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While I'm not nonverbal I also broke my femur as a child, in specific I was around 6-7. Father ignored my cries of pain for probably around half an hour to an hour (I "saw" the sun jump in the sky) before eventually getting fed up with me. He roughly picked me up, tossed me over his shoulder (again ignoring my cries of pain), took me into the house and more or less thew me onto the floor. Walked off all pisses and my mom came in to see why I was so... distressed. My leg was about twice as large as normal, I was going/well into shock. Ambulance and whatnot got called, the Fire dudes showed up, gave me some sort of shot and awhile later the Ambulance dudes eventually showed up. Dad rode with me to the hospital and to keep things short he felt pretty terrible about himself for good reason.
Course that experience didn't prevent him from being abusive later on but I can understand why he initially chose to ignore me, I was and still am rather emotional. Same kind of deal with this poor kid. I can understand ignoring at first, but there comes a point, hopefully quite quickly that you check in and see if things are alright. I push fuckn carts and I check in with old people all the time. Quite often they are just old and are being weird staring into space, looking confused whatever old people get up to but occasionally they need help and I'm glad to have asked. If your job is to take care of kids with special needs you should be very aware of their typical behavior and check in when there's something off. Doubly so when there's any sort of communication difficulties christ