Jocelyn Kearl

Jocelyn Kearl

Monday, 31 July 2017 12:46

Keynote Speakers

Keynote Presentations

 

Protecting Children while Protecting Yourself

Lori Frasier, MD, FAAP, Department of Pediatrics, Division Director, Child Abuse Pediatrics Penn State Hershey’s Children’s Hospital (Hershey, PA, USA), Andrew M. Morse, JD, Law Office of Snow, Christensen & Martineau (Salt Lake City, UT, USA)

Description

Across the country, federal civil rights lawsuits are being brought against physicians who have taken necessary steps to protect children from further abuse. Child Abuse Pediatricians are main targets, but other specialties involved in the legal process have been named. The effects of these lawsuits are chilling and have the potential of discouraging physicians from becoming involved in such cases. The implications for physicians and for families are far reaching because they negatively impact a physician’s ability and obligation to treat, evaluate and participate in processes that protect vulnerable victims of abuse.  In many states, immunity laws protect physicians from personal and professional liability for participating in the process of child protection and subsequent criminal prosecution.  However, recent lawsuits and judgements against physicians may reshape how physicians and hospitals approach cases of suspected child abuse potentially putting vulnerable children at risk.

This presentation will highlight some recent lawsuits with a focus on federal civil rights actions brought against physicians. This includes the unique aspects of these lawsuits, and the strategies the legal team applied that resulted in favorable judgements for physicians in these cases.  Additionally, the presentation will focus on strategies for physicians to incorporate into practice in order to protect themselves from future lawsuits.

A Flawed Report out of Sweden:  Can the Institution Undermine Physicians and their Work?

Gabriel Otterman, MD, MPH, Consultant Paediatrician, Child Protection Team, Uppsala University Children’s Hospital, Uppsala, Sweden.

Description

Legal challenges to the diagnostic validity of abusive head trauma (AHT) have proliferated in recent years in Sweden. In 2013, in two high-profile AHT cases, the Supreme Court of Sweden (SCS) overturned both defendants’ convictions and granted retrials despite sound medical evidence of AHT. On October 26, 2016, the Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) published a systematic literature review purporting to address “The role of the triad in medical investigations of suspected traumatic shaking.”  Prior to the release of the SBUT report in Swedish, several professional medical associations sent letters requesting that the SBU validate its findings by international peer review; however, the SBU refused the request of each organization.

Dr. Otterman will examine how in the wake of a methodologically flawed governmental report, the lives the youngest and most vulnerable members of our society are jeopardized.  The increased potential for scientifically inexpert courts and government agencies to have a global impact on public health, criminal law, child protection, and clinical pediatrics will be explored.

Detection, Documentation, and Interpretation of Fractures in the Deceased Infant and Small Child: The Autopsy Perspective

Andrew M. Baker, MD, FCAP, Hennepin County Medical Examiner’s Office (Minneapolis, MN, USA)

Description

This presentation will provide an in-depth approach to the documentation, detection, and interpretation of fractures in the deceased infant and small child.  The presentation will begin with a review of normal bone embryology and development, explaining how these relate to fracture healing.  The importance of proper radiological assessment of the deceased child will be emphasized, correlating the radiographic findings with the gross and microscopic appearances of acute and healing fractures.  The gross and microscopic features of fractures considered highly specific for abuse, particularly posterior rib fractures and classic metaphyseal lesions (CMLs), will be discussed in considerable detail.  Limitations in the ability (be it radiographic or histologic) to date fractures will be addressed.  The presentation will conclude with multiple vignettes in which discovery and documentation of bony findings—combined with thorough investigation, clinical history, and other autopsy findings—contributed substantially to solving complex child abuse cases.

Getting Lost in the System: Navigating and Supporting Families through the Investigative and Legal Process

Sarah Mantle, MD (Nashville, TN, USA)

Brian Holmgren, JD, Retired (Nashville, TN, USA) 

Description

After the near fatal abuse of her infant daughter, Pediatrician Sarah Mantle’s experience with the investigation and subsequent court proceedings was overwhelming, and at times, very frustrating.  After initially being accused of inflicting the trauma to her daughter by the investigating police officer, it was an uphill battle to get justice for her daughter. Six years later, the perpetrator’s acquittal of all charges after appeal have left Dr. Mantle and her family feeling like they are still in the dark.

