What is the first-line approach in managing non-accidental injury in children?

The first-line approach in managing non-accidental injury in children emphasizes the need for immediate safety and assessment. Admission to the ward is crucial because it enables healthcare professionals to closely monitor the child for any further injuries and to conduct a comprehensive evaluation. This step ensures that the child is protected from potential harm and allows for the establishment of a medical history, the collection of evidence, and the performance of necessary investigations, such as imaging studies.

Following admission, the healthcare team can initiate appropriate medical interventions, provide necessary treatments for any injuries sustained, and address the child's emotional and physical well-being. This proactive approach also lays the groundwork for interdisciplinary collaboration, which is vital in cases of suspected abuse. Experts such as social workers or child protection services can be involved to ensure the child's long-term safety and welfare.

While consultation with law enforcement is important in cases of suspected abuse, it typically follows the immediate medical assessment and stabilization of the child. Pain management and psychological support are also important, but they would come after ensuring the child's safety and addressing any urgent medical needs.