Paeds Cases · preventive-and-community-paediatrics
Toddler home injury prevention — communication OSCE
OSCE on non-judgemental home hazard history, passive-first anticipatory guidance and teach-back.
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Target exams
MRCPCH ClinicalRACP DCE
Prompt
15-month-old well child; parents report a near-fall from a windowsill and keep medicines in an unlocked low drawer.
Objectives
- Elicit real home hazards without shaming. [1]
- Deliver age-banded, passive-first anticipatory guidance. [1] [2]
- Correct window-screen and poison-storage misconceptions. [3] [5]
- Use teach-back and address equity barriers. [1] [2]
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References6Show ledgerHide ledger
- [1]Gardner HG Office-based counseling for unintentional injury prevention Pediatrics, 2007.PMID 17200289
- [2]Kendrick D Home safety education and provision of safety equipment for injury prevention Cochrane Database Syst Rev, 2007.PMID 17253536
- [3]Kendrick D Effect of education and safety equipment on poisoning-prevention practices and poisoning: systematic review, meta-analysis and meta-regression Arch Dis Child, 2008.PMID 18337279
- [4]Litovitz T Emerging battery-ingestion hazard: clinical implications Pediatrics, 2010.PMID 20498173
- [5]Houlton AY Observational study of falls in children from windows and balconies: What has changed? J Paediatr Child Health, 2021.PMID 33107150
- [6]Vish NL Pediatric window falls: not just a problem for children in high rises Inj Prev, 2005.PMID 16203839