This presentation will guide the audience through a parent’s perspective of the investigative and legal process following the medical diagnosis of abuse. Professionals commonly involved with abuse cases will identify potential pitfalls that often leave the family feeling vulnerable and lost in the system that was created to protect them and their children. An investigator, CPS worker, and prosecutor will offer insight and advice to help navigate families through this traumatic and often lengthy process.

Recent Abusive Head Trauma Science: Bringing Clarity to the Courtroom

Stephen Boos, MD, Baystate Children's Hospital (Springfield, MA, USA)
Ericka Kallin, JD, Deputy Prosecuting Attorney for Canyon County (Caldwell, ID, USA)
Daniel Lindberg, MD, Associate Professor of Emergency Medicine, University of Colorado School of Medicine (Aurora, CO, USA)

Matthew Torbenson, JD, Deputy District Attorney for Milwaukee County (Milwaukee, WI, USA) 

Description

Description forthcoming.

Monday, 31 July 2017 10:14

Venue Information

Loews Portofino Bay Hotel at Universal Orlando Resort

The Sixteenth International Conference on Shaken Baby Syndrome/Abusive Head Trauma is going to be held at the beautiful Loews Portofino Bay Hotel on the Universal Studios Property. Extend your stay and have an adventure at the Universal Studios Theme Parks. As a guest you receive early admittance to the parks. With the City Walk a short walk or peaceful ferry ride away, you have access to numerous restaurants and shops.

Discover the Area

  • Universal Studios Florida™
  • Universal’s Islands of Adventure™
  • Universal’s Volcano Bay™
  • Jimmy Buffett’s Margaritaville®
  • NBC Sports Grill & Brew™
  • Bubba Gump Shrimp Co.™
  • The Island Clothing Co.

See more

The NCSBS has secured a fantastic group rate of $189 a night (excluding taxes) for conference attendees. This is rate is available prior and post conference for anyone extending their stay. Please note a limited number of king rooms are available so make your reservation early.

To make you reservation, you may call 1-888-464-3617 or visit the link below. When calling you must mention you are attending the conference. Please note a refundable deposit is required for the first night.

Reserve your room now

The hotel is located at:

Lowes Portofino Bay Hotel at Universal Orlando Resort
5601 Universal Blvd
Orlando, FL 32819
Tel: 888-464-3617

Lawrence R. Ricci, MD

blue baby booties hang on wall

 

Angel was then, and is even now, one of the most beautiful babies I have ever seen and I have seen many in my thirty years as a child abuse pediatrician. Yet, to look at her today, asleep against her foster mother’s shoulder, one could never guess at the devastation wrought upon her.

I first met Angel, then only a few months old, in the pediatric intensive care unit just before Christmas. She had been admitted unresponsive the night before. Her father had told the hospital staff that he had picked her up from her crib tochange her soaked diaper and as he did so she slipped from his grasp and fell back into her crib. He said she went limp and stopped breathing. He rushed her into his car and drove wildly to the local hospital. Eventually, Angel ended up in my hospital.

I was called in to see her after a CT scan showed subdural hematomas. Later, an MRI found evidence of parenchymal injury. An ophthalmology exam found such severe hemorrhages retinal hemorrhages that they were visible on the MRI.

Angel’s mother was at work when the injury occurred and only found out about it after Angel was rushed to the hospital. She told me what her boyfriend had told her, that Angel had fallen from his grasp into the crib. She said she had no reason to believe otherwise.

I finished the interview with Angel’s mother then spoke with her father. He was anxious and somewhat furtive. He told me that Angel had “peed everywhere,” on her clothes, in her bed. When he went to pick her up, she slipped from his grasp and fell onto the mattress. She immediately lost consciousness.

I ended the interview after a few more questions about the fall, and we both went back into the ICU, he to his baby’s side, me to the computer workstation to type my note. As I typed, Angel’s mother came up to me and said that she now knew what had happened. Her boyfriend had just then confessed to her that he had shaken Angel and that he wanted to talk to me.

