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ABUSIVE HEAD TRAUMA (Shaken Baby Syndrome). INFORMATION AND PREVENTION. April 2009. Training Objectives. Define Abusive Head Trauma/Inflicted Traumatic Brain Injury (Shaken Baby Syndrome). Identify the results of Abusive Head Trauma (AHT).

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Abusive head trauma shaken baby syndrome

ABUSIVE HEAD TRAUMA (Shaken Baby Syndrome)

INFORMATION AND PREVENTION

April 2009


Training objectives
Training Objectives

  • Define Abusive Head Trauma/Inflicted Traumatic Brain Injury (Shaken Baby Syndrome).

  • Identify the results of Abusive Head Trauma (AHT).

  • Recognize the signs and symptoms of Abusive Head Trauma.

  • Identify ways to prevent Abusive Head Trauma and be able to apply them.


What is abusive head trauma aht
What is Abusive Head Trauma (AHT)?

  • Abusive Head Trauma, also known as Shaken Baby Syndrome, involves the violent shaking or shaking and impacting the head of an infant or young child, usually under 4-years old. These children, especially babies, have very weak neck muscles and do not have support for their heavy heads.


  • When children are shaken, their brains move back and forth within their skulls. Abusive Head Trauma (AHT), causes destruction of brain cells and causes swelling of the brain. Extensive retinal hemorrhages in one or both eyes are found in a majority of the cases. Fractures of long bones and/or ribs can also be caused by AHT.


  • The triggering event for shaking is most always the baby’s uncontrollable crying and loss of control by the caregiver. Parents or caregivers may feel that shaking a baby is a harmless way to make a child stop crying. According to Prevent Child Abuse America, 25-50% of parents and caretakers are not aware of the effects of shaking a baby.


What are the results of aht
What Are the Results of AHT? uncontrollable crying and loss of control by the caregiver. Parents or caregivers may feel that shaking a baby is a harmless way to make a child stop crying. According to Prevent Child Abuse America, 25-50% of parents and caretakers are not aware of the effects of shaking a baby.

  • Blindness or eye damage

  • Delay in normal development

  • Damage to the spinal cord (paralysis)

  • Brain damage

  • Coma

  • Hearing loss

  • Severe mental retardation

  • Death


What are the signs and symptoms of aht
What are the Signs and Symptoms of AHT? uncontrollable crying and loss of control by the caregiver. Parents or caregivers may feel that shaking a baby is a harmless way to make a child stop crying. According to Prevent Child Abuse America, 25-50% of parents and caretakers are not aware of the effects of shaking a baby.

  • According to the National Center on Shaken Baby Syndrome, these are common symptoms of a child that has been shaken:

    • Lethargy/Decreased muscle tone

    • Extreme irritability

    • Difficulty breathing


  • Decreased appetite uncontrollable crying and loss of control by the caregiver. Parents or caregivers may feel that shaking a baby is a harmless way to make a child stop crying. According to Prevent Child Abuse America, 25-50% of parents and caretakers are not aware of the effects of shaking a baby.

  • Vomiting

  • No smiling or vocalization

  • Poor sucking or swallowing

  • Rigidity or posturing

  • Seizures

  • Inability to lift head



How common is aht in missouri
How Common is AHT in Missouri? size of pupils

  • In the United States, AHT is the second most common cause of death due to trauma in children, and the cause of more than 95% of serious head injuries in infants less than one year of age.

  • Of the 27 Missouri children who died from inflicted injury at the hands of a parent or caretaker in 2007, 16 (53%) were victims of AHT (or inflicted traumatic brain injury), commonly known as Shaken Baby Syndrome.




  • In 2007, a four-month old was left with a child care provider, who was caring for several children in her home. The infant was found unresponsive and taken to a hospital where he was found to be suffering from a traumatic brain injury. The babysitter later admitted to hitting the child’s head against a changing table.


What can parents and caregivers do to prevent aht
What Can Parents and Caregivers Do to Prevent AHT? provider, who was caring for several children in her home. The infant was found unresponsive and taken to a hospital where he was found to be suffering from a traumatic brain injury. The babysitter later admitted to hitting the child’s head against a changing table.

  • When a baby is crying, the American Academy of Pediatrics suggests the following:

    • Take a deep breath and count to 10.

    • Take time out and let your baby cry alone.

    • Call someone close to you for emotional support.

    • Call your pediatrician. There may be a medical reason why your child is crying.


  • Other Suggestions: provider, who was caring for several children in her home. The infant was found unresponsive and taken to a hospital where he was found to be suffering from a traumatic brain injury. The babysitter later admitted to hitting the child’s head against a changing table.

    • Rock or walk with the baby.

    • Sing or talk to the baby.

    • Offer the baby a pacifier or noisy toy.

    • Take the baby for a ride in a stroller.

    • Put the baby into a child safety seat in the car and go for a ride.


When a baby cries have a plan
When a Baby Cries, Have a Plan provider, who was caring for several children in her home. The infant was found unresponsive and taken to a hospital where he was found to be suffering from a traumatic brain injury. The babysitter later admitted to hitting the child’s head against a changing table.

  • Stop.

  • Take a break. Lay your baby down on its back in a safe place.

  • Sit down or leave the room.

  • Count to 10 or more.

  • Talk to another adult. Call a friend for help.

  • Call your doctor.

    (Source: The Children’s Trust Fund and the Greater St. Louis Child Fatality Prevention Coalition’s Never Shake a Baby brochure)


For more information visit these additional websites
For More Information, provider, who was caring for several children in her home. The infant was found unresponsive and taken to a hospital where he was found to be suffering from a traumatic brain injury. The babysitter later admitted to hitting the child’s head against a changing table.Visit These Additional Websites

  • The National Center on Shaken Baby Syndrome, www.dontshake.org

  • American Academy of Pediatrics, http://www.aap.org/publiced/BR_ShakenBaby.htm

  • Kids Health, www.kidshealth.org/parent/medical/brain/shaken.html


  • National Institute of Neurological Disorders and Stroke, provider, who was caring for several children in her home. The infant was found unresponsive and taken to a hospital where he was found to be suffering from a traumatic brain injury. The babysitter later admitted to hitting the child’s head against a changing table.http://www.ninds.nih.gov/disorders/shakenbaby/shakenbaby.htm

  • Epilepsy Association of Central Florida,http://aboutshakenbaby.com/

  • Missouri Department of Health and Senior Services,http://www.dhss.mo.gov/ShakenBabySyndrome/

  • Missouri Children’s Trust Fund (has both brochures and videos available), www.ctf4kids.org


Missouri department of social services state technical assistance team
Missouri Department of Social Services State Technical Assistance Team

Address:

PO Box 208Jefferson City, MO 65102-0208

Telephone: (573) 751-5980(800) 487-1626(8 a.m. to 5 p.m. CST, Monday – Friday)

Email:

 [email protected]


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