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TEN-4-FACESp is a useful acronym to help screen children under 4 years of age with bruising to identify when a bruise is more likely to be caused by abuse than accidental injury. TEN-4-FACESp stands for bruising to the Torso, Ears, Neck, Frenulum, Angle of the jaw, Cheeks, Eyelids or Subconjunctivae, “4” represents infants 4 months and younger with any bruise, anywhere, and “p” represents the presence of patterned bruising.

This resource aims to provide caregivers with the support and information they need during their child's injury evaluation in the emergency department.

In this Rebeat, we discuss a challenging but important aspect of emergency medicine – identifying and addressing child abuse or non-accidental trauma (NAT). We talk with expert Dr. Mary Clyde Pierce about her paper, which validates the TEN-4 FACESp clinical decision rule for predicting abuse in young children, and share insights on how we can save a child’s life through vigilance and awareness of specific findings.

Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis; and Dr. Mary Clyde Pierce, Professor of Pediatrics at Northwestern University, Pediatric Emergency Physician and Director of Child Abuse Research at Laurie Children’s Hospital; dive deeper into why a bruised baby is worrisome, important aspects of a social history, and screening for abuse in the ED.

In this Heartbeat, Dr. Julia Magaña talks with child abuse pediatrician, Dr. Antoinette “Tony” Laskey, MD, MPH, MBA, Professor of Pediatrics and Division Chief University of Utah Pediatrics and medical director of Safe and Healthy Families, a child abuse assessment and treatment center. Dr. Laskey shares what happens when we can’t see past a single diagnosis. She defines anchoring bias, how it can trip us up, and how to see past it.

In this episode, Dr. Julia Magaña, Dr. Sarah Medeiros, and Dr. Mary Clyde Pierce discuss the new LCAST app developed by Lurie Children’s Hospital to help clinicians identify non-accidental trauma (NAT). We love this app! It’s quick and easy to use – and it’s even better than using the decision rule alone. Listen to the episode to hear why!

In this episode, Dr. Julia Magaña and Dr. Sarah Medeiros talk with guest experts, Dr. Emily Fain and Dr. Elena Duma, as they walk through how to approach child abuse conversations in a compassionate and straightforward manner, centering the safety of the child as everyone’s primary concern.

The Face It Movement launched in 2013 as an initiative led by Kosair Charities in response to the number of child abuse deaths in Kentucky. Face It focuses on a three-pronged approach to addressing child abuse and neglect: promote best practices in child abuse prevention and intervention, advocate for effective policies to improve the child welfare system, and build awareness and engage the community.

Childhelp promotes evidence based programs and services that enable Advocacy, Intervention, Treatment, and Prevention of child abuse worldwide. Caregivers can find 24/7 hotline information and support resources.

The Period of PURPLE Crying program is an evidence-based shaken baby syndrome/abusive head trauma (SBS/AHT) prevention program available since 2007. The program has two aims: to support parents and caregivers in their understanding of early increased infant crying and to reduce the incidence of SBS/AHT

English and Spanish Infographics on things parents can say and do to help their child cope with an injury.

Website with interactive and printable tools with quick tips and guidance to help parents and children make a full emotional and physical recovery after an injury.

Provides information to youth about how to talk about medical trauma with others. This tip sheet includes a scenario to read that describes how therapy helped the youth in the story. It includes a fill in the blank section, a drawing exercise, and brainstorming activity to assist children with deciding how to talk about their injury or circumstance with others.