Pediatric safeguarding concern
Educational use only. Not clinically reviewed2-year-old girl for calm injury-history reconciliation, safeguarding concern recognition, qualified escalation, and protected handoff. About 8 simulated minutes.
What you will practise
- Connect the child’s development, supplied history, injury distribution, immediate safety, physiology, and whole-child state.
- Recognize a safeguarding concern that requires further evaluation without diagnosing abuse.
- Activate qualified pediatric safeguarding and immediate-safety ownership.
- Review injury needs, medical alternatives, history limits, information sharing, and the local safeguarding boundary.
- At the elapsed checkpoint, review the fixed whole-child safety state and continuing qualified work.
- Hand off unresolved injury, medical, information, immediate-safety, and locally governed safeguarding risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- National Institute for Health and Care Excellence. Child maltreatment: when to suspect maltreatment in under 18s. Clinical guideline CG89. Published 2009; updated 2025; minor terminology change 2026. Recommendations 1.1.1, 1.1.2, and 1.1.15.
- National Institute for Health and Care Excellence. Child abuse and neglect. NICE guideline NG76. Published 2017. Recommendations 1.1, 1.3 response steps, and 1.4.5.
- World Health Organization. Responding to child maltreatment: a clinical handbook for health professionals. 2022. ISBN 978-92-4-004873-7.
- Pierce MC, Kaczor K, Lorenz DJ, et al. Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics. JAMA Network Open. 2021;4(4):e215832. doi:10.1001/jamanetworkopen.2021.5832.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.