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Suspected non-accidental injury — RCPSC EM MCQ

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HardPaediatric emergenciesSuspected non-accidental injuryRCPSC EM

A 3-month-old has bruising on the ears and torso. Parents give inconsistent histories. CT head shows a small subdural haemorrhage, skeletal survey is pending, and the infant is clinically stable. What is the most appropriate disposition?

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Correct answer: EAdmit under paediatrics with child protection team involvement and mandated reporting

Bruising in non-mobile infants with inconsistent history and intracranial injury is concerning for maltreatment; admission, safeguarding and mandatory reporting are required.

Reference: Canadian Paediatric Society child maltreatment guidance; provincial child protection legislation principles