Welcome to the Emergency Medicine Cases Podcast.

I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC Studios in Toronto.

Just one single case of missed pediatric physical abuse, I consider to be a travesty.

The sad state of affairs is that thousands of cases of pediatric physical abuse are missed on initial presentation to EDs across North America every year.

And a small but significant minority of these children die. In fact, 20 to 30% of children who died from abuse and neglect had previously been evaluated by medical providers for abusive injuries

that were not recognized as abuse.

We have to get better at identifying these kids when there's still something we can do to protect

them before it's too late. So to help us in our goal to identify and manage these children appropriately,

with the help of TREC translating emergency knowledge for kids,

we have with us to brand new guest experts on emergency medicine cases.

Dr. Carmen Coombs and Dr. Allison Holland.

Dr. Coombs, welcome to EM Cases.

Thank you, Anton. I'm very happy to be here.

And Dr. Holland, welcome. Thank you so much. I really appreciate theases. Thank you, Anton. I'm very happy to be here. And Dr. Holland, welcome.

Thank you so much. I really appreciate the invitation.

So before we get into the first case, Dr. Coombs, could you just tell us a little bit about your professional background?

Of course. I am currently an assistant professor of pediatrics at the Children's Hospital in Pittsburgh of the University of Pittsburgh Medical Center.

I am specifically

trained in pediatric emergency medicine, but I hold a dual appointment in both the division of

pediatric emergency medicine as well as the division of child advocacy. And Dr. Holland, can you tell us a

little bit about your professional background? Sure. So I am also trained in pediatric emergency medicine,

and I work at the IWK Health Center in Halifax, which is our tertiary care children's

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