I went into Angel’s hospital room. Her father was sitting on the cot with his head in his hands, Angel’s mother by his side consoling him. He didn’t look like a bad person; perpetrators rarely do.

Before I could speak he offered, “I’m sorry Doc. I lied. I shook her.”

I asked him why he had shaken her. “I picked her up from the crib. She was screaming and kicking and scratching at me, and I just lost it. I shook her.”

“Did the fall happen?”

“No, Doc. She didn’t fall. I shook her.”

And finally “What happened after you shook her?

“She went limp and stopped breathing. She looked dead. I know what I did was wrong. I’m sorry Doc.”

So there it was. I thanked him for telling me the truth. I told him it was the right thing to do and left to notify the police.

Months later, Angel’s father pled guilty to assault. He said at his sentencing that he had shaken Angel and that he was sorry. He is serving several years in prison.

All of that was yet to pass. Here was Angel in the ICU, profoundly brain damaged, never to awake, a victim of devastating violence, and for all the world she looked like a healthy, beautiful, three-month-old girl about to experience her first Christmas. Having seen too many shaken babies, it always astounds me how normal many of these babies look, few if any bruises, no obvious fractures, nothing to suggest the violence that had been perpetrated on them. To look at her in her hospital bed, surrounded by beeping instruments and tubes, intubated, not breathing, to look at her face and body, she looked fine, not a scratch, cherubic.

I saw her one last time several months later accompanied by her foster parents. Her functioning at a year was that of a one month old. Her existence, like that of a light switch without nuance, flipped between screaming/arching and deep sedation. She was quadriplegic, blind, and deaf. Her foster parents attend to her every day and every night, ceaselessly, religiously. I am myself not religious and have never said to anyone “God bless you.” I did to them. My eyes filling, I told them they were saints who deserved a special place in heaven.

There is something of a “debate” within the legal community and on the fringes of the scientific community about the existence of shaken baby syndrome. One argument offered is that confessions are always coerced. Another is that shaking cannot cause these injuries. Those who would say such things should talk to Angel’s father.

Yet, for Angel, none of this matters. Words and events orbit around her like so many errant planets: shaken baby prevention, child protective custody, termination of parental rights, grand jury, criminal prosecution, plea bargain, prison. Unknown and unknowing, immutably beautiful, she spins silently within her own dying sun.

God bless you Angel and may flights of angels sing thee to thy rest.

Re-posted with permission from Dr. Lawrence Ricci. 

Read on KevinMD.com

Saturday, 13 February 2016 13:26

1996 Salt Lake City

First International Conference

The First International Conference on Shaken Baby Syndrome was held at the Little America Hotel & Towers in Salt Lake City, Utah. The leadership committee included co-directors Marilyn Sandberg, SSW, Executive Director, Child Abuse Prevention Center, Jacy Showers, EdD, Director, SBS Prevention Plus and sixteen other national experts in the field of child abuse.

Conference Highlights

The First International Conference on Shaken Baby Syndrome/Abusive Head Trauma drew over 750 attendees from a variety of disciplines, including medical, legal, investigative, prevention and parents. This conference included 89 of the leading experts on shaken baby syndrome. 

Many agencies, both local and national, supported this landmark event including: National Center on Child Abuse and Neglect, Independent Order of Foresters, Intermountain Health Care, National Network on Shaken Baby Syndrome Prevention, Child Abuse Prevention Center, Utah.

Friday, 01 April 2016 08:32

Arkansas

The Period of PURPLE Crying was implemented in the University of Arkansas for Medical Sciences Nurseries (UAMS) and in the Arkansas Children’s Hospital (ACH) Nursery in Little Rock Arkansas in early 2013. Since then the program has been made accessible in the Emergency Department, and in the Infant/Toddler Unit of the Arkansas Children’s Hospital. It also has been made available to all the Pediatric Residents and Resident Physicians from other services via the ACH Intranet. The program has been evaluated by surveys completed by the parents of newborns admitted to the nurseries and by the nursing staff.

