Tragedy of Shaken Baby
Syndrome:
Preventing Abusive Head Trauma
Tragedy of Shaken Baby Syndrome:
Preventing Abusive Head Trauma
Course # 735
2 CE Hours
Author:
Course Material valid through 10/2015
Copyright © 2012
W.S. Keefer
All rights reserved
Published by the National Center of Continuing Education, Inc.,
Lakeway, Texas.
Printed in the United States of America.
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Shaken Baby
Page 1
About the Authors ............................................. 3
Purpose and Goals ............................................ 3
Instructional Objectives.................................... 3
Introduction ....................................................... 3
Mechanism of Injury ......................................... 3
Causes and Risk Factors .................................. 4
Diagnosis and Treatment ................................. 4
Parent Education .............................................. 5
Prevention Is Key.............................................. 6
A Controversial Diagnosis ................................ 6
Reporting Abuse ................................................ 7
Protecting the Innocent .................................... 7
References and Suggested Readings ................ 7
We Want You To Learn!©
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Page 2
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Shaken Baby
Cheryl Duksta, RN, ADN, MEd
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baby syndrome
baby syndrome
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whiplash shaken
shaken
3.
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Continuing Education, Inc.
Shelda L. Hudson, RN, BSN, PHN
6.
7.
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National Center.
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shaken-impact syndrome
Shaken Baby
Page 3
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Figure 1
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Figure 1
Signs and Symptoms of SBS
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crying
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Figure 2
It is important for healthcare professionals
to remember that SBS can affect children of
any socioeconomic status and any ethnicity.
Page 4
Shaken Baby
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circulation.
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Child
Eye opening
Best verbal response
Infant
Score
Spontaneous
Spontaneous
4
To speech
To speech
3
To pain only
To pain only
2
No response
No response
1
Oriented, appropriate
Coos and babbles
5
Confused
Irritable cries
4
Inappropriate words
Cries to pain
3
Incomprehensible sounds
Moans to pain
2
No response
No response
1
Best motor response* Obeys commands
Localizes painful stimulus
Moves spontaneously and purposefully 6
Withdraws to touch
5
Withdraws in response to pain Withdraws to response in pain
4
Flexion in response to pain
3
Abnormal flexion posture to pain
Extension in response to pain Abnormal extension posture to pain
2
No response
1
No response
Shaken Baby
Page 5
Figure 3
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Figure 3
National Center on Shaken Baby Syndrome
The Period of Purple Crying Program
Syndrome (NCSBS).
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Centers for Disease Control and Prevention
Preventing Shaken Baby
Syndrome: A Guide for Health Departments
and Community-Based Organizations
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The Shaken Baby Alliance
Circle of Parents
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SBS is a completely preventable
injury, and nurses play an important
part in decreasing the incidence of
this type of abuse.
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Shaken Baby
All Babies Cry
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Shaken Baby
Page 7
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