Emergency Care of the Abused

Half-title......Page 3
Title......Page 5
Copyright......Page 6
Contents......Page 7
List of Contributors......Page 9
United Nations Statement......Page 11
Epidemiology......Page 13
Reporting child maltreatment......Page 14
2. Reporting......Page 15
3. Mandatory reporters......Page 16
Gather and document pertinent information......Page 18
Determine the most appropriate location for evaluation and the most appropriate provider\rto conduct the evaluation......Page 19
Contusions, lacerations, and abrasions......Page 20
Bite marks......Page 21
Burns......Page 22
Oral injuries......Page 24
Fractures......Page 25
Shaken Baby Syndrome (SBS)......Page 27
Abdominal injuries......Page 31
Skeletal survey......Page 32
Accidents and abuse: How to distinguish......Page 33
Presentation......Page 41
Evaluation of the physical findings......Page 43
Behavioral signs and symptoms......Page 44
Statements or disclosures of sexual abuse......Page 45
Sexual abuse disclosure......Page 46
Emergent evaluation......Page 47
Psychiatric emergency......Page 48
Documentation of an injury that may resolve......Page 49
Unlikely need for treatment or evidence collection......Page 50
The physical examination......Page 51
Preparation for the examination......Page 52
Special consideration for the examination of the female patient......Page 53
Anal/rectal examination......Page 56
Home Appendices......Page 58
Evidence collection......Page 64
Diagnostic testing......Page 65
Child and adolescent sexual offense post-assault testing and treatment......Page 66
Treatment......Page 67
Concluding the visit......Page 70
Abuse in children with disabilities......Page 71
Failure to thrive......Page 72
Confidential and privileged communication......Page 73
Hearsay and medical documentation......Page 74
Provider qualifications......Page 75
The importance of peer review and supervision in child and adolescent sexual\rabuse evaluations......Page 76
References......Page 77
Treatment for sexual assault: For HIV......Page 83
Treatment for sexual transmitted infections......Page 84
Intimate partner violence as a health issue......Page 86
Dynamics of intimate partner violence......Page 87
Clinical presentations of intimate partner violence......Page 90
Screening......Page 92
Treatment......Page 95
Documentation......Page 96
DANGER ASSESSMENT......Page 98
Referral......Page 100
References......Page 102
Quick Reference Pages......Page 106
Permission to use danger assessment......Page 109
Danger assessment reference list......Page 110
The sexually assaulted patient......Page 112
Types of victims......Page 114
Consent to treat......Page 115
Necessary materials......Page 116
History of events......Page 119
Drug-facilitated sexual assault (DFSA)......Page 120
Contents of the rape kit......Page 121
Sexual assault forensic examiner programs......Page 124
Examining the patient......Page 126
General medical care......Page 133
Emergency contraception......Page 134
Post-exposure Hepatitis B and C......Page 135
Completing the encounter......Page 136
Testifying in court......Page 137
Resources......Page 138
Quick Reference Pages......Page 140
References......Page 143
Introduction and overview......Page 145
Definitions......Page 146
Self-neglect......Page 163
Risk factors......Page 164
Physical abuse......Page 165
Caregiver neglect......Page 166
Legal considerations......Page 167
Obstacles to detection of elder abuse......Page 168
Management and intervention......Page 170
References......Page 173
Definition of intellectually disabled......Page 178
Connection between violence and disability......Page 179
Abuse of children with intellectual disabilities......Page 180
Reporting issues......Page 181
Sequelae of abuse......Page 182
Treatment of abuse......Page 183
Types of abuse......Page 184
Prevalence of physical and sexual abuse among people with SMI......Page 185
Special populations and abuse: prisoners......Page 186
Sequelae of abuse......Page 187
Recognition of abuse......Page 188
Conclusion......Page 189
References......Page 190
Mental illness references......Page 193
Intellectual disability references......Page 195
Introduction......Page 197
Does abuse occur more commonly in ethnic minority populations?......Page 198
Reported cases: Just the tip of the iceberg......Page 199
Hidden barriers to appropriate care......Page 200
Whose definition is used? Considering context when suspecting abuse......Page 202
Corporal punishment......Page 204
Legal requirements......Page 209
The case of illegal immigrants......Page 210
Effecting change: Working toward cultural competence......Page 211
Conclusion......Page 212
References......Page 213
Quick Reference Pages......Page 218
Goals and objectives......Page 220
Current requirements for the medical evaluation of torture victims in the European Union......Page 222
Financial concerns of providing health care to asylum seekers......Page 223
Types of torture......Page 224
Evaluation of victims of torture......Page 226
Moreno stresses the need for a formal intake session\r......Page 231
Endemic illnesses......Page 239
Pediatric considerations......Page 240
Psychological effects of torture......Page 243
Special considerations......Page 247
Professional considerations......Page 250
References......Page 252
Quick Reference Pages......Page 258
Human trafficking......Page 261
Definitions......Page 262
Human trafficking versus smuggling......Page 263
The role of organized crime in trafficking......Page 264
Who are the recruiters?......Page 265
Where do victims come from? Where do they work?......Page 266
The role of globalization and cultural values on trafficking......Page 269
Role of law enforcement in trafficking......Page 270
The federal response in the United States......Page 271
Differences between trafficking victims and victims of other crimes......Page 272
Screening questions to help determine if your patient is a trafficking victim......Page 273
Ten guiding principles in interviewing a person who has been trafficked......Page 274
Interview with a trafficked patient......Page 275
Things to keep in mind during your interview with a trafficking victim......Page 277
Health concerns for trafficking victims......Page 278
Trafficking for sexual exploitation......Page 279
Public health impacts of sex trafficking......Page 280
The history and physical exam......Page 281
United States......Page 283
Israel......Page 284
Web sites to learn more about trafficking......Page 285
References......Page 286
Screening questions to help determine if your patient is a trafficking victim......Page 289
a) Written description......Page 293
Lens, aperture, shutter speed, film......Page 294
Admissibility......Page 295
Consent......Page 296
Court order......Page 297
Scales/measuring device......Page 298
Bite mark photography......Page 301
Polaroid “instant” cameras......Page 303
Toluidine blue......Page 304
Equipment/physics......Page 305
Procedure......Page 307
Forensic photography......Page 308
Colposcopy......Page 309
Forensic photography......Page 310
Index......Page 311