EM · Sexual assault and intimate partner violence

Sexual assault and intimate partner violence in the emergency department

Also known as Sexual assault · Rape · Sexual violence · Intimate partner violence · Domestic violence · Forensic medical examination · Sexual assault kit · Trauma-informed care · Post-exposure prophylaxis after sexual assault · Danger assessment

Sexual assault and intimate partner violence in the emergency department — the trauma-informed approach that governs the entire encounter, the patient-centred consent that runs throughout, the time-windowed forensic examination (the sexual assault kit and the chain of custody within 72 hours), the STI prophylaxis (ceftriaxone 500 mg IM, azithromycin 1 g PO, metronidazole 2 g PO), the HIV post-exposure prophylaxis within 72 hours, and the emergency contraception (levonorgestrel 1.5 mg PO or ulipristal 30 mg PO), the safety assessment and safety planning, the mandatory reporting considerations, and the differential distinguished from intimate partner violence. ACEM-primary, globally tagged.