Pediatricians should suspect intentional abusive trauma when the history and examination do not sufficiently explain the nature and the extent of the injury. Besides providing medical care, they need to inform the Child Welfare Committee or an Authority at the treating hospital. The Child HELP Line number 1098, which is operative in all major cities in the country may be called. Such a step is necessary to protect the child from repeated abusive acts. However, the doctor needs to use caution and discernment since a direct confrontation with the parents may lead to a situation that might eventually not be in the interest of the child.
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