Monday, 6 September 2010

SBS: The Truth Or Lie Of SBS Explanations

The following is referred to as the Dirty Dozen. These are allegedly the most common perpetrator "lies" that are used in trying to explain the injuries seen in a child. They were taken from: Child Abuse:Medical Diagnosis and Management by Dr. Robert Reece, Chapter 14; “Fatal Child Abuse: The Pathologist’s Perspective: By Dr. Robert H. Kirschner and Dr. Harry L. Wilson. Please note the links to the peer reviewed articles following Dr. Robert Reece's points that provide credible evidence that the Dirty Dozen do not adhere to the new research on shaken baby syndrome and that the explanations from the accused have in fact been verified through scientific research.
1.Child fell from a low height (less than 4 feet), such as couch, crib, bed or chair.
2. Child fell and struck head on floor or furniture, or hard object fell on child.
3. Unexpectedly found dead (age and/or circumstances not appropriate for sudden infant death syndrome).
4. Child choked while eating and was therefore shaken or struck on the chest or back.
5. Child suddenly turned blue or stopped breathing, and was then shaken.
6. Sudden seizure activity.
7.Aggressive or inexperienced resuscitation efforts to a child who suddenly stopped breathing.
8. Alleged traumatic event 1 day or more before death.
9. Caretaker tripped or slipped while carrying child.
10. Injury inflicted by sibling.
11. Child left alone in dangerous situation (e.g., bathtub) for just a few minutes
12. Child fell down stairs
Point 1, 2, 8, 9, 10 and 12:
A fall backwards from three feet onto a hard surface, like concrete, can produce nearly 180 Gs of acceleration – 180 times the force of Earth’s gravity – enough to cause a subdural hematoma, Goldsmith calculated. Shaking a child once a second through a range of one foot produces only 11 Gs, at the most.
One dogma often espoused by doctors is that short distance falls do not cause serious harm. However, videotapes demonstrate that falls from as little as 32 inches can cause fatal brain damage in infants and toddlers.
Falls are the most common accident scenario in young children as well as the most common history provided in child abuse cases. Understanding the biomechanics of falls provides clinicians with objective data to aid in their diagnosis of accidental or inflicted trauma. The objective of this study was to determine impact forces and angular accelerations associated with low-height falls in infants.
Significant head injury, including death, may result from low fall levels (or any Impact, accidental or NAI).
Imaging may not distinguish accidental from nonaccidental injury, or from predisposing or complicating medical conditions.
Impact may produce direct or indirect brain injury (accidental or NAI).
It was concluded that severe head injuries commonly diagnosed as shaking injuries require impact to occur and that shaking alone in an otherwise normal baby is unlikely to cause the shaken baby syndrome.
Numerous biomechanical studies have further confirmed that the force from short falls meets the injury thresholds, while shaking does not.4-6
1 child fell 2-3 feet from a rocking chair. This article suggests that soft surfaces can still cause fatal injuries. Also, this article includes a lengthy literature review on shortfall debate.
A thorough literature review on the subject identifies two major viewpoints. One is that short falls have a significant potential for fatality. The other, more widely espoused view is that short falls rarely, if ever, cause serious injury or death. These two views, and the data upon which they rest, are compared and contrasted.
If a 0- to 2-year-old child accidentally falls from a height of six feet and impacts head- first on a hard sur face such as carpeted cement, the sudden impact has the potential to generate sufficient head accelerations to cause fatal intracerebral injuries. Whether any given fall is fatal depends on a host of variables and the fall mechanics which are different in each accident, but the potential head dynamics that result from a 6 foot high fall could far exceed the tolerance associated with fatal head injury.
Point 3:
These are often vaccine deaths. This information was published in Nexus, Aug/Sep Issue, 1998 which resulted in cases of shaken baby syndrome being thrown out of court.
“Our breathing monitor scientifically established the causal link between vaccines and sudden infant death,” said Dr. Scheibner.
Point 4:
Autopsy findings provided further evidence that the child’s injury could result from a dysphagic choking type of acute life threatening event (ALTE) as consistently described by the caretaker.
The data suggest that any source of intense airway irritation not easily removed (laryngeal infection, inhalation of regurgitated feed, fluff, smoke etc.) could induce similar bleeding, a paroxysmal cough injury (PCI).
However, repetitive vomiting such as occurs in cyclic vomiting syndrome (CVS) may drive sufficient blood into head veins to produce extreme venous hypertension.Dysphagic infant death is essentially a head vein hypertension malady, some features of which match those that are postulated for Shaken Baby Syndrome.
Point 5:
Studies by Dr. Jennian Geddes published in Brain, England’s leading neurology journal, from 2001 and 2003 found that the brain injuries of allegedly shaken children were generally hypoxic rather than traumatic in origin.
It is the purpose of this article to review existing medical evidence and literature indicating that it is both possible and plausible that there is a direct causal relation between immunizations and the abrupt onset of apnea seen in many SBS cases.
Bleeding in the brain (intracranial hemorrhage) is caused by the rupture of a blood vessel within the skull. Bleeding in the spaces around the brain results from deformity of the skull bones during delivery or from a lack of oxygen. Bleeding in the brain is much more common among very premature infants. It results from inadequate blood flow to the brain (ischemia) or a diminished amount of oxygen in the blood (hypoxia).
Asphyxiated newborns may show signs of injury to one or more organ systems.
The researchers found subdural hemorrhages in 72% of the 53 cases, although most were too superficial to cause death. Also, retinal hemorrhages were found in 71% of the 38 cases in which eyes were examined, but the authors felt that these resulted from a lack of oxygen to the brain (and the brain edema or swelling) rather than trauma.

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