense to determine if that truly is the cause of injuries, or if abuse might be the real reason.
The most important thing I learned was that dentists and dental hygienists are mandated reporters of child abuse and neglect and that reporter confidentiality is not always guaranteed
Amy Dixon #120
As health care givers, it is our legal responsibility to be a guardian of the health, safety, and welfare of the children we will see in our practice. Obviously we must strive to be cognizant of all the tell tale signs of a well cared for child and of equal if not more importantly, we must be able to distinguish when the forms of abuse and neglect have taken place in the child's life. To not notice these signs and not report them to CPS, could result in continued abuse, neglect and in 5% , death. If behavioral or physical anomalies are noted, it is our legally mandated responsibility to interview, in an non-accusatory manner, the parent and also the child to determine the nature of the injuries. If the story fails to fit the signs, then we must consult with CPS to determine the best course of action within 36 hours
#129 above
jeffrey flores
Many cases of child abuse happen to children under 5 because they can't run away. Children and parents should be questioned separately if abuse is suspected. Often times your staff my notice abuse, because parents will be perfect in front of the doctor.
Broc Mushet
#156
I would say that the most important thing that I learned from lecture was to have an awareness of child abuse and to recognize the physical and behavioral signs when I see them.
Marc Thomas #182
Dentists ar mandated reporters of suspected child abuse. Things to take notice of: multiple bruises, bilateral facial bruising, finger prints left on child, stories that don't add up, burn marks, dramatic behavior change when child separated from parent.
Diana Craft 115
lesions that are suspect are:
-bilateral
-multiple lesions
-lesions that don't match the story
-lesions at different stages of healing
Catherine Do #122
Dentists are mandated reporters of child abuse. Most cases of abuse happen to kids under 5 years of age.
Varo Boyajyan
#106
50% of children who have been abused in the past will be abused again. An example of neglect that we are mandated to report is a parent's failure to give prescribed antibiotics. Staff should be trained to recognize abusive behavior, since they may see behavior patterns in the waiting room that are different from the clinic.
Chris Claus
113
Dentist's are obligated and required to be aware and ask questions about suspicious signs of child abuse & neglect. The head is the most common site of physical injuries inflicted on children. We commonly think of physical abuse, but emotional abuse, dental, and nutritional are other areas of a child's life that can be abused or neglected that we should look out for and report if suspected.
Austin Tung 187
I learned that there are 300,000 cases of child sexual abuse every year. 1 out of 10 children is abused.
Jeffrey Kim
139
if we see injuries to head, hands, elbows, and shin, it is more likely to be accidental.
Multiple stages of healing and bilateral injuries are more likely inflicted than accidental.
Most victims are less than 5 yrs old because they can't run that fast.
Naomi Nguyen
158.
Suspicious abuse lesions (not accidental lesions) include: bilateral lesions, multiple lesions with various stages of healing, and if the lesion does not match the story. 65% of physical abuse occurs in the head and neck area therefore it is the dentist's responsiblity to be aware and report findings.
Michelle Duong #123
65% of inflicted injury is in the area of head and neck.
Bilateral bruising is less likely to be accidental.
If you notice drastic changes in behavior of the child when the parent is not around, be suspicious.
last comment by Stacy Yu #193
I was surprised to learn that most victims of abuse are less than 5 yrs of age (b/c they cannot defend them selves or flee) and it is important to notice bruises with different stages of healing b/c they could be signs of abuse.
Morris Poole #169
My magic minute was realizing that this is a difficult subject to talk about and to deal with, but we as dentists can make a difference by reporting cases of CAN. Otherwise 50% of once abused children will go through it again. A few things to look at:
-multiple lesions or bruises
-at different stages of healing,
-especially in areas that are not the forehead, hands, elbows and shins.
Raquel Ulma #188
65% of physical abuse occurs in the head and neck region, and most victims are less than 5 years old. There is also a 50% chance of re-injury.
Joanne Kim #140
I learned that 65% of child abuse injuries are in the head and neck which is why as dentists we are often the first observer. Also that dental professionals are mandatory reporters of child abuse.
Cynthia Morford #153
Report of child abuse is mandatory to us as dental professionals. Most common signs of trauma are to head and neck bilaterally.
Alina Tiraspolskaya (#183)
Dentist or hygienist are is more likely to be observe Child abuse first hand as they more commonly treat the head area, which is where 65% of Child abuse injuries are evident. Dentists are required to report any suspected abuse. Failure to do so may result in being sued for negligence.
Soheil Yashari #191
I hope my post can still be magical, even though it's been several days since the lecture & I didn't write anything down. I recall that because kids are short, they take a lot of abuse to the head, which is why dentists should be looking for possible abuse. I was very surprised at the numbers presented...of the thousands of cases reported, just a handful are reported by dentists. I think we can do a lot better than that.
Sean Young #192
If we do not report suspected child abuse, we can be sued. 75% of suspected reports of physical abuse are in the head and neck regions. Multiple stages of healing and bilateral contusions are "red-flags" for child abuse.
C.Chung #112
As dental professionals, we are mandated by law to report suspected cases of child abuse and neglect. Most victims are less than 5 years old and 50% will exhibit oral and/or facial lesions.
Kevin Omoto
#163
Multiple injuries, different stages of healing, & bilateral injuries are usually not accidental & should be suspected as possible abuse. Make sure that the story checks out with the nature of the injury. When documanting put an object of known size next to injury in photo.
Shelby Padua #166
Signs of emotional turmoil in chidlren are seen as repetitive, rhythmic movements, and no verbal and physical communication.
