11. Sexual Crime Flashcards
When is consent not implied sexually
Incapacity due to alcohol or ny other substances Mental/physical incapacity Age of consent is 16 Submission due to acts of violence Submissions due to unlawful detention Third party consent When the victim is asleep or unconious
Where might you encounter sexual crimes?
GP, psychiatry, A&E, peads, general medicine, surgery,ICU
What do you do when examining an individual suspected to be a victim of sexual assault
Identify clinical evidence to support/refute claims
Prophylaxis for pregnancy and STI
Treat any new or pre-exisitng medical conditions treated by it
Psychiatric support
Always have chaperone and document and record
How do you externally examine the victim
Retain clothes Establish points of contact for swabs Assailant wearing condom? ejaculation and if so where? Comb head hair adn pubic hair Fingernail swabs and fingernail clipping Document injuries Samples fro toxicology
How do you internally examine the victim?
Examine skin around genitalia and anus for injuries, document and photograph
Sexual swabs prior to internal exam
Colposcopy/speculum/colonoscopy examination and videography/imaging
Document and record
How do you externally examine the accused?
Retain clothing from the incident Establish points of contact and order of contact Swab for saliva,DNA, semen, blood Ejaculation and if so where Document injuries Samples for toxicology
How do you internally examine the accused?
Examine skin around genitalia and anus for injuries, document and photograph
Sexual swabs prior to internal examination
Document and record
How long do you have to obtain forensic samples from different areas?
DNA from fingers in vagina (12 hours) DNA from a penis Fingernail scraping-two days Oral (saliva and mouth swabs)- two days Lubricant from a condom- up to 30 hours Ano-rectum up to three days Vagino and endocervix- seven days Semen can be detected on clothing despite washing
