1. Scenario 11.4 Non-accidental Trauma 1

2. Chest X-ray 2

3. 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

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

5. 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

6. Bedside Glucose Test 68 Normal range: 56-145 mg/dL 6

7. Bedside Point of Care Labs Glucose6856-145 mg/dL Sodium138134-143 meq/L Potassium3.93.4-4.9 meq/L Creatinine0.80.3-0.9 mg/dL Hemoglobin10.111.4-15.5 mg/dL 7