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If such a trained clinician is not available, the emergency department has a sexual assault protocol that has been established for treatment and the collection of evidence.

That general election will permit the best of injuries by the best room staff. They may only with gorgeous and sleep.

Emphasis is placed on performing the examinations at a pace that is appropriate for the person, their family, their age, and their level of understanding. This general assessment will prioritize the treatment of injuries by the emergency room staff. Medical personnel involved are trained to assess and treat those assaulted or follow protocols established to ensure privacy and best treatment practices. Informed consent is always required prior to treatment unless the person who was assaulted is unconscious, intoxicated or does not have the mental capacity to give consent.

In more violent cases, the victim may need to have gunshot wounds or stab wounds treated. The presence Harter teen what does it meen infection is determined by sampling of body fluids from the mouth, throat, vagina, perineumand anus. Rape investigation Victims have the right to refuse any evidence collection. Victims advocates ensure the victims' wishes are respected by hospital staff. After the physical injuries are addressed and treatment has begun, then forensic examination proceeds along with the gathering of evidence that can be used to identify and document the injuries. Photographs of the injuries may be requested by staff.

The patient is discouraged from bathing or showering for the purpose of obtaining samples from their hair. Once the injuries of the patient have been treated and she or he is stabilized, the sample gathering will begin. Dried semen that is on clothing and skin can be detected with a fluorescent lamp. These specimens are marked, placed in a paper bag, [98] and be marked for later analysis for the presence of seminal vesicle-specific antigen. The procedures have been standardized. Evidence is collected, signed, and locked in a secure place to guarantee that legal evidence procedures are maintained.

This is known as the chain of evidence and is a legal term that describes a carefully monitored procedure of evidence collection and preservation. Maintaining the Chain of evidence from the medical examination, testing and tissue sampling from its origin of collection to court allows the results of the sampling to be admitted as evidence. Follow up examinations also assess the patient for tension headachesfatiguesleep pattern disturbances, gastrointestinal irritability, chronic pelvic pain, menstrual pain or irregularity, pelvic inflammatory disease, multiple yeast infections, sexual dysfunction, premenstrual distress, fibromyalgia, vaginal discharge, vaginal itching, burning during urination, and generalized vaginal pain.

An internal exam may be recommended if significant bloody discharge is observed, though. An oral exam is done if there have been injuries to the mouth, teeth, gums or pharynx. Though the patient may have no complaints about genital pain signs of trauma can still be assessed. Prior to the complete bodily and genital exam, the patient is asked to undress, standing on a white sheet that collects any debris that may be in the clothing. The clothing and sheet are properly bagged and labeled along with other samples that can be removed from the body or clothing of the patient. Samples of fibersmud, hair, leaves are gathered if present. Samples of fluids are collected to determine the presence of the perpetrator's saliva and semen that may be present in the patients mouth, vagina or rectum.

Sometimes the victim has scratched the perpetrator in defense and fingernail scrapings can be collected. If a foreign object was used during the assault, x-ray visualization will identify retained fragments. Internal injuries to the cervix and vagina can be visualized using colposcopy. Using colposcopy has increased the detection of internal trauma from six percent to fifty-three percent. Genital injuries to children who have been raped or sexually assaulted differ in that the abuse may be on-going or it happened in the past after the injuries heal.

Scarring is one sign of the sexual abuse of children. Many studies found a difference in rape-related injury based on race, with more injuries being reported for white females and males than for black females and males. This may be because the dark skin color of some victims obscures bruising.

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