Why you can not shake a child, or what is the syndrome of child tremor

How many parents know what Child Concussion Syndrome is? We will tell you why you can not shake a child, why you can not throw a child or throw it on the bed. The fact is that all these actions can lead to serious consequences, even lethal!

Child Concussion Syndrome (VTS) is also known as postcommotional syndrome, child concussion syndrome, concussion syndrome, shaken child syndrome. All these names mean one thing: damage to the brain as a result of a head injury in a child.

Child Shake Syndrome (VTS) can be the result of blows to the head, tossing a baby or falling, as well as violent shaking.

SDS is one of the main causes of infant death in the United States. Due to its special anatomy, the baby is at great risk from these actions, so most of the victims are children under one year old.

But SDS can also be detected in children under 5, although the average age for illness is from3before5months. The peak falls on the age of 6–8 weeks, the time when children cry most of all.

Read also:Birth traumas of newborns: what parents should know

Ways of injury

The syndrome of childhood concussion occurs due to injuries causedby somebody(most often the parent or the one who looks after the child). The reason is a strong shaking of the child or a strong blow to the head.

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In most cases, the one who looks after the child and cannot calm him down in any way can start shaking him in anger or hopelessness. Unfortunately, such actions can lead to a completely undesirable effect: first, the child screams and cries even more, and then can suddenly stop, because the brain has been damaged.

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If there are several children in a family, there are children with special needs, with colic or GERD, their chances of SDS are increased.Boys are more likely to suffer from this disease than girls, and children living in low-income families or below the poverty line are more likely to have both VTS and other types of childhood trauma from parents ’hard treatment.
In 70% of cases, male representatives are guilty of injuries to a child.- fathers or stepfathers, often of young age. But any person who is unable to cope with emotions and overcome anger, as well as inclined to use force, can resort to a strong shaking of the child in order to calm him down. Also, alcohol abuse is often the cause of VTS.

When a person strongly shakes the baby, his uncommitted head dangles, because the weak muscles of the neck are not yet able to properly support the head.As a result, the child’s brain is also not in a static state, the membranes of brain cells are torn, the vessels are torn and tissues are damaged. This all can provoke a hemorrhage under the lining of the brain.
To aggravate the situation may be such an action of an adult as throwing a child with force on the bed.Swelling in the braindue tostrong shaking can cause large internal pressure, compress blood vessels and further injure the child's fragile brain.
Familiar games with children, easy tossing or throwing the child on the knee, does not lead to this injury.But it is impossible under any circumstances to SHAKE a child.

Read also:Treatment and prevention of injuries in playgrounds

Child Shake Syndrome: Consequences

PIF leads to irreversible consequences, and in 1 out of 4 cases leads to the death of the child.

The consequences can be:

  • complete or partial blindness;
  • loss of hearing;
  • epilepsy;
  • mental retardation;
  • speech disorders and learning problems;
  • problems with memory and attention;
  • severe mental retardation;
  • paralysis.

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Even if the baby looks absolutely normal after strong shaking, after a while one of the symptoms mayall the sameto manifest. Most often the problem occurs withoutanyexternal signs of damage, and problems with behavior, memory, or learning become apparent only at a time when the child is going to school.

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But by that time it is already difficult to judge the connection of such violations with the actions of parents many years ago.

Child shaking syndrome: symptoms

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Each case of VTS depends on the strength and duration of exposure, frequency of use of force and possible other manifestations of cruelty. In the most terrifying cases, children enter the traumatology department unconscious, in a state of shock or seizure.But in most cases, since the serious symptoms do not appear immediately after the injury, children are not examined.

The syndrome of a child's tremor, the symptoms that should alert you:

  • lethargy;
  • irritability;
  • vomiting;
  • inability to swallow;
  • decreased appetite;
  • bad mood and quiet behavior;
  • rigidity;
  • seizures;
  • respiratory failure;
  • blueingdue tolack of oxygen;
  • loss of consciousness;
  • unequal pupil sizes;
  • unable to raise the head;
  • inability to focus a look or make a movement.

Read also:Safe summer: how to help your child in case of emergency

Child Shake Syndrome: Diagnosis

Most cases of the effects of VTS are considered as "causeless trauma". In other words, parents and those who look after children often cannot connect the syndrome of children's concussion with injuries or shaking, so doctors cannot diagnose the disease right away.

In many cases, children without serious consequences or violations do not receive medical examination. Symptoms such as vomiting and irritability, for example, may be unrelated to injury and, over time, pass.

Unfortunately, in cases where the doctor has no suspicion of child abuse, symptoms such as lethargy, fussiness or lack of appetite are mistaken for a virus or colic. That is, the lack of suspicion of child abuse by the parents or caregiver may cause further repetitions of power actions and worsening damage to the child’s brain.
If doctors suspect PFS, the signs are:

  • hemorrhages on the retina of the eye;
  • damage to the skull;
  • cerebral edema;
  • subdural hematomas (blood clots press on the surface of the brain);
  • fracture of ribs and long bones (bones in arms and legs);
  • bruising around the head, neck or chest.

Development and training of a child with the syndrome of children's concussion

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The reason why a VTS is so serious and destructive is that it often causes a commoncraniocerebraltrauma. For example, a child who has seriously impaired eyesight will not be able to use his eyes when studying the world around him, therefore the child’s overall ability to learn is sharply reduced.
The development of speech, vision, balance and coordination can also sense the negative impact of VTS.Such deterioration may require intensive physical and occupational therapy to help the child acquire skills that would develop normally if he did not havecraniocerebralinjury.
As they grow up, these children may require individualized learning and continuous language and general therapy to help with the simplest daily tasks.

How to prevent concussion syndromes

The probability of preventing the syndrome of child concussion is 100%. The basis for this is public awareness of the potential threat of a baby being shaken.
Possible ways to alleviate the stress of parents and caregivers in critical moments can also significantly reduce the risk of VTS in a child. There are special programs at hospitals, thanks to which parents will learn how to respond to baby crying and what the use of force to the child is fraught with.
The National Program All Children Crying in the USA informs the public about ways to overcome parental anger and irritation in children crying and promotes healthy parenting. The program has four categories:

There is also a special program that helps parents understand and accept the causes of baby crying, and also suggests ways to stop it.

Method W-P-SPK

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Sh noise:white noise or other noise similar to the one that the child heard while in the womb. You can help a vacuum cleaner, hair dryer, dryer, tap water or a special apparatus to create white noise.

P-positionlying or on your side:(position on the left side - to help the child digest food, on the stomach - while the parent holds the child, on the back - sleep)

C-nipple:breast feeding, bottle, nipple or finger

N-swaddling:a child wrapped in a blanket like a “burrito” will help him to feel safe. Hips and legs can be outside or slightly covered.

K-swing:lightly wiggling in a chair, in a baby crib, or traveling by car can help a child to feel the similar vibrations that they experienced while in the stomach.

If the baby continues to cry

If the baby continues to cry, try the following:

  • make sure that the baby is full and does not need to change the diaper;
  • check or the child is not sick;
  • shake or hold the baby in your arms;
  • speak or sing to the child;
  • give the child a pacifier or toy;
  • ride a child in a stroller or in a safe child car seat;
  • press the child to yourself and breathe slowly and calmly;
  • buy in a warm bath;
  • pat the back of the child;
  • ask forsomeonehelp you take a break and look after your child;
  • if there is no result, put the child in the crib, close the door to the room and watch his behavior for 10 minutes.
  • Call your doctor if the baby doesn’t stop crying, because there may be a medical reason.

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