Wouter Karst

Position statement of @HelferSociety on the recent Supreme Court's abortion decision

Metz found soft tissue swelling in children less than 4 years with simple (79%) and complex (68%) skull fractures. No difference in minor vs. major trauma. Bruising overlying skull fractures is present in only 5.5% of children. bit.ly/2JK0zLC #childabuse #skullfracture

Narang wrote new policy statement from American Academy of Pediatrics on Abusive Head Trauma in infants and children bit.ly/2vIzMMl #AHT #shakenbaby #childabuse @AmerAcadPeds

Important conclusion from Messer in this systematic review: Application of pediatric fracture healing timelines to clinical cases is challenging and imprecise bit.ly/2xd6BBl #fractures #radiology #childabuse

Society for Pediatric Radiology (SPR, @SocPedRad) Child Abuse Committee response regarding Miller, Stolfi and Ayoub's flawed theories about child abuse and metabolic bone disease bit.ly/2SUoVrw #childabuse #expertwitness #fractures #evidence

Ethical testimony in cases of suspected child maltreatment: The Ray E. Helfer Society Guidelines bit.ly/2u5Zae7 @HelferSociety #childabuse #testimony #expertwitness #court

Towards a deeper understanding of abusive head trauma. Editorial from Staffan Janson on the massive criticism of the report from @SBU_en on "shaken baby syndrome" bit.ly/2S2HYyg #AHT #shakenbaby

Are we biased to diagnose abusive head trauma (#AHT) when caregivers specifically deny trauma? We might be! See our publication on the relevance of historical red flags in the diagnosis of #AHT. bit.ly/2Rh4D9w #shakenbaby #childabuse #bias

In children less than 5 years old, Javaid compared agents, mechanisms of injury and anatomical burn locations between accidental burns and burns referred for child protection assessment bit.ly/2ZoZ2Sm #burns #childabuse

Duhaime and Christian reviewed the evolution of current practices and controversies regarding abusive head trauma bit.ly/2NliLxT #AHT #abusiveheadtrauma #shakenbaby #childabuse

Are growth recovery lines specific indicators of #childabuse? Spiller: No, but physical abuse and neglect should be considered in children <24 months old with at least 10 recovery lines bit.ly/2lVGRE3 #radiology #skeletalsurvey

Clinical report from American Academy of Pediatrics (@AAPNews) and Task Force #SIDS from National Association of Medical Examiners (@theNAME1966) on identifying #childabuse fatalities during infancy bit.ly/2ZvIRVy

Oh found high prevalence of nonconvulsive #seizures and status epilepticus in young patients with #abusiveheadtrauma (57% of the children who underwent continuous EEG). Altered mental status associated with nonconvulsive seizures. bit.ly/2WJmLK9 #AHT #shakenbaby

Fingarson on yield of #neuroimaging in infant physical abuse evaluations. Head injuries found in 8.2%. No association with age. More injuries after delay in seeking care, previous #CPS involvement or neurologic symptoms. bit.ly/2ZsiXhN #childabuse #radiology #AHT

Viero created an overview of published skin injuries produced by folk healing techniques. Gua Sha or spooning is shown in this picture of a 6-year old Chinese girl. bit.ly/2Q2c17S #childabuse #bruising #differentialdiagnosis #folkhealing

Shaw on dual energy X-ray absorptiometry (#DXA) to measure bone density in children: Clinicians need to recognise its limitations. An abnormal bone density scan does not make a diagnosis of #osteoporosis. bit.ly/2ZW7XKW #childabuse #bonescan #radiology

Rao on #radiation doses in diagnostic imaging for suspected physical #childabuse. Skeletal surveys deliver an equivalent to approximately 1 month of background radiation, or 50 hours flight time (0.20 mSv). #radiology bit.ly/2Iw9WA7

Adamsbaum analysed 67 prosecuted #childabuse cases with classic metaphyseal lesions (#CML) with a #confession in 27. Most CML's in knees and ankles, but only in shoulders associated with subdural hematoma (#SDH). Most abuse during diapering by males. bit.ly/2I5Ylaw

Hypothesis of #subdural hematoma (#SDH) as adverse reaction to #vaccination has no experimental or epidemiologic support, but is sometimes discussed in court. Fleury found no association between vaccination and SDH (like Binenbaum, 2015). bit.ly/2UsXs1x #AHT #shakenbaby

Joint @ESPR and @IntSocForRadIm guidelines, describing a standardised #postmortem imaging protocol for investigating childhood deaths. bit.ly/2O02JYS #forensics #radiology #childabuse