The German Evidence-Based Child Protection Guideline – Imaging in Suspected Child Abuse

Born, M; Schwier, Frauke; Stoever, B.; Mentzel, Hans‐Joachim; Freiberg, J.

doi:10.1055/a-1019-8018

Cited by 5 publications

(6 citation statements)

References 14 publications

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“…The Korean recommendations suggest the use of IV-CT in cases of vital distress or deterioration of the hepatic or pancreatic assays but the use of US in the event of weak suspicion of abdominal injury (Jeon et al, 2020). There is no clear recommendation in Germany; however, if abdominal injury is suspected, US is recommended as the first-line examination (Born et al, 2020; Erfurt et al, 2009). To our knowledge, there are no established recommendations in South American countries and other Asian countries.…”

Section: Discussionmentioning

confidence: 99%

Relevance of Routine Abdominopelvic Ultrasound in Suspected Child Abuse in Children Under 2 years of Age: Review of 15 years of Experience

et al. 2021

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In France, the current recommendation is to perform a routine abdominopelvic ultrasound in any child under 2 years of age who is suspected to have been abused. We retrospectively studied the relevance of this practice in our center over the past fifteen years. This was a descriptive, retrospective study of all children under 2 years of age who had been subject to suspected abuse. Abdominal images and reports were reviewed and cross-referenced with possible clinical and biological signs. Four hundred and five children were included between 2006 and 2020, of whom 296 underwent abdominal imaging (2 initial abdominopelvic CT scans, 4 ultrasounds followed by CT scans, and 290 ultrasounds alone). Four examinations revealed traumatic abnormalities related to abuse. These four children all had clinical or biological anomalies. In the absence of clinical or biological signs, no imagery showed any abnormality related to abuse.

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Section: Discussionmentioning

confidence: 99%

Relevance of Routine Abdominopelvic Ultrasound in Suspected Child Abuse in Children Under 2 years of Age: Review of 15 years of Experience

et al. 2021

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“…7 Since this type of violence often occurs in the closest family circle, 8 experts assume that the number of unreported cases is significantly higher. [8][9][10] The prevalence of data recorded by the police and other institutions is correspondingly low. 11,12 To ensure safe handling of suspected cases of CAN, it is important to involve this topic in under-and postgraduate curricula of Dentistry and Medicine.…”

Section: Introductionmentioning

confidence: 99%

“…18.352 cases (3.758 physical abuse; 14.594 sexual abuse) were reported to the police 7 . Since this type of violence often occurs in the closest family circle, 8 experts assume that the number of unreported cases is significantly higher 8–10 . The prevalence of data recorded by the police and other institutions is correspondingly low 11,12 …”

Section: Introductionmentioning

confidence: 99%

Child abuse and neglect: A comparative study between dental and medical students' competencies in Germany

Meyer,

Lehmann,

Schüler

2023

Eur J Dental Education

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IntroductionDespite children's right to a non‐violent upbringing, they become daily victims of violence. Physical violence concerns mostly the head—especially the orofacial area. Therefore, dentists and paediatricians should be able to suspect possible abuse and to initiate child protection. This study aimed to record and compare the training situation and competencies of dental and medical students at Jena University Hospital regarding child abuse and neglect (CAN).Materials and MethodsUsing a three‐part questionnaire about CAN, 123 medical and 77 dental students were surveyed anonymously after completing all courses on the topic. The question sets included as follows: (1) educational experiences, training content and satisfaction; (2) current knowledge regarding diagnostic, management and legal concerns; (3) self‐evaluation, needs of further education and wishes. Reliability of the questionnaire was tested with kappa‐statistics and assessed as good.ResultsDental and medical students' overall satisfaction with CAN‐related training is low. Although medical students had more knowledge on CAN, all participants showed large deficits. Better diagnostic than management skills were reported in both groups. Only 1.3% dental and 16.3% medical students felt adequately prepared to deal with CAN. 7% of all study participants stated that they can report CAN without any help. 87.0% of medical and 79.2% of dental students expressed a desire for further education. To improve their knowledge, both courses prefer seminars, followed by expert talks, lectures and simulation‐based training (SkillsLab).ConclusionDental and medical students are inadequately prepared to suspect possible abuse and to deal with possible signs of CAN. Mandatory interdisciplinary courses and lectures addressing CAN are recommendable for both medical and dental curricula.

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“…T21. Non-accidental trauma 9,27,38,[48][49][50] 1. In children with suspected non-accidental trauma, we recommend skeletal survey XR as the initial imaging modality (↑↑).…”

mentioning

confidence: 99%

“…Association for the Surgery of Trauma, [31][32][33] the European Society of Musculoskeletal Radiology, 34 the European Society for Sports Traumatology, Knee Surgery and Arthroscopy, 35 the European Society for Sports Traumatology, Knee Surgery and Arthroscopy with the Ankle and Foot Associates, Knee Surgery and Arthroscopy, 36 the French guideline [the French Society of Anaesthesiology and Critical Care Medicine, the French Society of Emergency Medicine, the French Society of Urology, the French Association of Surgery, the Val-de-Grâce School, and the Federation for Interventional Radiology], 37 the German guideline under the auspices of the German Society for Child Protection in Medicine, 38 the German Society for Orthopedic and Trauma Spine Section, 39 the Italian Society of Pediatric Emergency Medicine, 40 the Korean Society of Radiology and National Evidence-Based Healthcare Collaborating Agency, 41 the National Institute for Health and Care Excellence, [42][43][44][45][46][47] the Pediatric Cervical Spine Clearance Working Group, 48 the Royal College of Radiologists, 49,50 the Scandinavian guideline, 51 the Spinal Cord Society, 51 the World Federation of Neurosurgical Societies Spine Committee, 53,54 and the World Society of Emergency Surgery. [55][56][57][58] Recommendations are presented in 3 tables: Head, facial, orbital, and spine trauma (Table 2), hip and pelvic, arms, and legs trauma (Table 3), and superficial soft tissue foreign body, chest, abdomen, and non-accidental trauma (Table 4).…”

mentioning

confidence: 99%

Canadian Association of Radiologists Trauma Diagnostic Imaging Referral Guideline

Hamel,

Abdeen,

Avard

et al. 2023

Can Assoc Radiol J

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The Canadian Association of Radiologists (CAR) Trauma Expert Panel consists of adult and pediatric emergency and trauma radiologists, emergency physicians, a family physician, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 21 clinical/diagnostic scenarios, a systematic rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for 1 or more of these clinical/diagnostic scenarios. Recommendations from 49 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) for guidelines framework were used to develop 50 recommendation statements across the 21 scenarios related to the evaluation of traumatic injuries. This guideline presents the methods of development and the recommendations for head, face, neck, spine, hip/pelvis, arms, legs, superficial soft tissue injury foreign body, chest, abdomen, and non-accidental trauma.

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The German Evidence-Based Child Protection Guideline – Imaging in Suspected Child Abuse

Cited by 5 publications

References 14 publications

Relevance of Routine Abdominopelvic Ultrasound in Suspected Child Abuse in Children Under 2 years of Age: Review of 15 years of Experience

Relevance of Routine Abdominopelvic Ultrasound in Suspected Child Abuse in Children Under 2 years of Age: Review of 15 years of Experience

Child abuse and neglect: A comparative study between dental and medical students' competencies in Germany

Canadian Association of Radiologists Trauma Diagnostic Imaging Referral Guideline

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