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Patient Treatment Patient's Evidence Paper Make Major Scene

Front What special treatment principles should be applied to patients who have been sexually assaulted?
Back In addition to the usual treatment principles, in this situation you should also:
1). Document the patient's history, assessment, treatment, and response to treatment in detail because you may have to appear in court as long as 2 or 3 years later. Do not speculate. Record only the facts.
2) Make airway maintenance a major priority.
3) Complete the SAMPLE history objectively.
4) Follow any crime scene policy established by your system to protect the scene and any potential evidence for police, particularly that for evidence collection. If the patient will tolerate being wrapped in a sterile burn sheet, this may help investigators to find any hair, fluid, or fiber from the alleged offender.
5) Do not examine the genitalia unless there is major bleeding. If an object has been inserted into the vagina or rectum, do not attempt to remove it.
6) To reduce the patient's anxiety, make sure the EMT is the same sex as the patient, whenever possible.
7) Discourage the patient from bathing, voiding, or cleaning any wounds until the hospital staff has completed an assessment. Handle the patient's clothes as little as possible, placing articles and any other evidence in paper bags. If the patient insists on urinating, ask the patient to do so in a sterile urine container (if available). Also, deposit the toilet paper in a paper bag. Seal and mark the bag for the police. This can be critical evidence.

Tags: 21, emergencies, gynecologic

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