Statistics on Physical Abuse (01:48)

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Child abuse is a continuing problem in the United States with an alarming number of occurrences--and deaths each year. Health care workers must stay alert to signs of sexual abuse and report as required by law.

Physical Abuse Takes Many Forms (00:39)

Physical abuse results in broken bones, visceral and brain injuries. This segment blows, burns and severe shaking that injure a child.

Risk Factors & Abusers (02:01)

Boys and girls are at equal risk for physical--not sexual--abuse. Women bare a larger percentage of abusers, because they are also more likely to be caretakers. Child abuse crosses all social and economic boundaries.

Definition of Abuse & Neglect (00:19)

"Any recent act or failure to act on the part of a parent or caretaker, which results in death, serious physical or emotional harm, sexual abuse, or exploitation, or an act or failure to act which presents an imminent risk of serious harm."

Who is Required to Report Abuse? (00:43)

All healthcare providers are mandated reporters. Learn the child neglect and abuse statutes of your state.

Recognizing Abuse (01:28)

Abuse injuries are generally more severe than what could be inflicted by another child. Pay attention to patterns of injury and the history given to explain the injury. Compare injuries you observe to the developmental age of the child to determine if they might be accidental.

Soft Tissue Injuries & Burns (01:27)

Nonambulatory children rarely have soft tissue injuries. Pay attention to "punishment areas" like thighs and buttocks. Watch for immersion burns--large areas that may have been held under scalding water. Patterns on an injury may indicate the implement that was used, such as a rope, belt buckle or curling iron.

Skeletal & Abdominal Injuries (01:11)

Some skeletal injuries can also strongly suggest abuse; look for fractures of ribs or long bones. Watch for head injuries and fractures of severity greater than would likely occur in play. Watch for abdominal injuries; these are second only to head injury in child mortality.

Inflicted Traumatic Brain Injury (00:47)

Blunt trauma and repeated shaking often result in fractures of growth plates, subdural hematoma and rib fractures.

Behaviors Suggesting Abuse (01:08)

The behavior of both child and parent or caretaker may provide clues that abuse is taking place.

Reporting Abuse (02:24)

If you suspect abuse, listen to the child and control your own emotions. Follow protocols for your organization; seek expert evaluation; keep confidentiality, and inform Child Protective Services. Be aware of community resources. Do not confront parents or caretakers who might be involved.

Credits: Recognizing Child Abuse: Physical Abuse (00:25)

Credits: Recognizing Child Abuse: Physical Abuse