Lightning Learning: Non-Accidental Injury
STOP!
Why is it important to consider NAI in paediatric patients?
It is estimated that 1 in 14 children in the UK have been physically abused (NSPCC).
It is the responsibility of EVERY member of NHS staff to safeguard and promote the welfare of children…
Recognise the signs of abuse
Respond using the traffic light system (see “LEARN” section)*
Refer to the appropriate speciality or service
Responsibility to act on all concerns
LOOK
Suspect implausible, inadequate or inconsistent explanations
Inspect physical features of injury, such as:
Shape & pattern of bruising, bites, lacerations, thermal injury
Age and quantity of fracture(s)
Escalate to the most senior staff in your area. This will likely be the Doctor/Nurse in Charge + paediatric team
Consider:
Intracranial injury without accidental major trauma
Retinal haemorrhage
Genital infections/injury, pregnancy
Consider your local safeguarding protocols/team