2019年冠状病毒病(COVID-19)大流行导致亲密伴侣暴力(IPV)增加,对必须在性侵犯检查期间保护自己和他人的医疗保健提供者构成挑战。在院前和急诊科(ED)环境中遇到的性侵犯受害者具有法律和医疗需求。必须认真遵循一系列程序,以促进法医证据收集和执法调查。文献综述发现,在ED中,缺乏有关性侵犯患者管理的公开指南,没有COVID-19特有的信息。
调查人员试图更新圣地亚哥县的性侵犯指南,与医疗保健专业人员合作创建,法医专家,和执法,通过共识迭代审查过程。另一个目标是创建SAFET-I工具,供一线提供商在COVID-19大流行期间使用。
作者提出了一种新颖的SAFET-I工具,概述了有效的性侵犯患者护理的以下五个组成部分:稳定,警报系统激活,法医证据考虑,加速袭击后的治疗,和创伤护理。该框架可用作有兴趣制定或调整现有性侵犯政策的机构的教育工具和模板。
对于ED提供者,缺乏整合性侵犯患者护理的许多方面的临床指导,特别是在COVID-19大流行期间。提出了SAFET-I工具,以协助紧急医疗保健提供者在IPV发生率增加的时期内对性侵犯患者进行治疗和宣传。
The coronavirus disease 2019 (COVID-19) pandemic has contributed to an increase in intimate partner violence (IPV), posing challenges to health care providers who must protect themselves and others during sexual assault examinations. Victims of sexual assault encountered in prehospital and emergency department (ED) settings have legal as well as medical needs. A series of procedures must be carefully followed to facilitate forensic evidence collection and law enforcement investigation. A literature review detected a paucity of published guidance on the management of sexual assault patients in the ED, and no information specific to COVID-19.
Investigators sought to update the San Diego County sexual assault
guidelines, created in collaboration with health care professionals, forensic specialists, and law enforcement, through a
consensus iterative review process. An additional objective was to create a SAFET-I Tool for use by frontline providers during the COVID-19 pandemic.
The authors present a novel SAFET-I Tool that outlines the following five components of effective sexual assault patient care: stabilization, alert system activation, forensic evidence consideration, expedited post-assault treatment, and trauma-informed care. This framework can be used as an educational tool and template for agencies interested in developing or adapting existing sexual assault policies.
There is a lack of clinical guidance for ED providers that integrates the many aspects of sexual assault patient care, particularly during the COVID-19 pandemic. A SAFET-I Tool is presented to assist emergency health care providers in the treatment and advocacy of sexual assault patients during a period with increasing rates of IPV.