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Non-accidental injury — ACEM Fellowship MCQ

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HardTraumaNon-accidental injuryACEM Fellowship

A 10-month-old infant presents to a Brisbane ED, triage category 2, with a reported fall from a sofa. CT shows subdural bleeding of different ages and fundoscopy shows retinal haemorrhages. The history changes between carers and there is a healing posterior rib fracture on X-ray. What is the most appropriate disposition?

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Correct answer: E — Admit with paediatric and child protection involvement

Subdural bleeding of different ages, retinal haemorrhages, rib fracture and inconsistent history require admission and child protection involvement.

Reference: RCH child protection guidance; ACEM paediatric trauma curriculum