Inaccurate trauma history due to fear of health care personnel involving law enforcement in children of noncitizen immigrants

Pediatr Emerg Care. 2010 Dec;26(12):928-9. doi: 10.1097/PEC.0b013e3181fe91ba.

Abstract

Two cases illustrating intentional withholding of information by noncitizen parents of children with major trauma are described. The difficulties and the results of not obtaining an accurate history in the initial assessment of accidental trauma victims are discussed. The core problem in these cases seems to be a fear of health care providers and a false perception that emergency medical services and emergency department personnel are extensions of law enforcement. These cases illustrate potential issues in managing the children of noncitizen immigrants.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls*
  • Accidents, Traffic* / psychology
  • Adult
  • Child
  • Deception*
  • Delayed Diagnosis / psychology*
  • Emigrants and Immigrants / psychology*
  • Emigration and Immigration / legislation & jurisprudence*
  • Fatal Outcome
  • Fear / psychology*
  • Female
  • Fractures, Bone / diagnosis
  • Fractures, Bone / etiology
  • Head Injuries, Closed / diagnostic imaging
  • Head Injuries, Closed / etiology*
  • Hematoma, Epidural, Cranial / diagnostic imaging
  • Hematoma, Epidural, Cranial / etiology*
  • Hemorrhage / etiology*
  • Hispanic Americans / psychology*
  • Humans
  • Infant
  • Law Enforcement*
  • Male
  • Medical History Taking*
  • Multiple Trauma / diagnosis
  • Multiple Trauma / etiology*
  • Parents / psychology*
  • Parietal Bone / injuries*
  • Pelvic Bones / injuries
  • Radiography
  • Ribs / injuries
  • Social Perception*
  • Vagina
  • Virginia