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Managing Sexual Assault in the Emergency Department

Managing Sexual Assault in the Emergency Department
This review will address patient stabilization, provide recommendations for obtaining a medical and assault history, and detail pregnancy and sexually transmitted infection prophylaxis. An in-depth discussion of the forensic examination will be omitted, as requirements regarding healthcare provider training, tools contained within forensic collection kits, time allotted between alleged assault and court admissible evidence collection, and chain of custody legislation vary according to individual state law.

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The Bleeding Pregnant Patient in the Third Trimester: Pearls and Pitfalls

Third trimester pregnant patients are not seen commonly in the emergency department, but when they are, they have the potential for severe complications such as hemorrhagic shock. This article reviews the most serious causes of bleeding in the third trimester of pregnancy and also discusses management options.

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