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 that the car seat was properly fastened. They said that the impact was too great.(no one else was injured) But this baby's face was all beat up. The doctor even thought it was strange and was wondering about abuse. I don't know about that, but do you think it is possible for a securely strapped in baby to sustain severe head injuries like that in an accident that would otherwise be deemed minor? My theory is that the baby was not in a car seat(maybe on mom's lap) or that the car seat was not fastened properly) and that they were afraid to admit it. I was only working in the capacity of a nurse's aid so I don't know what happened after that. I took him down for x-rays with what I thought was the parents but I don't know the results. That's another thing. The parents were in the coffee shop getting something to eat, while the aunt and uncle came with me to x-ray. And the parents didn't seem overly upset. I don't know....that seemed a little bizarre, as well. Since I am going to be a nurse soon and may be faced with similar situations, am I wrong to raise my eyebrows at the way this kid got hurt? And if so, as a nurse how do you deal with this? Like what is the protocol? I would never want to jump to conclusions. At the very least, maybe the parents require further education regarding proper use of a car seat?