Call 911 or other emergency services immediately if you see a child being abused or believe a child is in immediate danger, or you see that a child:

• Is not breathing. The 911 operator can guide you through CPR until help arrives.
• Is having trouble breathing.
• Is bleeding heavily.
• Has a changed level of consciousness.
• Is in shock.
• Shows symptoms of a head injury after being shaken.
• Has signs of severe dehydration.

Call police or child protective services immediately if you:

• Suspect an injury was caused by abuse.
• Suspect that abuse or neglect is placing a child's health at risk.
• Suspect that a child has seen or heard domestic violence within his or her family.
• Are worried that you or your spouse or partner may lose control and hurt your child.

If the child is not in immediate danger, call your local child protective services or police if:

• A child tells you about being abused or neglected.
• You notice possible physical abuse injuries.
• You see signs of sexual abuse.
• You notice signs of neglect.

Childhelp, a nonprofit agency, provides telephone numbers and information about how to report suspected or observed child abuse or neglect. The national Child Abuse hotline number is 1-800-4-A-CHILD (1-800-422-4453). The U.S. Administration of Children and Families, under the Department of Health and Human Services, has established a Children's Bureau that supports the states in the delivery of child welfare services designed to protect children and strengthen families.