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How EM Physicians Should Manage Their Legal and Medical Duties

ACEP Now

A 16-year-old female presents to the emergency department (ED) after being sexually assaulted by two males at a party at her friend’s house. She is asking for an exam, as well as medications to avoid pregnancy and diseases. She denies any complaints or injuries. She refuses to allow her parents or the police to be notified.

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ACMT Toxicology Visual Pearl: Needle to Necrosis

ALiEM

In patients with skin changes, consider topical wound care as well as further evaluation of deep tissue infections, osteomyelitis, and ischemia. Xylazine Intoxication in Humans and Its Importance as an Emerging Adulterant in Abused Drugs: A Comprehensive Review of the Literature. Forensic Sci Int. 2014;240:1-8.

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Forensic Evaluation of Motor Vehicle Accidents

ACEP Now

Case A 35-year-old male is brought to the emergency department (ED) following a single-motor-vehicle collision in which two people were ejected and pronounced dead at the scene. Dr. Riviello is chair and professor of emergency medicine at the University of Texas Health Science Center at San Antonio. 1988;28:498–501. Dickinson E.

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"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

Act V, scene I [Text from Folger Shakespeare Library] [Audio recording of Dramatic Reading; Chapter Vox] [Video recording of Act V, scene1] Most deaths that are brought to, or occur in, an emergency department will require, at least, discussion with the local Coroner or Medical Examiner. Department of the Medical Examiner-Coroner.

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Ballistic Follies

Advanced Emergency Nursing from AENJ

In short, describe the simple appearance of wounds and findings, and the body’s response, without any forensic conclusions. If you think your patient is the perpetrator, he may well be an innocent, or even an off-duty or undercover officer. Ballistic injuries in the emergency department. Photograph whenever possible.