Provide good explanations for retinal hemorrhaging?
What will be an ideal response?
According to all credible studies in the past several years, retinal hemorrhaging in infants is, for all practical purposes, conclusive evidence of SBS in the absence of a good explanation. Good explanations for retinal hemorrhaging include the following:
? A severe auto accident in which the baby’s head either struck something with severe force or was thrown about wildly without restraint
? A fall from several stories onto a hard surface, in which case there are usually other signs of trauma, such as skull fractures, swelling, and intracranial collection of blood
The shaking necessary to cause death or severe intracranial injuries is never an unintentional or nonabusive action. Rather, such injuries are caused by a violent, sustained action in which the infant’s head, which lacks muscular control, is violently swept forward and backward, hitting the chest and shoulders.
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