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Pediatric emergency medicine trisk 4237 4237

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14 Dry all evidence before packaging To dry swabs, place swabs in swab dryer, with cotton tip pointing upward to promote drying 15 Do not allow cotton tip of swabs to contact other objects or surfaces during drying process (Use the test tube rack not allowing it to touch any other swabs.) 16 After drying, swabs place in swab boxes and then into the envelopes provided for each specimen (If additional specimens were collected and no swab box or evidence envelope is available for packaging, dried swabs may be placed in a plain envelope.) 17 Label all envelopes and boxes with patient’s name, case number, date, and name of the examiner 18 Seal envelope: Do not lick envelopes to seal them Use a clean gauze or cotton and wet with sterile water to moisten adhesive on collection envelopes or seal the envelope with tape 19 All envelopes containing evidence specimens should be placed inside the evidence collection kit box The sealed bag containing underpants should not be placed inside the box; all other clothing bags should remain outside of the box Each item collected must be noted on the evidence receipt form Adapted from Forensic Exam Checklist, Children’s Hospital of Philadelphia, Philadelphia, PA With permission Drug-Facilitated Sexual Assault Alcohol or other drugs play an important role in many sexual assaults, whether voluntarily ingested by the victim, surreptitiously given by the assailant, or ingested under force or coercion Adolescents often report using alcohol and/or drugs immediately before a sexual assault Increasing rates of drug-facilitated rape have been associated with the availability of alcohol and benzodiazepines While “date-rape” drugs (e.g., flunitrazepam [Rohypnol], Υ-hydroxybutyrate [GHB], ketamine) have received much public attention, these are rarely identified as the offending agent Drug testing should be performed if a patient appears intoxicated, reports drugfacilitated assault, or cannot recall details of the assault In addition, patients should be reminded that even if drug use was voluntary, it is important to provide history of intoxication preceding assault Protocols with the toxicology laboratory at each institution are necessary as date-rape drugs and

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