Does This Sound Fishy? - page 3

I was working in peds last night and they brought up an 8 month old baby with a head injury who had been in a car accident. The baby was the only one hurt...the parents claim he was in a car seat and... Read More

  1. by   Gromit
    I've worked in Emergency Services (in the field) for about 13 yrs now, both as career and volunteer. Seen a lot of MVAs, and if that child was secured in a car seat, and the others suffered no injuries (even if they did, it would have to be a catastrophic accident, if the child was secured properly), I wouldnt buy that story for ANYTHING. Strange things happen, thats true. But the odds are VERY much against the type of injuries you describe, for the reasons you were told.
    I'd DEFINATELY file a report suspecting abuse, and contact the authorities on it.

    I do not tolerate child abuse in any way shape or form.
    Last edit by Gromit on Jan 20, '03
  2. by   P_RN
    Poor baby.

    Just playing Devil's Advocate here.

    One thought is that while the baby seat MAY have been fastened correctly.......an Object/s on the parcel shelf in the back window will continue to move at the velocity of the vehicle. I remember a trooper telling me about a Kleenex box that injured a child severely. Also if the front seat had been in a reclining position its headrest could have hit the seat. .

    If it walks like a duck and quacks like a duck it is probably a duck....but it could be a goose or a robot......If you hear hoofbeats, don't automatically look for zebras

    Occams Razor (In science, the simplest theory that fits the facts of a problem is the one that should be selected.)
  3. by   dawngloves
    Kinda reminds my of the guy that said his wife was killed by the airbag and now the car manufacturer is investigating him for murder.
  4. by   Gromit
    Originally posted by P_RN
    Poor baby.

    Just playing Devil's Advocate here.

    One thought is that while the baby seat MAY have been fastened correctly.......an Object/s on the parcel shelf in the back window will continue to move at the velocity of the vehicle. I remember a trooper telling me about a Kleenex box that injured a child severely. Also if the front seat had been in a reclining position its headrest could have hit the seat. .

    If it walks like a duck and quacks like a duck it is probably a duck....but it could be a goose or a robot......If you hear hoofbeats, don't automatically look for zebras

    Occams Razor (In science, the simplest theory that fits the facts of a problem is the one that should be selected.)
    True, there are the exceptions, but what was described here was likely caused by multiple impacts. Not something likely in the 'loose object scenario' (the thing that disturbs me most is the part about neither parent having ANY injury. I'd be much more likely to buy the story if they had cuts or bruises or SOMETHING.).

    If I were wrong, I'd feel really bad about accusing them. However, an investigator would not just take the child away (if so, no more than temporarily -which is bad enough!) but investigate the likelyhood of abuse. At the very least, they would have their background checked into, and if they showed past history of violence (esp. to their kid(s)), then I'd say that would weigh heavily against them.

    In any case, your point is valid. Only THEY know the truth.
  5. by   KRVRN
    Being properly secured into the car seat doesn't mean the carseat was properly fastened into the car. I've seen too-loosely secured carseats fall sideways when the car makes a turn.

    Could the carseat have been loosely belted in such that the carseat fell sideways and the baby whacked her face on something? I can imagine a fairly low-impact collision causing a carseat to tip over. And if the baby then hit her face on the car door or whatever... possible???
  6. by   WalMart_ADN
    smells like fish to me......let us know what happens....
  7. by   Gromit
    Agreed, KRVRN, however, according to the original post, the seat was also properly secured.

    Of course, they may not have known HOW to properly secure, or may very well have NOT secured it properly.

    Being done with a seatbelt, if part of that seatbelt were hung up on something behind the seat itself, and then loosened while traveling (became un-hung), that would account for a floppy baby seat.
  8. by   KRVRN
    That was my thought. I've heard that a surprisingly large number of carseats are actually installed improperly. If the seat can jiggle and move back and forth, then it is not properly installed and won't protect to it's fullest capacity in a crash. A coworker of mine had hers professionally installed and it was as if they were NAILED to the car. Her carseats didn't even jiggle a smidge, the seatbelt was so tight through them.

    So maybe this family's carseats actually were NOT properly installed?

    I do admit though... my first thought was FISHY.
  9. by   sunnygirl272
    Hmmmm.....update, please?
  10. by   Flo1216
    Unfortunately, I am a float and don't work peds very often. I worked there last weekend and tried to find out and everyone was like " I don't know, " I guess they thought it was none of my business or else they really didn't know.. I didn't so much suspect abuse as I did the child not being in a car seat at all. The doctor seemed to suspect abuse so I am hoping she followed up on it.
  11. by   sunnygirl272
    not being in a carseat at all, is child abuse.
  12. by   melsay
    When you are dealing w/ an innocent child, no "assumption" is wrong when you suspect abuse or neglect. Yes there is a chance the child could have been injured in a secure car seat if debri hit the child during the MVA. Were there lacs or bruises or both? When reporting such an instance to the authorities you have to have proper documentation to stand behind an investigation. Because believe me, I have seen (what I thought to be guilty) parents up and move once an investigation is saught. If the authorities (Social Services) have enough proof they can take the child immediately and place in foster care. Take notice if you start seeing this same child in and out of the ER on several occasions, and if you do, tell someone your suspicions, an RN, LPN, MD...doesn't matter. A lay person can even report suspected abuse, and S.S MUST make a home visit on just one call. Hope your nursing career goes well, I wish you luck.
  13. by   Flo1216
    It's more like stupidity or laziness. I mean if that were the case, I don't think that they intended to harm the child. I wouldn't charge them with child abuse. But I would definitely provide them with some in depth education about child safety.

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