Enclosure (1) to COMDTINST 1750.7C
ward. The term also includes an individual of any age who is incapable of self-support because of a
mental or physical incapacity and for whom treatment in a Military Treatment Facility is authorized.
9. Child Abuse. Any act, or failure to act, on the part of a parent, or any person responsible for the care
of the child, which results in imminent risk of serious harm, death or physical, emotional and/or
sexual maltreatment.
a. Major Physical Injury. This category includes brain damage, skull fracture, subdural
hemorrhage or hematoma, bone fracture, dislocation, sprain, internal injury, poisoning, burn,
scald, severe cut, laceration, bruise, welt, or any combination thereof, which constitutes a
substantial risk to the life or well-being of the child.
(1) Brain damage/Skull Fracture. The child has experienced a severe injury resulting in the
fracture of the skull and/or damage to the brain.
(2) Subdural Hemorrhage or Hematoma. Bleeding or a blood clot occurring under the outer
covering of the brain.
(3) Bone Fracture. Any breaking or cracking of a bone; does not include skull fracture. All
bone fractures are considered major physical injuries.
(4) Dislocation/Sprain. Any displacement of bone at a joint; injuries to tendons, ligaments, or
muscles.
(5) Internal Injury. Injury to the organs within the body, not including brain damage.
(6) Poisoning. The willful oral or injected administration of a substance that is known to cause
harm or ingestion of a poisonous substance due to negligence by a parent or caretaker.
(7) Burn/Scald. Injury or damage by excessive heat due to flame, steam, liquid, cigarette,
cigarette lighter, etc.
(8) Severe Cut/Laceration/Bruise. Damage to the skin, including stabbing or slashing of the
skin, resulting in excessive bleeding or damage to the blood vessels directly underneath the
skin as a result of a blow or sharp instrument.
(9) Other Major Physical Injury. Any other physical injury not listed above that seriously
impairs the health or physical well-being of the child.
b. Minor Physical Injury. This includes injuries from twisting and shaking, minor cut, bruise, welt
or any combination thereof, which do not constitute a substantial risk to the life or well-being of
the child.
(1) Minor Cut/Bruise/Welt. Minor damage to the skin or to the blood vessels directly
underneath the skin caused by a blow or a cut which does not involve extensive bleeding.
(2) Twisting/Shaking. Twisting of a limb or shaking of the individual, as by the shoulders,
which does not result in a sprain, fracture or Shaken Baby Syndrome.
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