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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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My Heart is Racing! Select Cardiac Arrhythmias and Practice Updates

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martes, 29 de noviembre de 2016

Sexual Assault

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"