Could this retinal haemorrhage be due to seizures/ cardiopulmonary resuscitation/acute life threatening events or prolonged coughing?
Aims: Retinal haemorrhages (RH) carry both clinical and legal significance in suspected child abuse; however, other confounders are frequently proposed in court. We systematically reviewed the association between seizures, cardiopulmonary resuscitation (CPR), acute life-threatening events (ALTE), coughing and RH. Methods: A literature search of 11 databases, conference abstracts and references from 1950 to 2007. Of 7894 potential studies, 315 underwent two independent reviews by paediatric, ophthalmology and pathology specialists, using standardised critical appraisal methodology. Inclusion: primary studies of live children less than 11 years of age examined for evidence of RH (by an ophthalmologist), due to explicitly confirmed non-abusive aetiologies (CPR, seizure, ALTE, coughing). Exclusion: mixed adult and child data, management or outcome. Results: We included nine studies (six cross-sectional/three case series) published between 1990 and 2007, including 559 children. RH in associ
Related Questions
- Could this retinal haemorrhage be due to seizures/ cardiopulmonary resuscitation/acute life threatening events or prolonged coughing?
- How will the hospital or emergency personnel know they should contact Air Evac if I have a life or lime threatening emergency?
- Can the agent decide about cardiopulmonary resuscitation?
