Injuries to the nose, face, and head are common in children and occur in:

• Preschool children when they fall.
• School-age children because of bicycle, skateboard, or playground accidents and athletic activities.
• Adolescents because of athletic activities, fights, and automobile accidents.

Most injuries are not caused by abuse. However, bruises are often the first sign of possible abuse. Suspect physical abuse when:

• Any injury cannot be explained or does not match the explanation given of how it occurred.
• Repeated injuries occur.
• Explanations change for how the injury happened.

You may be able to prevent further injuries by reporting abuse. Seek help if:

• You suspect child abuse or elder abuse. Call your local child or adult protective agency, police, or a health professional, such as a doctor, nurse, or counselor.
• You or someone you know is a victim of intimate partner violence (IPV).
• You have trouble controlling your anger with a child or other person in your care. Resources are available for help.