emDocs - November 28, 2016 - Author: Simon E and Sessions D
Edited by: Cassella C and Koyfman A
"Key Pearls
- Stabilize the patient as appropriate – 5% of victims require hospitalization secondary to severe injury5,8,9
- Understand your options and do what’s in the best interest of the patient:
- Call the patient advocate (state attorney’s offices will provide a list of resources if needed)
- Refer as appropriate:
- If the patient may be better served by an institution with a SANE program, then transfer
- Provide pregnancy prophylaxis as appropriate
- Provide STI prophylaxis
- Provide Hepatitis B vaccination if un-immunized
- Discuss risk factors for HIV transmission and the risks/benefits of prophylaxis
- Involve a rape crisis counselor EARLY
- Many patients experience PTSD, depression, and suicidal ideation post assault13
- Stress the importance of follow-up for STI monitoring, PEP evaluation as indicated, and continued emotional support"