Non-accidental Injury

Key points

• • Warning signs: injury inconsistent with the history or developmental stage, delayed presentation, a changing story.
• • Suggestive patterns: bruising in a non-mobile baby, certain fractures, cigarette burns, retinal haemorrhages (shaking).
• • Consider neglect and emotional or sexual abuse, not only physical injury.
• • Safeguarding is everyone's duty - document carefully and refer to child protection.