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This activity was developed for Kentucky nurses to satisfy the mandated training requirements for the recognition and prevention of pediatric abusive head trauma.

Commercial Support AcknowledgmentNo commercial support was provided for the development of this activity.

Statement of NeedEach year 1,200 to 1,400 infants, usually between birth and 4 months of age, will suffer from head injuries associated with vigorous shaking, or shaking and impact. Twenty-five percent of these babies will die, about one-fourth of them within hours of the assault. Most of the survivors will have sequelae, including varying degrees of physical, cognitive, behavioral, sensory, and/or neurologic disabilities. Research has confirmed that incidence of Abusive Head Trauma can be lowered if both infant and caregiver risk factors are identified and prevention strategies initiated. Nurses need training to recognize the signs of Abusive Heat Trauma and what steps they can take to prevent it.

Method of ParticipationTo complete this activity and obtain CNE credit, you must do the following:

  • Read this Course Introduction / Disclosure section in its entirety.
  • Read the course material.
  • Complete the Post Test with a passing score of 80% or more.
  • Complete the attestation of participation section.
  • Submit the online activity evaluation form.

    AccreditationMedcom/Trainex is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.*

    Medcom/Trainex is accredited as a provider of continuing nursing education by the California Board of Registered Nursing (provider number CEP 9888), and the Florida Board of Nursing (provider number 50-1285).

    *Accreditation refers to recognition of educational activities only and does not imply Commission on Accreditation approval or endorsement of any product.

    Credit DesignationMedcom, Inc. designates this educational activity for 1.5 contact hours of continuing nursing education credit.

    OverviewThis module has been created so that practitioners can identify victims of Abusive Head Trauma by recognizing the risk factors of both the baby and caregiver, understanding the pathophysiology of injury, and identifying its signs and symptoms. Management of infants with this type of trauma will also be briefly described. In addition, prevention strategies for caregivers will be outlined and some community resources will be listed so that professions can work with families to prevent this type of abuse. The material is organized around the following categories:

  • Introduction
  • Statistics
  • Risk Factors
  • Pathophysiology of Abusive Head Trauma
  • Signs and Symptoms of Abusive Head Trauma
  • Assessments and Diagnostics
  • Initial Management of an Infant with Severe Abusive Head Trauma
  • Long-term Sequelae of Abusive Head Trauma
  • Actions to be Taken by Professionals
  • Prevention
  • Controversy Concerning the Diagnosis
  • Conclusion

    Learning ObjectivesAfter completing this course, the learner should be able to:

  • Define Abusive Head Trauma
  • State the incidence, prevalence, and death rates of:
  • Child abuse in the United States
  • Abusive Head Trauma in the United States
  • Delineate the risk factors associated with Abusive Head Trauma
  • Outline physical factors that make infants vulnerable to Abusive Head Trauma
  • Explain how the mechanisms of Abusive Head Trauma precipitate:
  • Intracranial bleeding
  • Retinal hemorrhage
  • Cerebral edema
  • Diffuse axonal injury
  • Name other injuries that can be associated with Abusive Head Trauma
  • Identify signs and symptoms of Abusive Head Trauma
  • Perform an assessment on an infant or child whose symptoms suggest Abusive Head Trauma
  • Describe how to manage a patient with severe Abusive Head Trauma
  • LIst the common sequelae of Abusive Head Trauma
  • Note actions that must be taken by professions when child abuse is suspected
  • Cite ways in which professionals can help prevent the occurrence of Abusive Head Trauma
  • Locate Abusive Head Trauma resources and programs
  • Explore the controversy concerning the diagnosis of "Shaken Baby Syndrome"

    This educational activity was wholly developed, written, and produced by Medcom, Inc., G. Rand Rodriguez, editor. Marcia Wellington, RN-C, MS, served as subject matter expert in review of the content, and performed a content validation review. Marguerite Voorhees, RN, CNS, CPHQ, CPHRM, served as nurse planner.

    In accordance with ANCC Standards, parallel documents from other accrediting bodies, and Medcom, Inc. policy, the learner is hereby informed that the planners and staff of Medcom, Inc., and the content validation reviewer(s) involved with this activity have reported no relevant financial relationships with commercial interests. Furthermore, there is no discussion in this activity about the use of products for non FDA-approved indications.

    Unnapproved Use DisclosureMedcom, Inc. requires authors and content validation reviewers to disclose to the learner when products or procedures being discussed are off-label, unlabeled, experimental, and/or investigational (not FDA approved); and any limitations on the information that is presented, such as data that are preliminary or that represent ongoing research, interim analyses, and/or unsupported opinion. Authors of this activity may present information about pharmaceutical agents that is outside of U.S. Food and Drug Administration approved labeling. This information is intended solely for continuing medical education and is not intended to promote off-label use of these medications. If you have questions, contact the medical affairs department of the manufacturer for the most recent prescribing information.

    As in all educational activities, we encourage the practitioners to use their own judgment in treating and addressing the needs of each individual patient, taking into account the patient's unique clinical situation. Medcom disclaims any liability and/or loss resulting from the information contained in this activity. The learner specifically agrees to indemnify and hold Medcom, the creators, producers, and distributors of this activity harmless against any and all claims or liabilities arising out of the use of any information provided in this activity by the learner, or by anyone directly or indirectly obtaining such information through the learner.
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    Recognizing and Preventing Abusive Head Trauma (Mandatory Education / Nursing CE) Online course
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