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 injury
  • Plausible history
  • Social Work consult reassuring
High Suspicion Abuse
  • Physical exam findings/injuries suggestive of abuse
  • Occult injuries present
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Consider:
  • Child Protection Team Consult
  • CPS report
  • Admission for safety
    & treatment
  • File CPS report
  • Consider police report
  • Consider admission for
    safety & treatment
Posted: November 2010
Revised: June 2013, March 2016, April 2018, September 2018
Authors: J. Wood, MD, C. Christian, MD, N. Stavas, MD; C. Jacobstein, MD, M. Joffe, MD,
J. Lavelle, MD, P. Scribano DO