Patient selection: pediatric patient in the Emergency Department
Questions:
(1) injury compatible with the history and corresponding with the age of the child
(2) history consistent when repeated
(3) delay in ER attendance without satisfactory explanation
(4) head to toe examination suspect
(5) other unexplained injury in history
(6) mother/father and child show appropriate behavior and interaction
Points for questions 1, 2 and 6
Response
|
Points
|
No
|
1
|
Yes
|
0
|
Points for questions 3, 4 and 5
Response
|
Points
|
No
|
0
|
Yes
|
1
|
total score =
= SUM(point for all of the questions)
Interpretation:
• minimum score: 0
• maximum score: 6
• A score >= 1 should trigger an evaluation for child abuse.