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Paediatric burn safeguarding — DIPIMC MCQ

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HardPaediatric and Obstetric EmergenciesPaediatric burn safeguardingDIPIMCDipIMC

A 14-month-old has symmetrical scalding of both feet and buttocks. The explanation changes and is incompatible with the developmental history. After immediate burn care, what is the most appropriate additional action?

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Correct answer: C — Document observations objectively and activate the local child-safeguarding referral pathway

The best answer is “Document observations objectively and activate the local child-safeguarding referral pathway”. Patterned injury, an inconsistent account and developmental mismatch require safeguarding consideration. The clinician should protect the child, preserve factual documentation and seek senior or multi-agency advice. Accusation, omission of concerns, delayed referral and routine discharge can each compromise safety and evidence.

Reference: NICE NG76, Child abuse and neglect: https://www.nice.org.uk/guidance/ng76/chapter/Recommendations