-Matthew Moadel, Student #151
Azadeh Ahmadi-Ardakani 101
Head and neck traumas happen 65% Of times in kids due to them being short and vulnerable in the upper body parts. looking at lateral tongue tears and lesions will help to see if injury was to the are of head and neck especially when it has been unilateral. sudden change of altitude in different environments seen in children can be an indication of their level of comfortness of abuse toward a person or stimuli.
Dentists are required to report "non-accidental" abuse and neglect. Report to police or child protection services must be done immediately by phone and follow up with a written report within 36 hours.
Paul Hoang, #135
Inflicted injuries occur most often in children less than 5 years old and in the head and neck region; bilateral brusing or more than one area of burn or injury could be a sign of nonaccidental abuse. Dentists are mandated reports of suspected abuse and neglect in potentially life-threatening situations.
-Jeanne Wong, #195
65% of physical injuries are to a child's head while the other 35% is to the rest of their body. Once they are abused, there is a 50% of reinjury.
Nick Quach #170
65% of physical injuries are to a child's head while the other 35% is to the rest of their body. Once they are abused, there is a 50% of reinjury.
Nick Quach #170
It is our responsibility to report any suspected case of child abuse. Ask the child questions when the parent is not present, and then ask the parent and see if both stories coincide. Depending on the result, then the SCAN team should be called.
Regina Espinoza #126
I learned that child abuse is more common that I thought, if it happens it mostly involved the face and head area, and 5% of incidents end up in the mortality of the child.
Pedram Sooferi #179
To distinguish between abuse and accident, it is sometimes useful to see whether the trauma is bilateral in which case it could most likely be due to abuse.
Asha Sethu Madhavan
#532
If a child presents with bilateral lesions,lesions in various stages of healing,submental lesions,hand imprints,it is most likely a case of child abuse.And we as dentists are mandated reporters of suspected child abuse.
Amandeep Iqbal
#527.
When a child is brought to your office, don't just focus on teeth. You need to pay attention to signs of physical trauma,physical and emotional status of children and the caretaker etc. If you suspect something wrong, you need to investigate further.
Lei Zeng, #535
Hints that extraoral injuries are not accidental:
-bilateral
-bruises at different stages of healing
-child w/ disabilities at higher risk of abuse
-cauliflower ears, ear-drum perforations
-punctured tongue on lateral borders indicates H/o punches
-fracture in body of Md (accidents tend to fracture at condyle in children)
Hints that extraoral injuries are not accidental:
-bilateral
-bruises at different stages of healing
-child w/ disabilities at higher risk of abuse
-cauliflower ears, ear-drum perforations
-punctured tongue on lateral borders indicates H/o punches
-fracture in body of Md (accidents tend to fracture at condyle in children)
Brandon Seto
#173
The dentist is responsible for investigating and reporting the potential abuse of the children. Thus, he might prevent the risk of more abuse and worse consequences.
Cornel Crasnean #525
That 65% of physical child abuse injuries are inflicted to the head and neck. And that 80% of deaths attributed to child abuse are a result of trauma to the area of the head and neck. It also surprised me to learn that most CAN victims are less than 5 years of age because they are unable to outrun the abusive parent.
Steve Kim, #528
-bilateral injury in head and neck.
- bruises at different stage of healing are most likely due to child abuse.
More serious child abuse injuries tend to occur in kids less than 5 years of age for the reason that they are unable to get away from their parents fast enough.
Robert Busan #107
We will be mandated reporters for child abuse, and we should use good clinical judgement to determine the etiology of the injury. For example, the child that "fell" but had through and through teeth lacerations on his upper lip. This was actually from a punch down.
Jake Cragun #117
If I suspect CAN I must file a report by telephone immediately and then follow with a written report within 36 hours.
Jared Lee
#143
Most of the child abuse that occurs is in the head and neck region, thus we are the firts practitioners likely to discover it.
#176
If a child has bruising in multiple areas in different shades of bruising, it may be a sign of a pattern of abuse that has occurred at multiple times. Most abuse is related to stress levels experienced by the adult inflicting the abuse.
Jared Martin, #147
When photographically documenting a case of abuse, make sure to use include objects of known size and color in the picture to help in assessing the extent/timing of the abuse.
Will Traynor #186
Dentists are mandated reporters and can get sued if abuse and neglet are not reported. Key things to look for: bilateral brusing extra orally; intra orally fractured teeth, lacerations, fractured jaws.
Niki Zarabian
#194
with reference to the 3rd blog up from this one, #176's last name is Shamo.
Non-accidental abuse commonly happens in the extremities of the body, including head/neck and hands. Children younger than4 yrs old are at higher risk because they cannot run and defend themselves. If a child has been abused, there is a 50% chance that it'll happen again.
Paredes #164
Magic Minute
The majority of abuse injuries are to the head and the majority of these injuries are to the forehead area. The reason most injuries are to the head is because of the child's height and also because this is the area of emotional expression (crying, talking etc).
Paul #127
One clue that can help you distinguish if injuries were the result of child abuse or accidental injury is to see if the bruises are in different stages of healing. If they are, it is a clue that the child is a victim of abuse. There is a 50% chance of it happening again, so report it the first time you see it.
Trish Barsanti #105
Most child abuse occurs to a child's head, due to their short stature. Since dentists work in the head and neck region, it is imperative that we zoom out from just the teeth and make an overall assessment. it is important to see if there are multiple areas of bruising with different shades and colors because that most likely indicates repetitive abuse. Also, usually abuse victims have bilateral bruising, whereas trauma is not bilateral.
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