New Practitioner Guide on the HIPS Bruising Protocol

A new Practitioner Guide on the recently updated Bruising Protocol for the management of actual or suspected bruising or other injury in infants who are not independently mobile, has been published by the Hampshire, Isle of Wight, Portsmouth & Southampton (HIPS) safeguarding partners.

Bruising is the commonest physical sign of child abuse. A bruise can be a sign of abuse in a child of any age but bruising in non-mobile babies is unusual and can be associated with life threatening injury.

The latest update of the Protocol has three new amendments:

  1. A new emphasis on injury in general in nonmobile babies, in addition to the main emphasis on bruising.
  2. An additional paragraph with specific guidance about subconjunctival haemorrhages (bleeding in to the white of the eye).
  3. ‘Mongolian blue spot’ is now referred to as blue-grey spot (slate-grey naevus).

The fully updated and revised Protocol for the management of actual or suspected bruising or other injury in infants who are not independently mobile (Bruising Protocol) is available on the HIPS Procedures website.