What to do if a child comes to school with bruises?

“And infants who are 4 months old and younger should not have any bruising anywhere at all. If your child or a child you know has bruises that fall into these categories, he or she needs to be seen immediately in the emergency department.”

What do you do if your child goes home from school with bruises?

When should you worry about a bruise on a child?

Severe or persistent pain in a bruise, or a “lump” under the bruised skin. This is a sign of a hematoma and should be evaluated. You notice bruising without any trauma at all, or bruises seem larger than you'd expect for the injury. For example, a child bruises after just touching their arm or picking them up.

What is the Ten 4 bruising rule?

TEN-4-FACESp stands for bruising to the Torso, Ears, Neck, Frenulum, Angle of the jaw, Cheeks, Eyelids or Subconjunctivae, “4” represents infants 4 months and younger with any bruise, anywhere, and “p” represents the presence of patterned bruising (“TEN-4-FACESp”).

What to do when you see someone with bruises?

Watch These High Schoolers Get Pepper Sprayed by Their Teacher

Is unexplained bruising an emergency?

Occasional bruising is rarely a cause for concern. However, if the discoloration does not heal within a few weeks, it is worth talking to a doctor. There may be a blood clotting issue or another underlying condition that needs treatment.

How do you know if a bruise is serious?

Are bruises abuse?

Not all bruising comes from abuse; children can bruise from everyday activities such as playing. It's important to know that for toddlers and older children, bruises usually occur on the front of the body. Normal bruising also usually occurs over bony areas such as the forehead, elbows, knees and shins.

How can you tell if a bruise is from abuse?

Clusters of bruises are often found in abused children and are thought to indicate defensive injuries, or grab marks, especially if they are found on the upper arms and outer thighs. [11,12] Finally, the presence of petechiae in association with bruising has been found to be a strong indicator of abuse.

What is pattern bruising?

This is a patterned bruise (contusion) and shows a tire imprint indicating that the car ran her over after striking her. A pattern injury is an injury that possesses features or configuration of the object or surface that produces a mirror image of what caused it. ^1–3.

What to do if you see bruising on a child?

You can ease bruising and pain by immediately applying pressure and an ice pack to the injured area for 10 minutes. Always wrap ice packs in a napkin or other material – don't apply ice directly to your child's skin. Bruises can take 7-14 days to disappear. They change colour and might seem to get bigger as they heal.

When should you get a bruise checked out?

Call the doctor if the bruise is painful and under a toenail or fingernail. Call the doctor if a bruise does not improve within two weeks or fails to completely clear after three or four weeks. Go to an emergency room if you think you have a broken bone along with the bruise.

Why is my 4 year old covered in bruises?

Possible reasons for frequent bruising in children include: Vascular disorders: a problem with your child's blood vessels. Platelet disorders: a problem with the blood cells that help blood to clot (platelets), such as low platelets following an illness), or more rarely, a serious conditions such as leukaemia.

How can schools promote safeguarding?

How do schools deal with safeguarding issues?

Make sure staff are trained, know how to respond to concerns and keep-up-to-date with policy and practice. Teach children and young people about staying safe in school and online. Maintain an environment where children feel confident to approach any member of staff if they have a worry or problem.

What is safeguarding in primary schools?

What is safeguarding in primary schools? Primary schools can help protect pupils by creating a safe environment through robust safeguarding practices and by ensuring that all staff and volunteers involved with the primary school do not pose a risk to children.

Are bruises common in kids?

Just remember that bruising in kids (once they can crawl) is completely normal; almost every child has them. “If they're not accompanied by broken blood vessels or located in unusual places and your child doesn't seem to be in an excessive amount of pain, then it is probably nothing to worry about,” says Dr. Dixon.

What does the ten 4 rule mean?

Pierce et al¹⁵ previously derived a bruising clinical decision rule (BCDR) named the TEN-4 (bruising to the torso, ear, or neck or any bruising on an infant <4 months of age), which is applicable to children younger than 4 years who have bruising.

What is the most common site of abusive bruising?

There are some patterns of bruising that may mean physical abuse has taken place. Abusive bruises often occur on soft parts of the body – such as the abdomen, back and buttocks. The head is by far the commonest site of bruising in child abuse. Other common sites include the ear and the neck.

What signs would you look out for to indicate that a child was injured?

Can Covid cause unexplained bruising?

Bruise-Like Lesions

They appear on areas of the body where pressure is not an issue, one reason we suspect they may be unique to the virus. These start as retiform purpura, a lacy bruise-like rash, when small blood vessels become inflamed and tiny clots develop within them.

How do you get rid of a bruise in 24 hours?

Vitamin K clarifying cream is recommended. A pulse dye laser can be used to help clear bruises within 24 to 48 hours after the bruise appears. Arnica gel is an herbal remedy that has proven to help reduce inflammation and bruising.

What happens when a bruise turns purple?

Within hours a bruise will turn into a dark blue or purple color. As the bruise begins to heal it changes colors. The color change is due to the biochemical breakdown of hemoglobin that is found in the blood. As the different components of the blood are broken down, different colors will appear in the bruise.

What do different Colour bruises mean?

It often starts red because fresh, oxygen-rich blood has newly pooled underneath the skin. After around 1–2 days, the blood begins to lose oxygen and change color. A bruise that is a few days old will often appear blue, purple, or even black. In about 5–10 days, it turns a yellow or green color.

How many days does it take a bruise to turn yellow?

Within 1–2 days, the hemoglobin (an iron-containing substance that carries oxygen) in the blood changes and the bruise turns bluish-purple or even black. After 5–10 days, the bruise looks green or yellow. Then, after 10–14 days, it turns yellow-brown or light brown.