Child Fatality Review

Child Fatality Review is a vital resource for all members of a child fatality review team or as a guide for professionals who are in the process of creating one. This comprehensive reference, through its inclusion of expansive research, high-quality photographs, and detailed case studies, is an essential tool for medical examiners, law enforcement members, and any other related professionals.

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Child Fatality Review

An Interdisciplinary Guide and Photographic Reference and Supplementary CD-ROM


Child Fatality Review is the premier text devoted to the child fatality review (CFR) process. While the book was designed to serve CFR team members, such as medical examiners, law enforcement officials, and prosecutors, the information it contains can be beneficial to anyone working in child protection-related fields.

With its inclusion of common types of fatalities, review procedures, the roles of each team member, and 643 full-color photographs of various causes and manners of death, this text serves as a comprehensive reference on child fatality. The book is accompanied by a Child Fatality Review CD-ROM, which includes a variety of case studies, giving members the opportunity to test their abilities in reviewing difficult cases.

Features & Benefits:

  • Over 600 images
  • In-depth guide to all aspects of the CFR process
  • Ideal for multidisciplinary use
Product Details:

832 pages, 643 images, 73 contributors
CD-ROM contains images with case studies


Child Fatality Review Teams, Law Enforcement, Attorneys, Judges, Physicians, ER Personnel, Pediatricians, EMTs, Nurses, Medical Examiners, Coroners, Clinical Researchers, Social Service Personnel, Mental Health Professionals, Domestic Violence Experts, Vital Statistics Personnel, Child Advocates, Child Abuse Prevention Professionals, Child Protective Services Members, Educators

Publication date:

February 2008


978-1-878060-75-4 (Print with CD)
978-1-878060-58-7 (Print without CD)
978-1-878060-42-6 (eBook)

Table of Contents

1. Overview
2. Epidemiology of Child Death
3. The Homicides of Children and Youth
4. Homicides: Case Studies
5. Perinatal Mortality Review: The Iowa Model
6. Perinatal Deaths: Case Studies
7. SIDS: A Pathologist’s Perspective
8. Sudden Unexplained Infant Death: Case Studies
9. Physical Abuse
10. Physical Abuse: Case Studies
11. Fatal Child Neglect
12. Neglect: Case Studies
13. Nonabusive Injuries
14. Nonabusive Injuries: Case Studies
15. Lightning and Lightning Injuries
16. Examining Youth Suicides: The Suicide Review Team
17. Suicides: Case Studies
18. Burn Injuries in Child Fatality Review
19. Burn Injuries: Case Studies
20. Drowning in Child Fatality Review
21. Drowning: Case Studies
22. Childhood Cancers and Blood Disorders
23. Congenital Defects and Genetic Disorders
24. Child Fatality Due to Infectious Diseases
25. International Child Fatality Review Teams
26. Effective Models of Review
27. Criminal and Civil Jurisdiction in Indian Country
28. Military Approaches to Child Fatality Review
29. Military Approaches: Case Studies
30. Coming of Age: Child Death Review in America
31. Child Death Review Teams: Examples and Overview
32. Issues, Problems, and Considerations
33. The Role of Child Abuse Pediatricians
34. The Medicolegal Death Investigator
35. The Role of Coroners
36. Forensic Pathology in the US and UK
37. Forensic Autopsy Procedure
38. Imaging of Childhood Fatality Caused by Child Abuse
39. Pediatric Ophthalmology
40. Law Enforcement Investigation of Child Fatalities
41. Child Death Specialist: Case Studies
42. The Role of Law Enforcement
43. The Role of the Prosecutors
44. The Role of Child Protection
45. The Role of Mental Health Professionals
46. Intimate Partner Violence
47. The Grieving Process and Family Support
48. Preventing Future Deaths
49. Protection of Children by Licensed Childcare Centers
50. Child Death Review Team Recommendations
51. Vision for the Future

