Scenario 11.4 Non-accidental Trauma 1

Chest X-ray 2

Chest X-ray Preliminary Reading Preliminary Read: Multiple posterior rib fractures, some with callus formation. Patchy opacifications adjacent to rib fractures concerning for pulmonary contusions. Image reproduced courtesy of Rady Children's Hospital, San Diego, CA 3

CT Head Preliminary Reading Preliminary Reading: Small subdural hematoma with parafalcine hemorrhage and cerebral edema 4

CT Head (non-contrast) Preliminary Reading Preliminary read: Diffuse cerebral edema, areas of frontal and occipital contusion. No evidence of fracture, bleed, or shift. Image reproduced courtesy of Rady Children's Hospital, San Diego, CA 5

Bedside Glucose Test 68 Normal range: mg/dL 6

Bedside Point of Care Labs Glucose mg/dL Sodium meq/L Potassium meq/L Creatinine mg/dL Hemoglobin mg/dL 7