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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

This should include early identification of life-threatening injuries, targeted fluid resuscitation using blood products, pain management, then eventual safeguarding and psychological support. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation. Administer O2 if necessary.

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It’s EMERGENCY Nurse to you!

Advanced Emergency Nursing from AENJ

It might be in a resuscitation room, the waiting room or rest room, the hospital lobby, or even the parking structure, perhaps even on the way home. Those who are also trained in forensic work can work with sexual-assault cases, law enforcement, or death scene investigation and survivor counselling.

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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. It is not possible during acute resuscitation or at any time before a complete investigation, or even trial, to know who is innocent, guilty, or what occurred during the altercation. Photograph whenever possible.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

In addition to addressing physical injuries secondary to violence, clinicians should screen refugee patients for suicidality, engage forensic nurse examiners for victims of assault, and connect patients with social work or case management resources. ED Evaluation Transport to the ED from the refugee reception center takes 1 hour.