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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

Information should be shared, ideally with the young persons consent, with social care and any other agencies (nationwide or local) that may be able to support, e.g. independent domestic violence advocate, victim support, and sexual assault referral entre. Non-fatal strangulation: in physical and sexual assault.

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Choosing Wisely – Investigations for Paediatric Patients presenting with Psychiatric Symptoms

Don't Forget the Bubbles

The stepwise approach was guided by vital signs, presence of seizures or focal neurology, presence of trauma (including attempted hanging or cutting), overdoses and substance misuse, level of consciousness, medical complaints, history of alleged sexual assault/rape, and developmental delay. This was presented as a simple algorithm.