Paeds Cases · preventive-and-community-paediatrics
Injury-prevention counselling OSCE — restraints, helmets and safe storage
OSCE on multi-domain anticipatory guidance for passenger restraints, bicycle helmets, pedestrian supervision and firearm storage.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
Parents of a 5-year-old at a well visit: child uses adult belt in the back seat, rides a scooter without a helmet, and grandparents keep an unlocked shotgun.
Objectives
- Identify premature adult-belt use and prescribe a booster with belt-fit rationale. [1] [3]
- Counsel helmet use for scooter/bike rides with evidence-linked rationale. [6]
- Address firearm access at grandparents’ home with storage triad counselling. [11] [13]
- Use non-judgemental language and teach-back. [1]
References6ShowHide
- [1]Durbin DR Child Passenger Safety Pediatrics, 2018.PMID 30166368
- [3]Arbogast KB Effectiveness of belt positioning booster seats: an updated assessment Pediatrics, 2009.PMID 19841126
- [6]Olivier J Bicycle injuries and helmet use: a systematic review and meta-analysis International Journal of Epidemiology, 2017.PMID 27450862
- [9]Kendi S Child Pedestrian Safety Pediatrics, 2023.PMID 37337837
- [11]Lee LK Firearm-Related Injuries and Deaths in Children and Youth: Injury Prevention and Harm Reduction Pediatrics, 2022.PMID 36207776
- [13]Grossman DC Gun storage practices and risk of youth suicide and unintentional firearm injuries JAMA, 2005.PMID 15701912