This podcast series, developed Dr. Julia Magaña and Dr. Sarah Medeiros (EM Pulse Podcast), focuses on different aspects of caring for a child in the ED with suspected abuse including screening and identification, decision support resources, addressing biases, and how to approach critical conversations.
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.
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 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.