TEN-4-FACESp - Face It

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Every October 4th, the Kosair for Kids Face It Movement recognizes TEN-4 Day to bring awareness to the TEN-4-FACESp bruising rule and emphasize the importance of child abuse recognition and prevention. TEN-4 is a useful acronym to help identify when a bruise is more likely to be caused by abuse than an accidental injury in children under the age of 4. We invite you to join us!

WAYS TO PARTICIPATE

Watch the TEN-4-FACESp Bruising Rule video
Order the brochure to distribute at your pediatrician’s office, community center, or school resource center.
Utilize the social media toolkit to spread awareness.
Secure a proclamation with your local leaders in recognition of October 4, as TEN-4 Day in your community.
Support a parent or caregiver in your life so they stay connected and feel validated by asking if you can support them with a homemade meal (or gift card), an hour kid-free break, running errands for them, or support with other stressors that can culminate into an unsafe situation.
Make a gift to Kosair for Kids in honor of TEN-4 Day to support the important work of the Face It Movement.

Ten-4 Trainings

Pediatric abusive head trauma (AHT), formerly known as shaken baby syndrome, is a severe form of child abuse that most often involves infants. In these trainings, participants will learn the early signs of maltreatment and the various injuries and conditions that may result from vigorous shaking, slamming, or impacting the head of an infant or young child. They will also learn more about the TEN-4 bruising rule, tools for dealing with a crying infant, and ways to share information with parents to prevent abuse from occurring.

This year, we offered two virtual training options for the general public, and two options for HANDS employees.

TEN-4 Day Proclamations

Every October 4th, the Kosair for Kids’ Face It Movement brings awareness to the TEN-4-FACESp Bruising Rule with a media campaign and educational events (TEN-4 on 10/4). In 2026, Governor Andy Beshear, Kentucky Auditor of Public Accounts Allison Ball, and several mayors and county judge/executives proclaimed October 4th as TEN-4 Day. We also celebrate TEN-4 Day being recognized in several other states!

Ten-4 Resources

TEN-4 Day 2026 Information Session

A Message from the TEN-4-FACESp Lead Researcher

TEN4Day.com highlights TEN-4 Day efforts across the country, shares the latest child maltreatment research and data, offers tools for technical assistance and support, identifies opportunities for collaboration, and more.