Non-accidental injury

• What does NAI stand for in the context of child injury?

  Non-accidental injury
• What is the primary association of non-accidental injury (NAI)?

  It is typically associated with child abuse.
• What types of injuries are encompassed by non-accidental injury (NAI)?

  • Fractures
  • Burns
  • Contusions
  • Internal injuries
• What is the most severe form of non-accidental injury?

  Non-accidental head injury (NAHI)
• What was the previous term for non-accidental head injury (NAHI)?

  'Shaken baby syndrome'
• What are the key characteristics of non-accidental head injury (NAHI)?

  Subdural haemorrhages, retinal haemorrhages, and encephalopathy.
• Why is it important for clinicians to maintain a high index of suspicion for NAI?

  To identify unexplained injuries or inconsistencies between history and clinical findings.
• What is involved in the diagnosis of non-accidental injury (NAI)?

  • Comprehensive medical evaluation
  • Radiological investigations:
  • Skeletal surveys for younger children
  • CT/MRI scans for suspected NAHI
• What does the management of NAI involve?

  • Multidisciplinary team input
  • Involvement of:
  • Social services
  • Paediatrics
  • Radiology
  • Forensic specialists
  • Ensuring patient safety during legal proceedings