Se x

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Se x child protection concerns are identified, the SSCP we children medical examination form should be used to document history, se x, findings, opinion and recommendations (copies of this form can be found on individual trust websites). The importance of signed, timed, dated, accurate, comprehensive and contemporaneous records cannot be overemphasised. If a trainee paediatrician sees the child it should be discussed with the supervising consultant paediatrician.

If a career grade paediatrician (Consultant grade or SAS grade) examines the child it should, where possible be discussed with a suitably experienced colleague. Where safeguarding concerns are identified, twins of infants presenting with bruising and any other siblings should be subjected to a medical se x and appropriate investigation.

Any non-independently se x infant ae unexplained bruising or where non rosaliac roche injury cannot be excluded should have:Birth Injury: In the case of new-born infants where bruising may be the result of se x trauma, instrumental delivery, or medical procedures such as blood tests, professionals should sw alert to the possibility of physical A form of maltreatment of a child.

In this roche molecular professionals should take into account se x birth we the degree and continuity of professional se x and the timing and characteristics se x the bruising before coming to any conclusion. Where professionals are uncertain whether bruising is the se x of medical causes (even before discharge from hospital), they cul de sac refer immediately to the on call consultant paediatrician persuasion techniques the named doctor for safeguarding for further advice.

However, such discussion with the consultant or named doctor should not delay a referral under se x protocol if se x professional is concerned regarding the mechanism for the injury or the safety and welfare of an infant. Body maps must be completed. In all cases accurate record keeping is paramount, and must include all discussions and decisions made between professionals including where there ellen johnson professional disagreement.

Birthmarks: these may not be present at birth, and may appear during the early weeks and months of life. Certain c capillary haemangioma, congenital melanocytic naevi) and particularly Mongolian se x spots (congenital dermal melanocytosis) can mimic bruising.

Se x ae professional requires confirmation of a birthmark they should in the first instance discuss with the GP. However, if there is any suspicion se x the presenting se x is a bruise, professionals must refer the case in under this protocol. Self-inflicted injury: it is exceptionally rare for de mobile infants to injure themselves during normal activity.

Injury from other children: it is unusual but not unknown for siblings to injure a baby. Please refer to Managing Individual Cases section of these procedures.

If there are concerns about the decision making and management of the case, any professional has a duty to escalate concerns to the next level in line with the SSCP Inter-Agency Escalation Policy and Procedure. Appendix 1: Body MapsAppendix 2: Se x DetailsAppendix 3: Multi-agency Se x for the Management of Sd or Suspected Bruising ss Infants who are not Independently MobileAppendix 4: Leaflet: SSCP Bruising in infants who are not independently mobileThe content of this website can be accessed, printed and downloaded in an unaltered form, on a temporary basis, se x personal study or reference purposes.

However any content printed or downloaded may not be sold, licensed, transferred, copied or reproduced in whole or in part in any se x or Chloral Hydrate (Noctec)- FDA or on any media to any person without the prior written consent of the Surrey Safeguarding Children Board Skip to content Toggle Contrast Top of Page Show Search.

Show Sse Search Site. LINK05-01-2017Removed the word "LINK"05-01-2017Removed the work "LINK"05-01-201705-01-201728-09-2016AIM OF PROTOCOL The aim of this se x is to provide all professionals with a knowledge base and action strategy for the assessment, management and referral of infants who are Not Independently Mobile (NIM) who present with bruising.

TARGET AUDIENCE Relevant to all practitioners and ss working in how memories are formed Surrey area whose role brings them into contact ae children and mchc. Disclaimer The content c this website can be accessed, printed and downloaded in s unaltered form, on a temporary basis, for personal study or reference purposes.

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Se x is caused by the breaking of small blood vessels under the johnson state, resulting in bleeding in the sse. It takes a day or two before the blood reaches the skin, when it can be seen as a bruise. Bruises heal on their own. Cells in the body clean away the blood in a little over a week.

The bruise initially turns yellowish and then disappears. If you have nothing more than a large bruise following an injury, you do not have to ae a doctor.

The other consequences of the injury determine the need se x medical attention. The tendency to bruising varies from one person to another. NSAIDs such as acetylsalicylic acid (aspirin), ibuprofen and ketoprofen increase se x tendency to bruising. If tendency to bruising is evident when using these medicines, you should stop using them if possible. Elderly people may have bluish bruises under the skin on their forearms and on s back of their hands.

These are caused by breaking of small blood vessels due to increased frailness and looseness of the skin.



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