Title: In NAT, suspicion is key. <br/>Author: Megan Cobb<br/><a href='http://umem.org/profiles/resident/1244/'>[Click to email author]</a><hr/><p>
In addition to suspicion of NAT with traumatic brain injury and burns, remember these other high risk injuries and features:</p>
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- Duodenal injuries in children <4 y/o </p>
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- Frena injuries in non-ambulating children</p>
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- Proximal and midshaft humeral fractures > supracondylar fractures </p>
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- Any bruising on the trunk, ears, neck, or with larger size or pattern </p>
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- Delay in seeking care, inconsistent history, mechanism inconsistent with developmental age, and blame of a sibling or other child inflicting harm are all historical features also high risk. </p>
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<fieldset><legend>References</legend>
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Escobar, MA, et al. The association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation. Journal Trauma Acute Care Surgery. 2017; 82(6). </p>
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