Child Protection

Question 1

What legislation covers child protection/rights?

Answer 1

UN rights of the child

Children (Scotland) Act 1995
Children & Young People (Scotland) Act 2014

Question 2

What about a bruise would suggest NAI?

Answer 2

Unusual places e.g. chest
Unusual age i.e. too young to have injured themselves
Unusual Patterns
Petechial bruising

Inconsistant story (Either between people or changing over time)

Question 3

What about a fracture would suggest NAI?

Answer 3

• Rib, spinal or humeral
• Too young to injure themselves
• Healing fractures, late presentation or multiple fractures at different stages

Question 4

How can you spot a NA thermal Injury?

Answer 4

Pattern e.g. Iron

Bilateral

Perfect lines (e.g. straight across hand where it’s been held in hot water)

Sparing of certain regions e.g. “kid fell in a too hot bath” but his butt isn’t burned, this implies he was held down in the hot water and his but was against the bottom so didn’t burn

Question 5

Kid has retinal haemorrhages, cervical spinal injury, rib fractures & finger marks (or any combination of above). What’s this sound like?

Answer 5

Shaken baby

• FInger marks form tight holding
• Rib fractures from tight holding
• Cervical spinal injury from shaking neck
• Retinal haemorrhages don’t appear in many other injuries as it required rapid change of direction to shear the vessels

Question 6

How are you likely to spot sexual abuse>

Answer 6

• Direct disclosure
• STI
• Pregnancy

Or Overly sexual behaviour for their age

Question 7

How does nutritional neglect present?

Answer 7

Failure to Thrive (often accidental neglect)