SEXUAL ASSAULT EVALUATION

Question 1

Goals of ED Management

Answer 1

Evaluate and treat acute medical conditions and injuries
-thorough evaluation for traumatic injuries
-consider intoxication

Preservation and collection of forensic evidence

Prophylaxis against pregnancy and STIs based on current treatment guidelines

Provisions of psychosocial support

Question 2

Investigations

Answer 2

Beta HCG

Chlamydia trachomatis Neisseria gonorrhoeae Trichomonas vaginalis HIV
Hepatitis B
Syphilis

Question 3

Management: Females

Answer 3

Women:
Ceftriaxone 500 mg intramuscular single dose (<150 kg)

Ceftriaxone 1 gram intramuscular single dose
(>150 kg)

PLUS

Doxycycline 100 mg PO every 12 hours for 10 days

PLUS

Metronidazole 500 mg PO every 12 hours for 7 days

Question 4

Management: Males

Answer 4

Ceftriaxone 500 mg intramuscular single dose (<150 kg)

Ceftriaxone 1 gram intramuscular single dose
(>150 kg)

PLUS

Doxycycline 100 mg PO every 12 hours for 10 days