Pediatric Boot Camp Series: Infant With Altered Mental Status and Seizure—A Case of Child Abuse

Introduction Child abuse, also known as nonaccidental trauma (NAT), is an important cause of pediatric morbidity and mortality. The presentation of NAT is often confounded by unclear histories and victims who are unable to provide information. Medical students and trainees may fail to consider NAT a...

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Autores principales:	James Metz, Kimberly Stone, Jennifer Reid, Rebekah Burns
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2017
Materias:	Simulation Abuse Seizure Pediatrics Battered Child Syndrome Nonaccidental Trauma Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/66b92cd2ac3e42c6814e2de6554f9aed
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spelling	oai:doaj.org-article:66b92cd2ac3e42c6814e2de6554f9aed2021-12-03T14:17:08ZPediatric Boot Camp Series: Infant With Altered Mental Status and Seizure—A Case of Child Abuse10.15766/mep_2374-8265.105522374-8265https://doaj.org/article/66b92cd2ac3e42c6814e2de6554f9aed2017-03-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10552https://doaj.org/toc/2374-8265Introduction Child abuse, also known as nonaccidental trauma (NAT), is an important cause of pediatric morbidity and mortality. The presentation of NAT is often confounded by unclear histories and victims who are unable to provide information. Medical students and trainees may fail to consider NAT as a diagnosis or be unfamiliar with the evaluation process. Methods This curriculum uses simulation, small-group discussion, and didactics to help medical students gain an understanding of presentation of NAT. Using the case of a 2-month-old boy presenting with altered mental status and seizure, participants practice the assessment and management of an acutely ill patient. Small-group discussions facilitate schema building to enhance each participant's ability to recognize and diagnose different diseases that may present as infant seizure and to identify the signs of NAT. Didactics solidify concepts addressed during the simulation and small-group discussions. Results Medical students participating in this course reported that they felt better prepared for their internships and that working through a case with a large differential diagnosis was helpful for their understanding of causes of infant seizures, including abusive head trauma. Discussion This curriculum is unique in that it uses one unifying case to allow participants to demonstrate an understanding of the evaluation and stabilization of a critically ill pediatric patient, develop a broad differential diagnosis for a nonspecific symptom, and prioritize and evaluate possible etiologies through the gathering and interpretation of data. This curriculum may be used independently or in conjunction with other learning activities as part of a pediatric boot camp.James MetzKimberly StoneJennifer ReidRebekah BurnsAssociation of American Medical CollegesarticleSimulationAbuseSeizurePediatricsBattered Child SyndromeNonaccidental TraumaMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 13 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Abuse Seizure Pediatrics Battered Child Syndrome Nonaccidental Trauma Medicine (General) R5-920 Education L
spellingShingle	Simulation Abuse Seizure Pediatrics Battered Child Syndrome Nonaccidental Trauma Medicine (General) R5-920 Education L James Metz Kimberly Stone Jennifer Reid Rebekah Burns Pediatric Boot Camp Series: Infant With Altered Mental Status and Seizure—A Case of Child Abuse
description	Introduction Child abuse, also known as nonaccidental trauma (NAT), is an important cause of pediatric morbidity and mortality. The presentation of NAT is often confounded by unclear histories and victims who are unable to provide information. Medical students and trainees may fail to consider NAT as a diagnosis or be unfamiliar with the evaluation process. Methods This curriculum uses simulation, small-group discussion, and didactics to help medical students gain an understanding of presentation of NAT. Using the case of a 2-month-old boy presenting with altered mental status and seizure, participants practice the assessment and management of an acutely ill patient. Small-group discussions facilitate schema building to enhance each participant's ability to recognize and diagnose different diseases that may present as infant seizure and to identify the signs of NAT. Didactics solidify concepts addressed during the simulation and small-group discussions. Results Medical students participating in this course reported that they felt better prepared for their internships and that working through a case with a large differential diagnosis was helpful for their understanding of causes of infant seizures, including abusive head trauma. Discussion This curriculum is unique in that it uses one unifying case to allow participants to demonstrate an understanding of the evaluation and stabilization of a critically ill pediatric patient, develop a broad differential diagnosis for a nonspecific symptom, and prioritize and evaluate possible etiologies through the gathering and interpretation of data. This curriculum may be used independently or in conjunction with other learning activities as part of a pediatric boot camp.
format	article
author	James Metz Kimberly Stone Jennifer Reid Rebekah Burns
author_facet	James Metz Kimberly Stone Jennifer Reid Rebekah Burns
author_sort	James Metz
title	Pediatric Boot Camp Series: Infant With Altered Mental Status and Seizure—A Case of Child Abuse
title_short	Pediatric Boot Camp Series: Infant With Altered Mental Status and Seizure—A Case of Child Abuse
title_full	Pediatric Boot Camp Series: Infant With Altered Mental Status and Seizure—A Case of Child Abuse
title_fullStr	Pediatric Boot Camp Series: Infant With Altered Mental Status and Seizure—A Case of Child Abuse
title_full_unstemmed	Pediatric Boot Camp Series: Infant With Altered Mental Status and Seizure—A Case of Child Abuse
title_sort	pediatric boot camp series: infant with altered mental status and seizure—a case of child abuse
publisher	Association of American Medical Colleges
publishDate	2017
url	https://doaj.org/article/66b92cd2ac3e42c6814e2de6554f9aed
work_keys_str_mv	AT jamesmetz pediatricbootcampseriesinfantwithalteredmentalstatusandseizureacaseofchildabuse AT kimberlystone pediatricbootcampseriesinfantwithalteredmentalstatusandseizureacaseofchildabuse AT jenniferreid pediatricbootcampseriesinfantwithalteredmentalstatusandseizureacaseofchildabuse AT rebekahburns pediatricbootcampseriesinfantwithalteredmentalstatusandseizureacaseofchildabuse
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Pediatric Boot Camp Series: Infant With Altered Mental Status and Seizure—A Case of Child Abuse

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