Topic E - Forensic (ER) Emergency > Section E.6.0. Forensic Concepts> Unit.E.6.3. Shaken Baby Syndrome

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Unit.E.6.3. Shaken Baby Syndrome

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"Child abuse in the form of Shaken Baby Syndrome has reached a critical level" (Butler, 1995, p. 50).

"Education on a national level is crucial for change to help the victims of Shaken Baby Syndrome. The national statistics for child abuse reinforce the United States must deal with the issue and focus on education"(Butler, 1995, p. 50).

"Health care providers are in a strategic position to offer primary and secondary prevention interventions, to identify families at risk and to recognize victims of Shaken Baby Syndrome" (Butler, 1995, p. 50).

"The first publication about infantile whiplash injuries was in 1971 by Guhkelch" (Butler, 1995, p. 47).

"In 1972, John Caffey coined the term "Whiplash Shaken Baby Syndrome. This syndrome is now commonly referred to as Shaken Baby Syndrome" (Butler, 1995, p. 47).

"Infants and small child are particularly at risk because of their physical combination of a heavy head, weak neck muscles, soft and rapidly growing brain, thin skull wall, and lack of mobility and control of the head and neck" (Showers, 1992, cited in Butler, 1995, p. 47).

"The hallmark features of SBS are retinal hemorrhage an intracranial injury" (Butler, 1995, p. 47).

"Many cases of Shaken Baby syndrome go unrecorded because of a lack of external injuries; no witnesses to the incident; and failure of the abuser to admit to the incident" (Butler, 1995, p. 47).

"Shaken Baby syndrome (SBS) involves vigorous manual shaking of children who are being held by the extremities or shoulders that causes whiplash-induced intracranial or intraocular bleeding, but with no external signs of health trauma" (Coody, Brown, Montgomery, Flynn & Yetman, 1994; cited in Butler, 1995, p. 47).



"Torture is a world-wide social disease" (Crelenstin & Schmid, 1993). "New methods of torture are being devised and refined continuously. In Israel the interrogation of Palestinians form the occupied territories has provided the setting for this regressive creativity" (Human Rights Watch, 1994) (Pounder, 1997, p. 323; cited in Pounder, 1997, p. 322).

"Shaken Adult Syndrome-The shaking of detainees by Israeli interrogators has been documented since the 1980's but appears to have been increasing in recent years. The shaking may be conducted with the detainee standing or sitting, but the usual procedure at the present time seems to be with the detainee in a sitting position with the legs shackled below a low chair and the wrists cuffed behind and between the back bars of the chair" (Amnesty International, 1995; cited in Pounder, 1997, p. 323).

"The first reported case of fatal shaken adult syndrome occurred on April 25, 1995 in Israel. A 30 year old computer expert was arrested from his home by members of the Israeli Defense Force and the general Security Service. He was transferred to the Moscobiyyah Detention Centre in Jerusalem for interrogation concerning alleged membership of Hamus, the Islamic Resistance movement. The 30 year old Palestinian collapsed under interrogation and was considered brain dead 3 days later. Information on the circumstances and interrogation methods were denied on security grounds. Autopsy disclosed extensive anterior chest and should bruising and acute subdural hemorrhage but no other trauma. On this evidence, violent shaking was postulated as the mechanism of injury. Later this was admitted by Israeli and corroborated by histopathologically proved diffuse axonal injury and retinal hemorrhages" (Pounder, 1997, p. 322).

"This death sparked off a wide public debate in Israel on torture, particularly on the use of shaking as a means of torture. Currently physicians for human rights and Amnesty International (1995) are actively campaigning on the issue" (Pounder, 1997, p. 322-323).

"The pathological findings in this case are directly analogous with fatal shaken baby syndrome" (Spitz & Platt, 1993) and are composed of (1) blunt forced trauma to the chest and upper shoulders, (2) acute subdural hemorrhage (3) diffuse axonal injury and (4) retinal injuries" (Pounder, 1997, p. 323).

 

Focus Points Reference

Butler, G. L. (1995). Shaken baby syndrome.

The Journal of Psychosocial Nursing and Mental Health Services, 33 (9), 47-50.

Pounder, D..J. (1997). Shaken Adult Syndrome.

The American Journal of Forensic Medicine and Pathology, 18 (4), 321-324.

 


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From 'forensic presentations' in the forensic sourcebooks the following presentations have been selected for this unit:

Unit.E.6.3. Shaken Baby Syndrome

Forensic Medicine/Forensic History/Historical Firsts and Facts

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This section will continually be added to with guest presentations from forensic experts locally, nationally and internationally and with student presentations.

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From 'forensic cases' in the forensic sourcebooks the following case studies have been selected for this unit

Unit.E.6.3. Shaken Baby Syndrome

Forensic (ER) Emergency/SSSSSS/UUUUUU

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Case #1 - E.6.3.a. Shaken Baby Syndrome - Massachusetts v. Woodward

Case #2 - E.6.3.b. Shaken Baby Syndrome - Arizona Avondale Quintuplets

 

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From 'forensic experts' in the forensic sourcebooks the following panel of experts has been selected for this unit:

Unit.E.6.3. Shaken Baby Syndrome

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