Red Book® vs LCAST

** The Red Book is the foundational resource on pediatric infectious disease** Featuring content from the latest edition, the Red Book: 2024–2027 Report of the Committee on Infectious Diseases from the American Academy of Pediatrics (AAP) provides the most up-to-date information on a wide variety of infectious diseases that physicians encounter in children. Written and edited by leading experts in the field, along with contributions from the CDC, the FDA, and hundreds of other professionals, this resource stands as the most authoritative and comprehensive available. The Red Book features: * Immunization Schedules - Recommended immunization and catch-up schedules for infants, children, adolescents, and young adults. * Vaccine Status Table - Current information about recently submitted, licensed, and recommended vaccines and biologics, including status of the FDA licensure process and related AAP/CDC recommendations. * Influenza Resources - A comprehensive collection of information on influenza, serving as a centralized reference for vaccine guidance, prevention, treatment, payment policies, news, and other relevant details for infants, children, adolescents, and young adults. * Standardized approaches to disease prevention through immunizations, antimicrobial prophylaxis, and infection-control practices have been updated throughout the Red Book. * Two new chapters on Covid-19 and Mpox have been added. * The System-Based Treatment Table has been reordered so that the grouped recommendations by body system are more easily and quickly accessed. * Greatly expanded tables, figures and algorithms enable quick access to essential information. * The Breastfeeding and Human Milk chapter was updated to align with information from the latest AAP policy statement on breastfeeding. * The listing of Codes for Commonly Administered Pediatric Vaccines, Toxoids, and Immune Globulins has been expanded. * Reference to evidence-based policy recommendations have been updated throughout the Red Book. Unbound Medicine Features: * Highlighting and note-taking within entries * “Favorites” for bookmarking important topics * Enhanced Search to find topics quickly * Prime PubMed links to the primary literature Author: Committee on Infectious Diseases Publisher: American Academy of Pediatrics Editor: David W. Kimberlin, MD, FAAP; Associate Editors: Ritu Banerjee, MD, PhD, FAAP, Elizabeth D. Barnett, MD, FAAP; Ruth Lynfield, MD, FAAP; and Mark H. Sawyer, MD, FAAP Powered By: Unbound Medicine Unbound Medicine Privacy Policy: https://www.unboundmedicine.com/privacy Unbound Medicine Terms of Use: https://www.unboundmedicine.com/end_user_license_agreement

The Lurie Children’s Child Injury Plausibility Assessment Support Tool (LCAST) is an app based on a validated Bruising Clinical Decision Rule (BCDR) called the TEN-4-FACESp. Use of this tool has the potential to improve recognition of abuse in young children with bruising. This app functions only as a screening tool and cannot be used to diagnose abuse. The app applies to children less than 4.0 years of age with bruising. If the child is older than 4.0 and/or bruising is not present, this tool cannot be used. In those circumstances, alternative methods of screening for abuse are needed. WHY FOCUS ON BRUISING? Bruising is the most common injury resulting from physical abuse and is the most overlooked or misdiagnosed antecedent injury prior to an abuse-related fatality or near-fatality in a young child. Bruising occurs from both accidental and abusive trauma, but differences identified by the TEN-4-FACESp bruising clinical decision rule may allow improved and earlier recognition of the abused child. ABOUT THE APP: The app is intended for clinical use by licensed healthcare professionals and providers. The app can inform decision-making and be used as an educational tool for learning about bruising characteristics that commonly result from abusive and accidental injury. The core feature of the app is an interactive 3D body model that allows the user to utilize visual cues of the human body to input clinical observations. The result is the opportunity to compare a child’s bruise findings to the published evidence resulting from a NIH-funded multi-center study. The data that drive the app are based on 2,161 patients of which 410 (19%) were classified by a multi-disciplinary panel of medical experts as abuse and 1,713 (79%) as accident. The TEN-4-FACESp bruising clinical decision rule resulted from analysis of 35 body regions and is 96% specific and 87% sensitive for distinguishing bruising from abuse versus accident. The TEN-4-FACESp has three components based on: 1) specific body regions with bruising, 2) patterned bruising, and 3) bruising anywhere on non-mobile infants. An affirmative finding for any one of the three TEN-4-FACESp components without a clear and reasonable explanation indicates a potential risk for abuse. The child may warrant further evaluation and consultation with an expert in child abuse should be considered. In addition to using the data in this app, the user should always check with a doctor before making any medical decisions.