Leetch Aaron N, Woolridge Dale
Department of Emergency Medicine, University of Arizona, Tucson, AZ 85724, USA.
Emerg Med Clin North Am. 2013 Aug;31(3):853-73. doi: 10.1016/j.emc.2013.04.003. Epub 2013 Jun 20.
Child abuse presents commonly to emergency departments. Emergency providers are confronted with medical, social, and legal dilemmas with each case. A solid understanding of the definitions and risk factors of victims and perpetrators aids in identifying abuse cases. Forensic examination should be performed only after the child is medically stable. Emergency providers are mandatory reporters of a reasonable suspicion of abuse. The role of the emergency provider is to identify abuse, facilitate a thorough investigation, treat medical needs, protect the patient, provide an unbiased medical consultation to law enforcement, and to provide an ethical testimony if called to court.
虐待儿童的情况在急诊科很常见。急诊医护人员在处理每一个病例时都会面临医疗、社会和法律方面的困境。对受害者和施虐者的定义及风险因素有扎实的了解有助于识别虐待案件。法医检查应仅在儿童病情稳定后进行。急诊医护人员若合理怀疑存在虐待行为则有强制报告的义务。急诊医护人员的职责是识别虐待行为、推动全面调查、满足医疗需求、保护患者、向执法部门提供公正的医疗咨询,并在被传唤出庭时提供符合道德规范的证词。