Abusive Head Trauma

Abusive Head Trauma

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Continuing Education Credit ($50)

Courses that have the CE logo on the image have a designated number of certified continuing education credits associated with the course. These courses have a fee, and upon completion, the learner will receive a certificate with their designated credits which can be used for re-licensure. The continuing education credits available are physician credits. This includes risk management credits.*

*Please note that each course is approved on an individual basis and will have different credit types associated. Not all credit types are awarded for every CE course

Non-Accredited Course

Courses are free, self-paced, and open-enrollment that may be started and completed at any time. You will receive a certificate of Completion once you finish the course.

Accreditation/Designation Statements

In support of improving patient care, Boston Children's Hospital is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for the healthcare team.


Boston Children's Hospital designates this live activity for a maximum of 1.75 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Risk Management

Abusive Head Trauma meets the requirements of 1.75 Risk Management Credit as prescribed by the Massachusetts Board of Registrations in Medicine and defined in 243 CMR 2.06(5)(d) I. 


In this course, learn about the mechanisms of injury, clinical findings and imaging patterns suggestive of abusive head injury. Learners will be taught about the underlying pathophysiology related to cerebral swelling, management of increased intracranial pressure, and optimization of cerebral perfusion pressure in patients with traumatic brain injury. Course content also covers the characteristics of retinal hemorrhages in evaluating patients with possible abusive head trauma.

Instructional Time

1 hour, 30 minutes

Target Audience

  • Primary Care Physicians
  • Specialty Physicians
  • Pharmacists
  • Pharmacy Technician
  • Physician Assistants
  • Advanced Practice Nurses
  • Registered Nurses
  • Registered Nurses in Specialty Areas
  • Licensed Practical Nurses

Expiration Dates

  • Approved: November 2, 2017
  • Released: July 12, 2018
  • Expires: November 2, 2019

Course Format

Self-paced, using text and video, with post-test assessments. Requires 80% or higher score to earn CME credit. Online course assessment. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher).

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Learning Objectives

  • Describe the pathophysiology of traumatic brain injury and intracranial compliance
  • Describe physiologic targets for the management of the injured brain
  • Explain therapies used to manage increased intracranial pressure and target optimal cerebral perfusion pressure
  • Describe the various clinical presentations of children with abusive head trauma
  • Describe the various mechanisms of injury that may cause abusive head trauma
  • Recognize imaging patterns on CT and MRI that are suggestive of abusive head trauma
  • Understand the characteristics of retinal hemorrhages in the setting of abusive head trauma



Lisa DelSignore, MD

Specialist in Pediatric Critical Care Medicine, Boston Children's Hospital
Instructor of Anaesthesia, Harvard Medical School

Michelle Silvera, MD

Division of Neuroradiology, Boston Children's Hospital

Jason Mantagos, MD

Department of Ophthalmology, Boston Children's Hospital
Harvard Medical School


In accordance with the disclosure policy of Boston Children's Hospital and the standards set forth by the Accreditation Council for Continuing Medical Education, course planners, speakers and content reviewers list below any relevant relationships they or their spouse/partner have to companies producing, marketing, re-selling or distributing health care goods or services consumed by or used on patients.

Instructor Disclosures

No disclosures to report:

Lisa DelSignore, MD; Michelle Silvera, MD; Jason Mantagos, MD

Content Reviewers

No disclosures to report:

Traci Wolbrink, MD, MPH; Aleksandra Olszewski, MD; Ellen Grant, MD; Jeanne Chow, MD; Celeste Wilson, MD; Crystal Tom, PharmD; Denise Downey, RN, MSN

Commercial and Financial Support Disclosure

This program receives no commercial support.