***Trigger warning: this episode includes discussion of child abuse***

This is a follow up episode that dives deeper on why a bruised baby is worrisome, important aspects of a social history, and screening for abuse in the ED. Please listen to our first episode “It Could Have Been Different” for more! 

Have you used TEN-4 FACESp to identify potential non-accidental trauma? Share your experience with us via social media, @empulsepodcast, or through our website, ucdavisem.com.

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Hosts:

Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis

Guest:

Dr. Mary Clyde Pierce, Professor of Pediatrics at Northwestern University, Pediatric Emergency Physician and Director of Child Abuse Research at Laurie Children’s Hospital.

Resources:

“It Could Have Been Different” EM Pulse Podcast published April 17, 2021. https://ucdavisem.com/2021/04/17/it-could-have-been-different/

Pierce MC, Magana JN, Kaczor K, Lorenz DJ, Meyers G, Bennett BL, Kanegaye JT. The Prevalence of Bruising Among Infants in Pediatric Emergency Departments. Ann Emerg Med. 2016 Jan;67(1):1-8. doi: 10.1016/j.annemergmed.2015.06.021. Epub 2015 Jul 29. PMID: 26233923; PMCID: PMC4695295.

Fingarson AK, Pierce MC, Lorenz DJ, Kaczor K, Bennett B, Berger R, Currie M, Herr S, Hickey S, Magana J, Makoroff K, Williams M, Young A, Zuckerbraun N. Who’s Watching the Children? Caregiver Features Associated with Physical Child Abuse versus Accidental Injury. J Pediatr. 2019 Sep;212:180-187.e1. doi: 10.1016/j.jpeds.2019.05.040. Epub 2019 Jun 26. PMID: 31255388; PMCID: PMC6707841.

Pierce MC, Kaczor K, Thompson R. Bringing back the social history. Pediatr Clin North Am. 2014 Oct;61(5):889-905. doi: 10.1016/j.pcl.2014.06.010. Epub 2014 Aug 12. PMID: 25242704; PMCID: PMC4171692.

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Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.