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Choosing Wisely – Investigations for Paediatric Patients presenting with Psychiatric Symptoms

Don't Forget the Bubbles

Investigations may also be necessary for the assessment of severe self-harm (such as deep lacerations or hanging) or the evaluation of potential sexual abuse. A 2023 Quality Improvement (QI) project involved the introduction of a medical clearance algorithm for children presenting with psychiatric emergencies.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

Information should be shared, ideally with the young persons consent, with social care and any other agencies (nationwide or local) that may be able to support, e.g. independent domestic violence advocate, victim support, and sexual assault referral entre. Non-fatal strangulation: in physical and sexual assault.

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ACEP Board Meeting Tackles Current Issues, Practice Trends

ACEP Now

Related to clinical policy development, the Board considered a referred 2023 Council amended resolution, regarding the creation of a clinical policy on emergency physicians’ role in the medication and procedural management of early pregnancy loss.

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EQUAL: a Straightforward Approach To Caring for Disabled Patients

ACEP Now

2 For example, patients that live with disabilities are twice as likely to report sexual assault compared to those without a disability. Accessed October 10, 2023. Krahn, et al., highlight some discrepancies in experiences that may result in ED visits. References Disability and health overview. Published September 16, 2020.

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‘The system teaches you to be quiet’: doctor indecently assaulted by senior colleague identifies herself | Australia news | The Guardian

PHARM

Dominique Lee, who was drugged and assaulted in Sydney in 2013, says it has taken 10 years ‘not to feel shame and hate’ at herself, but after reading of UK experiences it was time to speak out — Read on amp.theguardian.com/australia-news/2023/sep/24/the-system-teaches-you-to-be-quiet-doctor-indecently-assaulted-by-senior-colleague-identifies-herself (..)

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Case Report: Intimate Partner Sexual Assault?

ACEP Now

Case A 24-year-old female presents to the emergency department (ED) claiming to be sexually assaulted by her friend-with-benefits sexual partner. She wants to file a police report and have a sexual assault nurse examiner (SANE) exam performed. link] Accessed December 13, 2023. Accessed December 13, 2023.

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Employ a Trauma-Informed Approach to Care

ACEP Now

A 28-year-old female is brought to the emergency department (ED) by police after a sexual assault. The police officer is waiting for the sexual assault evidence kit. 2023 Dec;28(1):2206681]. She is visibly anxious and tearful. What is the trauma-informed approach to care for this patient? Med Educ Online.