From the Office of Medical Education, Columbia University Medical Center, New York, NY.
Spurwink Center for Safe and Healthy Families, Portland, ME.
Pediatr Emerg Care. 2022 Sep 1;38(9):464-468. doi: 10.1097/PEC.0000000000002559. Epub 2022 Jan 25.
Photo documentation of injuries on children is universally recommended in cases of suspected child physical abuse. As technology improves, the ability to document physical examination findings through smartphone photography is increasingly accessible and practical. The quality of images captured on smartphones now rivals traditional photography and the integration of photo capture within the electronic medical record has led to a variety of fields adopting smartphone photo documentation for diagnosis, consult, and follow-up. However, in cases of child physical abuse, practitioners have been hesitant to adopt smartphones as a primary means of photo documentation because of concerns around image quality, privacy, and security. In this article, we discuss the technology of available smartphone cameras and current evidence regarding their use for photo documentation, use existing guidelines to propose a workflow to improve the yield of smartphone photo documentation in child physical abuse, and discuss common medicolegal concerns.
照片记录在疑似儿童身体虐待的情况下被普遍推荐。随着技术的进步，通过智能手机摄影记录体检结果的能力越来越普及和实用。智能手机拍摄的图像质量现在可与传统摄影相媲美，并且将照片拍摄功能集成到电子病历中，已促使多个领域采用智能手机照片记录进行诊断、咨询和随访。然而，在儿童身体虐待的情况下，由于对图像质量、隐私和安全的担忧，从业者一直不愿意将智能手机作为主要的照片记录手段。在本文中，我们讨论了可用智能手机摄像头的技术以及关于其在照片记录中的使用的现有证据，使用现有的指南提出了一个工作流程，以提高在儿童身体虐待中使用智能手机照片记录的效果，并讨论了常见的法医学问题。
