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The Medical Director’s Role in Sexual Assault Nurse Examiner Programs

ACEP Now

At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. Discussion SANE programs started in the early 1970s to provide medical forensic examinations to patients after sexual assault.

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ACEP Board Meeting Tackles Current Issues, Practice Trends

ACEP Now

Approved Policy Statements in April included— Length of Residency in Training in Emergency Medicine—new Policy Statement (which was developed based on a 2023 Council Resolution about “Supporting 3-year and 4-Year EM Residency Program Accreditation”) Selective Triage for Victims of Sexual Assault to Designated Exam Facilities—revised Policy Statement (..)

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SGEM#248: She Works Hard for the Money – Time’s Up in Healthcare

The Skeptics' Guide to EM

The clock has run out on sexual assault, harassment and inequity in the healthcare workplace. This gap is seen across numerous professions, including law, marketing, administration and medicine. This SGEMHOP was recorded on International Women’s Day. It’s time to do something about it.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

Excessive IV fluid administration should be avoided due to the risk of acidosis, coagulopathy and electrolyte disturbance – all of which evidence shows significantly increased mortality. Since 2022, NFS has become a specific crime in its own right, separate from assault. What GCS would the administration be recommended for?

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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. She is visibly anxious and tearful. What is the trauma-informed approach to care for this patient?