When an infant or young child presents with subdural haemorrhage, the diagnostic priority is to exclude physical child abuse. A team approach should be adopted for the clinical child protection investigation. The consequences of missing a diagnosis of physical abuse may leave children at risk of further injury, while an incorrect diagnosis of shaken baby syndrome will have profound effects on a family unit.There are a number of features associated with SDH that raise the probability of abuse.1,4,5 These include retinal haemorrhages,1,4,6,7 additional physical injuries,1,4,8,9 and a previous history of child abuse in the family.1,4As with any other clinical discipline, the field of child protection must be subject to the rigours of evidence based practice and national clinical guidelines.
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