Red flag history for child physical abuse

Caregiver offers no history or specifically denies history of trauma despite severe injury

Implausible history for degree or type of injury*

Unexplained or excessive delay in seeking care

Injury attributed to in-home resuscitation efforts

Caregiver histories that change with retelling or conflict with versions from other observers

Severe injury explained as self-inflicted or blamed on other young children or pets

* Examples of implausible histories include major trauma attributed to a "fall down the stairs" or other short fall, such as a fall from a sitting position, or an injury mechanism that requires the child to have capability beyond his or her developmental level (eg, severe scald burns in a 12-month-old attributed to the patient "turning on the hot water faucet").

Graphic 109401 Version 4.0

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Red flag history for child physical abuse