Question

A 3-year-old child presents to the emergency department after falling off a low sofa. There is a spiral fracture of the mid-shaft of the humerus with minimal bruising and an inconsistent history from the caregiver. What is the most appropriate next step?

Accepted Answer

Report suspected non-accidental injury to child protection services and ensure the child's immediate safety

Answer

Accept the explanation and discharge with a sling

Answer

Treat the fracture and document but take no further action

Answer

Confront the caregiver aggressively and refuse treatment

Answer

Ignore concerns unless the child directly discloses abuse

Practice question

A 3-year-old child presents to the emergency department after falling off a low sofa. There is a spiral fracture of the mid-shaft of the humerus with minimal bruising and an inconsistent history from the caregiver. What is the most appropriate next step?