Skeletal survey as screening exam in children <= 24 months
Repeat limited skeletal survey at about 2 weeks to detect additional fractures
AAP Clinical Reports 2025 evaluating young children with fractures for child abuse
Skeletal survey consideration for 24 to 60 months based on suspicion
Structured evaluation approach
Abusive head trauma
AAP 2025 Abusive Head Trauma in Infants and Children
MRI roles for brain and cervical spine injury characterization
Serial imaging considerations in selected cases
Canadian Paediatric Society guidance on suspected traumatic head injury assessment and maltreatment
Canadian context for assessment and reporting considerations
Legal and reporting framework in Ontario
Ontario MCCSS Reporting Child Abuse and Neglect: It’s Your Duty
Duty to promptly report suspicion to a Children’s Aid Society
Definition framework for child in need of protection
CPSO Advice to the Profession: Reporting Requirements
PHI disclosure permitted to support CAS statutory functions
Practical guidance for clinician communication
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