Shaken baby syndrome

The right medical term Shaken is a form of child abuse, mostly committed by supervisors, such as one's parents, grandparents and babysitters on cry baby or toddler.

The term may be in another context for the outcome of a particular form of white torture.

Development of medical concept

The neurosurgeon Norman Guthkelch first time in 1971 pointed out that the violent shaking of infants can lead to subdural bleeding and thus result in serious ( brain ) damage. Guthkelch assumed that the shaking of infants in the society is considered to be a milder and more socially accepted form of punishment than the beating. Only in 1974 the disease in a forensic point of view was scientifically described completely. Previously, the deceased child victims were diagnostically and statistically classified sudden infant usually under the incorrect heading and not investigated further, thus not pulled the polluters accountable. Since the internal bleeding, tissue and bone injuries are usually not visible from the outside, there is a great dark field today. Consistent merits gained in this field, the Düsseldorf medical examiner and Professor Elisabeth Trube - Becker, who was advancing with their research and education campaigns for children's doctors, hospital doctors and media public awareness of this issue. The name is based on the vorzufindenden internal injuries, which usually originate from the trial overburdened, sleepless parents and other carers of babies to bring this to silence by shake it violently and uncontrollably. For working parents is lacking, for example, the part of the employer to understand when they come to their night sleep due to screaming offspring. The resulting fear, so losing a job can trigger despair and lead to aggressive behavior against the supposedly naughty child. Symptoms that may point in a toddler on a shaking trauma, for example, lack of energy, drowsiness, vomiting, seizures or respiratory failure.

Prevention

Beginnings of a comprehensive prevention arise, according to doctors at the Hospital Kassel " for example in the form of establishment of home visits and counseling programs for at-risk families, the pediatric identification of cry children and their treatment in so-called cry outpatient clinics, as well as the integration of enlightening content and brochures in the existing pension plan as well as public campaigns, as they are particularly common in the United States. " The detection and prompt treatment of shaken children is important to protect the children concerned before re- abuse and where necessary intervene preventively with siblings. Here also the youth welfare office can be helpful operate. Affected parents should not be afraid to admit their excessive demands and to seek help in order to avoid a child endangerment before they lose control of themselves and their actions themselves.

A 2011 study published in June 2009 showed a significant increase in the number of the submitted with Shaken in a clinic on children in the U.S., compared with the immediately preceding years, for the period of economic downturn in the period from December 2007. The authors of the study, it drew the conclusion that prevention efforts are to increase in difficult economic times.

Medical social impact

In the United States, as Shaken baby syndrome (SBS ) named the Shaken is considered the leading cause of physical child abuse and as a reason for most permanent disability in (small) children.

A Canadian study found that two-thirds of the surviving children have serious long-term damage. The researchers examined the data of 364 infants who were admitted with shaking trauma in eleven Canadian hospitals. 19 percent of the children died from injuries sustained by the survivors contributed 65 percent of vision problems, of which, 55 percent retained residual neurological damage.