Newer term that encompasses child abuse
Infant and children with disabilities are at higher risk
In >80% of cases, the parent or primary guardian is the abuser
Report suspicion
Transparent, frank discussion with caregivers
Social work or child protection agency involvement
Protect the child first, admit if suspicious
Social work may follow-up as outpatient for very low risk cases
Transparent, frank discussion with caregivers
Social work or child protection agency involvement
Protect the child first, admit if suspicious
Social work may follow-up as outpatient for very low risk cases
Protect the child first, admit if suspicious
Social work may follow-up as outpatient for very low risk cases
Domestic violence
Maternal depression
Drug and alcohol abuse
Premature birth
Children with disabilities or children who require significant medical care
Unrealistic expectations for the child
History given is inconsistent with the mechanism of injury
Changes in caregivers report
Significant delays in care
Any injury to a young, pre-ambulatory infant
Injuries to multiple organ systems
Injuries in different stages of healing;
Patterned injuries
Injuries to non-bony or other unusual locations, (torso, ears, face, neck, or upper arms)
Significant injuries that are unexplained
Other evidence of child neglect.
Nonaccidental trauma
Bruising
Trauma 
Mongolian spots 
Abusive head trauma
Bleeding disorders
Submersion injury
Hemangiomas