Neonatal Injuries in Child Abuse Treatment & Management

Updated: Jul 24, 2018
  • Author: Nitin C Patel, MD, MPH, FAAN; Chief Editor: Amy Kao, MD  more...
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Treatment

Medical Care

Supportive care is the mainstay of treatment in child abuse.

  • Blood pressure and vital signs should be supported and maintained.

  • Provide mechanical ventilation as needed.

  • Treat increased intracranial pressure, if present.

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Surgical Care

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  • Intracranial monitoring may be necessary, especially when intracranial pressure is a problem.

  • In the presence of subdural hematoma, surgical evacuation may be necessary.

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Consultations

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  • Consult an ophthalmologist who is well versed in identifying eye findings in abused children. The ophthalmologist is required for the initial ophthalmic evaluation and possibly for follow-up as well.

  • Appropriate referral to the state or county protective (abuse) center is necessary to identify siblings who may be at risk of abuse.

  • Referral to a physician who specializes in abuse can be helpful but not mandatory.

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Activity

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  • Physical therapy and occupational therapy can be helpful after neurologic injury.

  • Speech therapy might be beneficial for patients in whom speech and/or language may be affected.

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