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Suspected non-accidental injury — RCPSC EM MCQ

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ModerateTraumaSuspected non-accidental injuryRCPSC EM

A 9-month-old has a spiral humeral fracture after a reported short fall from a couch. The child has bruises of different ages and the caregiver's account changes during triage. The infant is stable after analgesia. What is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Ensure safety, treat injuries, and notify the child protection team according to provincial process

Ensure safety, treat injuries, and notify the child protection team according to provincial process is correct: the clues indicate Suspected non-accidental injury and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian paediatric safeguarding practice; CanMEDS professionalism