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  • Nursing
  • Psychiatric Technicians
Hours: 2 Contact Hours
Author(s): Erik J. Usher, RN, BS, CEN, CPEN, EMT-P, CFRN
Peer Reviewer(s): Carroll M. Rottmund, RN, BSN, CCRN, CLNC, CMI
Item#: N1657
Contents: 1 Course Book (52 pages)
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Pediatric Abusive Head Trauma, 2nd Edition

Price $16.95
Item # N1657
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Expiration Date: October 31, 2018

Abusive head trauma in infants and children is the most common type of child abuse that results in fatality and long-term disability. With the enactment of the Child Abuse Prevention and Treatment Act (CAPTA) by Congress in 1974, physicians have been given a specific definition of abuse and neglect. It is now mandatory in the United States that medical providers report suspected cases of child abuse, and with this mandate, education and clinician awareness has increased. Since most experts believe that PAHT is preventable, the ultimate goal is to stop child maltreatment before it starts. Healthcare professionals are in strategic frontline positions to impact and reduce the occurrence of PAHT.

The purpose of this course is to provide the learner with the knowledge necessary to assess and implement interventions for children with suspected or diagnosed PAHT and their families. By recognizing predisposing factors and identifying persons at risk for perpetrating PAHT, healthcare professionals can be instrumental in initiating needed preventative education. The overall goal of this course is to provide a working knowledge base on PAHT for healthcare professionals in an effort to reduce this type of child abuse. This course is appropriate for healthcare professionals who work with children or their families. Additionally, this course meets Kentucky’s continuing education requirement on pediatric abusive head trauma.

Kentucky Nurses - This course fulfills your one-time Pediatric Abusive Head Trauma (Shaken Baby Syndrome) requirement.


Pennsylvania Nurses This course does not fulfill your child abuse recognition and reporting requirement. See N1635 Pennsylvania Child Abuse Recognition and Reporting for the course that fulfills your requirement.  


Course Objectives


  • Describe the significance of the problem of pediatric abusive head trauma (PAHT), current definitions of PAHT, and reasons for the change in terminology.
  • Identify anatomical factors predisposing infants and young children to significant head injuries.
  • Discuss the most common reasons for PAHT occurrence.
  • Identify the most common injuries and signs associated with PAHT and possible long-term consequences.
  • Describe the appropriate evaluation and management of an infant or child suspected of sustaining abusive head trauma.
  • Describe how healthcare professionals can increase awareness, recognition, and prevention of pediatric abusive head trauma.


Erik J. Usher, RN, BS, CEN, CPEN, EMT-P, CFRN, has over 27 years of widespread clinical pediatric trauma experience, most recently as a Rotor-Wing Flight Nurse/Paramedic for the Bayflite aeromedical program out of St. Petersburg, Florida. Erik began his trauma career in 1988 in Bristol, Connecticut, working for a busy hospital-based EMS agency. While continuing to work in EMS, Erik obtained a diploma in nursing at St. Francis Hospital School of Nursing, where he started his trauma nursing career in the emergency department of one of the state’s largest and busiest Level I trauma centers. Erik was one of the pediatric child abuse nurses in the department, working closely with local law enforcement. In 1998, Erik began working for University Medical Center of Southern Nevada in Las Vegas, which at the time was the busiest Level I adult and pediatric trauma center, based on ISS (Injury Severity Score), in the United States. While working in the free-standing Resuscitation department, Erik began his flight nursing career for Mercy Air in 1998, where he helped establish the Las Vegas medevac flight program. Erik became the manager of the Las Vegas base while also maintaining his skills in the trauma center as a nurse and in EMS as a street paramedic. Erik has been an active speaker at national conventions as well as a lead instructor for advanced procedural cadaver laboratories throughout the country. Erik maintains active credentials as an instructor for the Emergency Nurses Association Trauma Nurse Core Course as well as with the American Heart Association as a Pediatric Advanced Life Support and Advanced Cardiac Life Support instructor. Erik maintains board certifications as a Certified Emergency Nurse, Certified Pediatric Emergency Nurse, and Certified Flight Registered Nurse. He holds a bachelor’s degree in health administration and has been published in several textbooks and medical journals throughout his career.

Carroll M. Rottmund, RN, BSN, CCRN, CLNC, CMI, has been a registered nurse for almost four decades. She holds a bachelor of science degree in nursing and has maintained advanced certification in pediatric critical care, legal nurse consulting, and medicolegal child death investigation. Her nursing experience includes 15 years of pediatric critical care nursing and two years in nursing management of a pediatric intensive care unit. She is also a legal nurse consultant and a deputy coroner In Lancaster County, Pennsylvania. Carroll works with police jurisdictions investigating infant and child deaths within the county. She serves on a child death review team and on the Suspected Child Abuse and Neglect Board in the Commonwealth of Pennsylvania. For the past seven years, Carroll has been one of three Pennsylvania nurse coordinators for the Pennsylvania Shaken Baby Syndrome Prevention and Awareness Program, where she is responsible for coordinating all aspects of the Pennsylvania Program, serving as a resource for child abuse prevention worldwide and actively participating in child abuse prevention programs on the local, county, state, and national levels. She has presented at numerous conferences nationally and internationally and has co-authored a study on abusive head trauma.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.