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Child Abuse

  • Manual Rectal Disimpaction in Toddler Results in Lawsuit

    Dr. Ariel Cohen explores medicolegal risks and supervision gaps in pediatric ED disimpaction following a settled claim.
  • How To Develop a Comprehensive Forensic Care Program beyond SANE

    Learn the 10 essential steps to expand your ED’s SANE program into a comprehensive forensic care center to better support all victims of violence.
  • When the Patient History Does Not Fit

    It is 0715 hours, and you have just come onto shift when EMS calls that they are...

Manual Rectal Disimpaction in Toddler Results in Lawsuit

April 7, 2026 - Ariel Cohen, DO - 6 Comments

Dr. Ariel Cohen explores medicolegal risks and supervision gaps in pediatric ED disimpaction following a settled claim.

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How To Develop a Comprehensive Forensic Care Program beyond SANE

March 10, 2026 - Ralph Riviello, MD, FACEP, and Heather Rozzi, MD, FACEP - 1 Comment

Learn the 10 essential steps to expand your ED’s SANE program into a comprehensive forensic care center to better support all victims of violence.

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When the Patient History Does Not Fit

October 10, 2024 - Ralph Riviello, MD, FACEP; and Heather Rozzi, MD, FACEP - 0 Comment

It is 0715 hours, and you have just come onto shift when EMS calls that they are…

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Child Abuse Cases in the Emergency Department

July 5, 2024 - Ralph Riviello, MD, FACEP; and Heather Rozzi, MD, FACEP - 0 Comment

Case 1: A 5-year-old male is brought to the emergency department (ED) by his father and stepmother…

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Tips for Diagnosing Factitious Disorder Imposed on Another

May 10, 2024 - Ralph Riviello, MD, FACEP; and Heather Rozzi, MD, FACEP - 1 Comment

A 9-month-old male presents to emergency department (ED) with his mother for seizure. The child was diagnosed…

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Scan for These Potential Signs of Non-Accidental Trauma

March 6, 2024 - Ralph J. Riviello, MD, MS, FACEP, and Heather V. Rozzi, MD, FACEP - 0 Comment

A 14-month-old male presents with fussiness. Per his mother, he seems to have some discomfort in his…

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Readers Respond: Antifreeze Poisoning Tests, Hemoptysis Suggestions, & More

January 3, 2024 - ACEP Now - 0 Comment

Re: ‘Toxicology Answer: An Illustrated Case of Ethylene Glycol, Direct and Indirect’ On behalf of my colleagues…

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How To Identify and Work With Neglected Children in the ED

October 31, 2023 - Ralph J. Riviello, MD, MS, FACEP, and Heather V. Rozzi, MD, FACEP - 1 Comment

Case A four-year-old male is brought via EMS for diabetic ketoacidosis (DKA). The EMS technician expresses frustration…

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How to Evaluate Your Youngest Victims in Child Abuse Cases

April 18, 2022 - Heather V. Rozzi, MD, FACEP; and Ralph Riviello, MD, MS, FACEP - 0 Comment

The Case A two-year-old girl presents with a rash on her face. This was first noticed when…

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Tips for Diagnosing Abusive Head Trauma

May 18, 2021 - Ralph J. Riviello, MD, MS, FACEP; and Heather V. Rozzi, MD, FACEP - 0 Comment

The Case A 2-year-old male presents with vomiting. He was seen by his pediatrician two days ago…

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