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While multiple fractures are most often caused by child abuse , " Evaluating Infants and Young Children With Multiple Fractures , " urges pediatricians and emergency department clinicians to test for and consider a variety of conditions and diseases as possible causes . Medical diagnoses are recorded from inpatient , outpatient , and emergency department contacts with patients . Respiratory disease represents the leading cause of hospitalization in children less than four years of age and is responsible for many physicians office and emergency department visits . The goals are to improve health outcomes and reduce costs by preventing declines in health status that lead to the need for costly medical care , including hospitalizations and emergency department visits . A second sanitation worker was injured in the incident , which brought the Mayor and Sanitation Commissioner rushing to the burn unit of New York Hospital-Cornell Medical Center , touched off an investigation by police and sanitation departments and raised the possibility of homicide charges against those responsible for leaving the acid to be picked up . In the US : Knee pain is a complaint in up to 20 % of the general adult population , accounting for almost 3 million outpatient and emergency department visits per year . " John Willis , director of campaigns and research department at Stratcom Communication Inc ., agrees . Shawna will provide information management and administrative support primarily to the membership and conference department regarding the recording of all agency membership data .