Randell Alexander, MD, PhD

Randell Alexander is a professor of pediatrics at the University of Florida and the Morehouse School of Medicine. He currently serves as chief of the Division of Child Protection and Forensic Pediatrics and interim chief of the Division of Developmental Pediatrics at the University of Florida-Jacksonville. In addition, he is the statewide medical director of child protections teams for the Department of Health’s Children’s Medical Services and is part of the International Advisory Board for the National Center on Shaken Baby Syndrome. He has also served as vice chair of the US Advisory Board on Child Abuse and Neglect, on the American Academy of Pediatrics Committee on Child Abuse and Neglect, and the boards of the American Professional Society on the Abuse of Children (APSAC) and Prevent Child Abuse America. Randell Alexander has served on state child death review committees in Iowa, Georgia, and Florida, and two regional child death review committees. He is an active researcher, lectures widely, and testifies frequently in major child abuse cases throughout the country.

View author publications

The multidisciplinary team approach to investigating the issues surrounding the protection of children should be a UN resolution. Irrespective of economic status, all nations should be encouraged to develop this approach. Having highly trained teams will better serve the community. Dr. Randell Alexander’s vision for the future and his continual contribution to the world medical and legal communities will always serve the protectors of this borderless crime. To my friend, keep up this vital work.

DS 282 Mark Clarke
Juvenile & Domestic Crime Unit
Bermuda Police Service
Prospect, Bermuda

Child Fatality Review: An Interdisciplinary Guide and Photographic Reference is a must-have for all members of child fatality review teams, legislators, government, administrators of child-focused programs, as well as child advocates. This reference manual takes a broad look at the concept of fatality review, its history, current direction, and recommendations for future direction. Most importantly, the manual outlines the need for consistency nationally and internationally in programmatic aspects of child fatality review and in prevention activities.

Eva Pattillo
Executive Director
Georgia Child Fatality Review Panel
Marietta, Georgia

To create a comprehensive and interdisciplinary guide to child death review is a testimony to the degree to which this endeavor has advanced in the 30 or so years since its inception. The guide is insightful and forward-looking and deals with the complexities of discussions surrounding cases of child death. The inclusion of specific cases makes the guide both readable and practical, and many of us who have served on fatality review boards will nod in agreement as we read cases that sound all too familiar. The guide is a valuable resource to seasoned as well as novice team members.

Carol Berkowitz, MD, FAAP
Executive Vice Chair
Department of Pediatrics
Harbor-UCLA Medical Center
Professor of Clinical Pediatrics
David Geffen School of Medicine at UCLA
Torrance, California

The cumulative body of work in this book is represented in the form of detailed documentation of all forms of child fatality, real case illustrations, and practical solutions to all forms of child deaths including child abuse. This book is an exceptional reference for anyone who cares about the health of children, in every society and at all levels, especially pediatricians in the international settings. It is a milestone in prevention of injury and child abuse in the west that should be transported to the international society. All health care workers around the world need access to this reference for teaching new professionals globally on how to manage cases of child fatalities.

Maha Almuneef, MD, FAAP, CIC
Deputy Executive Director
Infection Prevention & Control
Executive Director
National Family Safety Program
Pediatric Infectious Diseases
Riyadh, Saudi Arabia

This comprehensive guide to child fatality review successfully renders a complex topic easily accessible to the myriad professionals responsible for the review process. Bringing their collective experience to bear, leaders in the field provide case examples and photographs to illustrate basic concepts as well as difficult issues central to effective death review. A thoughtful discussion of the challenges inherent in launching effective prevention efforts reminds us of the ultimate goal of the process

Jordan Greenbaum, MD
Medical Director
Child Protection Center
Children’s Healthcare of Atlanta
Atlanta, Georgia

Cases of child fatality are tragic both for society and for the family of the child. They need to be dealt with and investigated carefully and sympathetically by professionals. Child death review teams help to set the highest standards for this. This book goes a long way toward helping to promote and improve that standard in other countries with less experience.

Inga Talvik, MD
Senior Consultant in Pediatric Neurology
Childrens Clinic of Tartu University Hospitals
Tartu, Estonia

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