ED Pathway for Evaluation/Treatment of Children with Physical Abuse Concerns
- Do take photos of any injury visible on physical examination
- Do take an initial photograph of the patient’s
- Do photograph each injury separately
- Do take a photograph of the injury at a distance, followed
by a close-up photograph
- Do NOT take only close-up photos without wider angle
photos of each injury.
- Remember that what appears obvious to you in the room with the patient
may not be identifiable to you months or years later.
- Do review your photographs to be sure that both the
injury and body part are identifiable to a provider who has not seen the
patient in person
- Do use a size standard or ruler in close-up photographs
Camera Settings and Information
- Try photographing bruises with and without direct lighting and with
and without flash, to see which conditions show bruising the best.
- Each case will be different, so some experimentation may be necessary
to determine which lighting conditions are best.
- Use the macro setting.
- Push the button with this symbol until the is visible
on the LCD screen.
- To obtain close-up photos, move the camera closer rather than using
the built-in zoom feature.
- Photograph against a neutral background, like the sheets.
- Center the injury in the middle of the frame, and use the Autofocus
Uploading and Emailing Photographs
Import Images Using Media Manager
- You can attach clinically relevant photos, videos, scans, images, and other files to a patient's chart using the Media Manager. Storing all of the patient's files in one place helps you quickly find the files you want.
- View Directions for Importing Images Using Media Manager
- If Media Manager is unavailable - email photos as listed below.
- Remove the memory card from the camera
- Plug the card into the card reader (in the camera bag)
- Plug the card reader’s USB cable into the computer’s USB
- Review photos and select photos that accurately represent the physical
- Open a new email in Outlook, and address to email@example.com
- Attach photos to the email.
- In the body of the email, note the patient’s name, MRN, date of
visit, and photographer.
- Check the camera’s battery level. If less than half charged,
plug in to charge. If charged, turn camera off and put away.