Dating retinal hemorrhages
The forces required to cause brain injury were derived from an experiment of high velocity impacts on monkeys, that generated forces far above those which might occur with a shaking mechanism.
His major interests are in acute pediatric pulmonary disease, transfusion medicine and ethics.The evidence challenging these connections should prompt emergency physicians and others who care for children to consider a broad differential diagnosis before settling on occult shaking as the de-facto cause. While childhood non-accidental trauma is certainly a serious problem, the wide exposure of this information may have the potential to exonerate some innocent care-givers who have been convicted, or may be accused, of child abuse. 2011;12(2):144-158.] Challenging the Pathophysiologic Connection between Subdural Hematoma, Retinal Hemorrhage and Shaken Baby Syndrome Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 12(2)Gabaeff, Steven C, Emergency Medicine and Clinical Forensic Medicine, Sacramento, CA2011 Address for Correspondence: Steven C. The recent article by Binenbaum et al, which appeared in the August issue of Pediatrics, continues this process of validation by examining the presence of retinal hemorrhages in children with non-traumatic causes of increased intracranial pressure (ICP).
In this work, the authors recruited subjects between the ages of 1 and 17 years who were undergoing lumbar punctures.A systematic review of the diagnostic accuracy of ocular signs in pediatric abusive head trauma.