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Family Advocacy Program Army Community Service

Family Advocacy Program Army Community Service. PORTRAIT OF PROMISE Preventing Shaken Baby Syndrome. SBS. What is Shaken Baby Syndrome?. Violent Whiplash Injury Intercranial Bleeding Unconsciousness Inflicted, not accidental Result of violently shaking a baby or child

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Family Advocacy Program Army Community Service

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  1. Family Advocacy Program Army Community Service

  2. PORTRAIT OF PROMISEPreventing Shaken Baby Syndrome

  3. SBS

  4. What is Shaken Baby Syndrome? • Violent Whiplash Injury • Intercranial Bleeding • Unconsciousness • Inflicted, not accidental • Result of violently shaking a baby or child • Causes severe disabilities or death due to brain injury

  5. Ages of SBS Victims • Few days old --------five years • Average age of six to eight months

  6. Inflicted, Not Accidental • Child is violently shaken by caretaker • not “jiggling” or gently playing • any objective observer would say that the child will definitely be injured • child shaken in rage, anger, and frustration

  7. Clinical Findings Associated with SBS • Subdural hematoma • Retinal hemorrhages • Cerebral edema • Diffuse axonal injury • Skull fracture • Subarachnoid hemorrhages • “Black brain” on CT or MRI - indicating severe ischemia, characteristic of a severe shake

  8. Clinical Signs of SBS* • Subdural Hematoma. Accumulation of blood or blood clot beneath the dura. The dura is a fibrous membrane that surrounds the brain and attaches to the skull. • Retinal Hemorrhages. Bleeding in the back of the eyeball. • Cerebral Edema. Swelling of the brain. This causes pressure on various areas of the brain, some of which control breathing, heartbeat, etc.

  9. More Clinical Signs of SBS • Diffuse Axonal Injury. Shearing of nerve fibers in white matter of the brain that destroys brain tissue. • Skull Fracture. • Subarachnoid Hemorrhage. Bleeding under the arachnoid membrane, a membrane attached to the innermost layer of the tissues surrounding the brain. This causes pressure on and injury to the brain.

  10. More Clinical Signs of SBS • “Black Brain”.Wasting away of the brain due to lack of blood supply, seen on CT scan or MRI

  11. SBS Triad of Injuries • Retinal Hemorrhage • Subdural Hematoma • Cerebral Edema The presence of this combination is characteristic of SBS. Other causes for this particular combination are remote.

  12. Who Are The Perpetrators of SBS • Male caretakers • Babysitters • Parents under severe stress • Parents who have psychiatric problems

  13. How Would You KnowIf Your ChildHas BeenShaken?

  14. Warning Signs • Unable to turn head • Body pulls to one side • Difficulty in breathing • Seizures • Lethargic, hard to rouse • Dilated or pin-point pupils • Eyes don’t respond to light • Blood pooling in eyes

  15. Critical Advice If your child has any of these symptoms: • Get medical attention immediately • Be prepared to provide any helpful information to medical staff

  16. What Are the Effects of Shaking? • Irreversible brain damage • Blindness • Learning disabilities • Mental retardation • Seizures • Death

  17. How Does SBS Occur? • Caretaker: • Is alone with child • Frustrated by child’s crying • Sees child’s crying as deliberate • Sees child’s crying as defiance • Child: • Crying is the only way the baby can communicate • Cannot protect self against violent assault

  18. Use Common Sense • Don’t let anyone take care of a fussy baby by themselves, if: • they have a hot temper • they are afraid of losing self-control • they can’t pay full attention to the baby • they don’t know how to handle a baby who is difficult to comfort • they don’t know how to handle a child who is demanding, crabby or annoying • they think that babies 0-18 months “do things on purpose to make you angry”

  19. Caretakers Need to Stay In Top Condition • Get Enough Sleep • Stay Sober • Stay Healthy

  20. What Can You Do When Babies Cry?

  21. What To Check • Is the baby sick? • Is the baby hungry? • Does the baby need to be burped? • Does the baby need to be changed?

  22. How To Soothe A Crying Baby • Rock the baby • Walk with the baby • Swaddle the baby • Play some music • Rub the baby’s back • Give the baby a pacifier • Read to the baby • Leave a soft light on in the baby’s room • Take the baby for a ride in the car

  23. If That Doesn’t Work…Don’t Go It Alone!Get Some Help!

  24. How to Get Help • Get someone to keep you company. • Telephone a friend, ask for tips on how to handle the situation. • Keep the number of a hot-line handy for support and guidance.

  25. Regarding Baby Sitters…It is the Parent’s Responsibility to: • Instruct the babysitter every time that they are not to shake the baby, no matter what happens. • Be sure your babysitters know how to reach you. • Be prepared to come home immediately if your sitter can’t handle the job.

  26. When All Else Fails • Let the baby cry. • Put the baby down in a safe place. Check on the baby at intervals. • Give yourself a break--find a quiet place for yourself.

  27. Better that the Baby Crythan the Baby Die.

  28. Video: Portrait of Promise

  29. Question & Answer Period

  30. For Additional Information • Family Advocacy Program • Pediatric Clinic • Social Work Service

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