This episode covers Chapter 67 of Rosen’s Emergency Medicine. Its a heavy topic, but important to get right.

• What precautions should be taken prior to engaging in potential sexual abuse cases?

• What information can be useful in determining the location and likelihood of injury in sexual assault?

• What is the prevalence of mental illness in sexual assault patients?  Which populations are found to have a higher proportion of mental illness?  What effect does mental illness have on the severity of the attack?

• What factors make genital injury more likely to be observed?  Less likely?

• What are the risks of STI's after sexual assault?

• What are appropriate treatments for STI prophylaxis in cases of suspected sexual abuse/assault?

• What resources exist to help medical providers and any victims of sexual abuse?

• What differences should be considered with male victims of sexual assault?

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Thank-you to Dr. Sampsel for her assistance with this episode!

This episode covers Chapter 65 of Rosen’s Emergency Medicine. Its a big intro into the next few chapters covering forensic medicine in the emergency department. Tighten up those boot straps, this stuff is heavy!

1. What are some pearls and pitfalls for ER physicians when dealing with Forensic Emergency Medicine?  
2. What are proper terms used to describe wound injury patterns?
3. What’s the anatomy of a cartridge (bullet)? What are the types and important aspects of wound ballistics?
4. What signs would you see for the various ranges of fire of a bullet?
5. What are common red flags to alert you to the possibility of domestic violence? What risk factors make domestic violence more common?
6. Describe the different types of blunt force pattern injuries and the pathophysiology of how they occur. Do the same for sharp force and thermal wounds.
7. What does the Health Insurance Portability and Accountability Act permit a physician to disclose to the investigating law enforcement officer?