ED Pathway for Evaluation/Treatment of Children
with Physical Abuse Concerns
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LOW CONCERN FOR ABUSE
  • No injuries indicative of abuse present
  • +/- Historical indicators
  • Physical exam indicators of abuse are
    explained by history
  • +/- Social Work consult
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No CPS report indicated
Follow-up with PCP
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Moderate Suspicion Abuse
  • No occult injuries
  • Social Work consult reassuring
High Suspicion Abuse
  • Injuries suggestive of abuse
  • Occult injuries present
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Consider:
  • SCAN Team consult
  • CPS report
  • Admission for safety
    & treatment
  • SCAN team consult
  • CPS report
  • Consider police report
  • Consider admission for
    safety & treatment
Date Posted : November 2010
Revised : June 2013
Authors : J. Wood, MD, C. Christian, MD, C. Jacobstein, MD, M. Joffe, MD, J. Lavelle, MD, P. Scribano DO