Trauma Tuesday
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Accidentally Bruised vs. Abused: Pediatric TBI
07/07/2026

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Article of the Week

Is it Abuse or a Common Childhood Boo-Boo?

This week's article examines the distinguishing clinical and radiological features of abusive head trauma (AHT) versus accidental traumatic brain injury in children under age five. The authors found that victims of abuse are more likely to present with seizures, respiratory distress, and retinal hemorrhage, often leading to higher mortality rates. 

Conversely, accidental injuries are more often associated with skull fractures and specific patterns of brain bruising. Ultimately, the findings suggest that AHT is a distinct medical condition that may require specialized diagnostic approaches and targeted treatment strategies compared with those for standard accidents.
 

Click the link to view the article or watch a short AI-generated article summary (4 min 24 sec).

View Article Watch Video Summary

McNamara CR, Berger RP, Luther JF, et al. Severe Pediatric Traumatic Brain Injury Presenting Characteristics: Abusive Versus Accidental Trauma. Journal of neurotrauma. Aug 13 2025.

Trauma Happenings

FREE SCI Resources

Looking for sources to develop guidelines for in-hospital or rehabilitation care for patients with spinal cord injuries? Don’t reinvent the wheel. Paralyzed Veterans of America offers several clinical practice guidelines you can use as models for developing your own. Some require purchase, but most are free to download. Topics include:

  • Early Acute Management in Adults with Spinal Cord Injury
  • Bladder Management for Adults with Spinal Cord Injury
  • Respiratory Management Following Spinal Cord Injury
  • Outcomes Following Traumatic Spinal Cord Injury
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News & Tips

Are you a TCAR Education Programs Course Administrator?

If you are the one responsible for assigning learners to TCAR and PCAR courses at your hospital, life just got easier. We've made several major improvements to your experience.

First, when you log in to your Administrator account, you'll see a brand-new dashboard that gives you a quick overview of your seat and learner status. From your dashboard, you can link to a single, unified course/learner management area or drill down to individual learners.

And, you no longer need to specify TCAR or PCAR when placing an order. Simply purchase any number of “seats” and assign learners to either course version.

Fun Facts

Mug Shots, Fingerprints, and Tongue Prints?

Yep, every person has a unique tongue print that can be used for identification. Imagine you’re in an airport security line. Instead of a TSA agent asking you to “look here,” you could be asked to “lick here”!

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