000			02985nab a22002897a 4500
999			_c5867 _d5867
005			20250625151451.0
008			180529s2018 xxu||||| |||| 00| 0 eng d
040			_aAFVC
100			_aChoudhary, Arabinda Kumar _eet al. _97584
245			_aConsensus statement on abusive head trauma in infants and young children _cArabinda Kumar Choudhary, Sabah Servaes, Thomas L. Slovis, Vincent J. Palusci, Gary L. Hedlund, Sandeep K. Narang, Joëlle Anne Moreno, Mark S. Dias, Cindy W. Christian, Marvin D. Nelson Jr, V. Michelle Silvera, Susan Palasis, Maria Raissaki, Andrea Rossi and Amaka C. Offiah
260			_bSpringer, _c2018
500			_aPediatric Radiology, 2018, Advance online publication, 23 May 2018
520			_aAbusive head trauma (AHT) is the leading cause of fatal head injuries in children younger than 2 years. A multidisciplinary team bases this diagnosis on history, physical examination, imaging and laboratory findings. Because the etiology of the injury is multifactorial (shaking, shaking and impact, impact, etc.) the current best and inclusive term is AHT. There is no controversy concerning the medical validity of the existence of AHT, with multiple components including subdural hematoma, intracranial and spinal changes, complex retinal hemorrhages, and rib and other fractures that are inconsistent with the provided mechanism of trauma. The workup must exclude medical diseases that can mimic AHT. However, the courtroom has become a forum for speculative theories that cannot be reconciled with generally accepted medical literature. There is no reliable medical evidence that the following processes are causative in the constellation of injuries of AHT: cerebral sinovenous thrombosis, hypoxic–ischemic injury, lumbar puncture or dysphagic choking/vomiting. There is no substantiation, at a time remote from birth, that an asymptomatic birth-related subdural hemorrhage can result in rebleeding and sudden collapse. Further, a diagnosis of AHT is a medical conclusion, not a legal determination of the intent of the perpetrator or a diagnosis of murder. We hope that this consensus document reduces confusion by recommending to judges and jurors the tools necessary to distinguish genuine evidence-based opinions of the relevant medical community from legal arguments or etiological speculations that are unwarranted by the clinical findings, medical evidence and evidence-based literature. (Authors' abstract). Record #5867
650			_aABUSIVE HEAD TRAUMA _97583
650			_aCHILD ABUSE _9103
650			_aCHILDREN _9127
650			_aINFANTS _9313
650			_aLAW _9336
650			_aPHYSICAL ABUSE _9439
650		0	_aTRAUMATIC BRAIN INJURY _93258
651		4	_aUNITED STATES _92646
651			_aEUROPE _93372
773	0		_tPediatric Radiology, 2018, Advance online publication, 23 May 2018
830			_aPediatric Radiology _97586
856			_uhttp://dx.doi.org/10.1007/s00247-018-4149-1 _yRead abstract
942			_2ddc _cARTICLE