Abusive Head Trauma

Curbside Key Points

CHAMP Education for Child Abuse Medical Providers

Suspect AHT in children with nausea, vomiting, poor feeding or altered mental status with or without trauma.

Look carefully for physical signs of trauma over the mouth, neck, chest and back as well as an eye exam. Don’t forget neuroaxial imaging.

Consider your biases and other causes for these findings, including accidental trauma, coagulopathies and pre-existing CNS abnormalities.

Accessible Version

In summary: 1-Suspect AHT in children with nausea, vomiting, poor feeding or altered mental status with or without trauma 2-Look carefully for physical signs of trauma over the mouth, neck, chest and back as well as an eye exam. Don’t forget neuroaxial imaging. 3- Consider your biases and other causes for these findings, including accidental trauma, coagulopathies and pre-existing CNS abnormalities. While these rarely if at all present with all the findings of AHT, it is important to consider them during the evaluation. And remember, the guidance in this module does not indicate an exclusive course of treatment or reporting or serve as a standard of medical care, Variations, taking into account individual circumstances, may be appropriate. Thank you for participating in this module about abusive head trauma. A listing of the material referenced follows. Please feel free to contact the NY State Child Abuse Medical Program at champprogram dot com for additional information.