The Period of PURPLE Crying program is introduced in the pre-partum and post-partum units of the Obstetrics Units at UAMS, and as part of follow-up, the information is reviewed with the parents again as part of the discharge education. The UAMS nursery Education Team is working on creating an information packet about safety (Period of PURPLE Crying will definitely be included).

In the prenatal classes that are taught by 4 educators on the UAMS campus, the Period of PURPLE Crying is being mentioned in each one of the classes. The topics that are being taught include: preparing for birth, infant CPR and safety, breastfeeding, and newborn care. In the newborn care class, parents watch the Period of PURPLE Crying video! Prenatal classes are taught as well at the 12th Street Community Clinic. The Period of PURPLE Crying program is mentioned in those classes as well.

The Injury Prevention Center at Arkansas Children’s Hospital has been promoting the Period of PURPLE Crying as part of their Out-Reach Programs throughout the State of Arkansas.

In 2013, the Arkansas State Legislature assigned the Arkansas Department of Health with the task of creating brochures and other literature about Shaken Baby Syndrome that will be distributed in more than 100 hospital maternity wards, birthing centers and child-care centers across Arkansas. The Arkansas Department of Health makes information on the Shaken Baby Syndrome available on its website.

Our goal is to eventually have the Period of PURPLE Crying program in all the hospital maternity wards, birthing centers, and child care center across the state of Arkansas.

Contacts

  • Maria Teresa Esquivel, M.D.:  
  • Pamela Tabor:  
  • Rebecca P. Sartini, MSN, RNC-NIC, Clinical Services Manager, NICU:  

Implementation Locations

Monday, 07 March 2016 15:46

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Monday, 07 March 2016 15:46

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NCSBS uses both the personal and aggregated information we collect for multiple purposes. The information is used to improve the content of the Site, to customize the content and/or layout of the Site for each individual user and to notify users about updates to the Site. We may send you solicitations for the purchase of materials, resources, donations or invitations to fund-raising events. As applicable, we will share credit card information with financial institutions as needed to process donations or purchases made through the Site.

NCSBS may share aggregated information with third parties for research and quality improvement purposes.

Upon registration through the Site, we may send you periodic e-mails. You may elect during registration to receive these e-mails, and you may start or stop receiving such e-mails at any time by sending an e-mail to . Some automatically generated e-mails; such as, e-mails to reset a forgotten password, cannot be opted out.

Third Party Sites

Dontshake.org includes links to other web sites that we think may be useful for our users. When you enter other web sites, they will be operating under their own privacy policies. We encourage you to carefully review the privacy policies of the web sites you visit.

Privacy Protection Procedures

Protecting your information is important to us. We have implemented appropriate physical, technical and organizational measures, such as making sure all site transactions are encrypted using SSL to keep your credit card information secure, accurate, current, and complete. In addition, all NCSBS agents and contracts with access to personal information obtained on the NCSBS web site are bound to adhere to this policy as part of their contract with NCSBS.

NCSBS protects your personal information in a variety of ways. For certain services, such as our online training modules, only minimal personal information is required, such as names and email addresses. Personal information provided for purchases made through our online store is encrypted. We also protect that account information by placing it on a secure portion of our site that is only accessible by authorized personnel. In addition, IP addresses are not linked to personally identifiable information. Unfortunately, no transmission of data over the Internet is guaranteed to be completely secure. It may be possible for hackers or other third parties not under the control of NCSBS to intercept or access transmissions or private communications unlawfully. While we strive to protect your personal information, NCSBS cannot ensure or warrant the security of any information you transmit to us. Any such transmission is done at your own risk.

USE OF THIS SITE SIGNIFIES YOUR AGREEMENT TO THE TERMS OF USE AND THIS PRIVACY POLICY.

NCSBS reserves the right to change this policy at any time. Since any changes will be posted on this page, we encourage you to check this page regularly. Your continued use of the Site will constitute your acceptance of such changes. If you have any further questions regarding this privacy policy or the use of your personal information under this privacy policy, you can contact us at the following postal address:

Information and Resource Specialist
National Center on Shaken Baby Syndrome
1433 North 1075 West, Suite 110
Farmington, UT 84025

This privacy policy was revised December 3, 2014.