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Evaluation and Management of the
Sexually Assaulted or Sexually Abused Patient
Evaluation and Management
of the Sexually Assaulted
or Sexually Abused Patient
2nd Edition
The American College of Emergency Physicians (ACEP) makes every effort to ensure that contributors
to its publications are knowledgeable authorities in their fields. Readers are nevertheless advised that
the statements and opinions expressed in this book are provided as recommendations and should not be
construed as College policy. The College disclaims any liability or responsibility for the consequences of
any actions taken in reliance on those statements or opinions. This handbook has been written to provide a
consensus-based set of recommendations. The materials contained herein are not intended to establish policy,
procedure, or a standard of care.
June 1999, updated, January 2013, American College of Emergency Physicians, Dallas, Texas. This publication
may be reproduced, stored or transmitted in any form or by any means, electronic or mechanical, including
storage and retrieval systems. Printed in the USA.
Download additional copies at
Preface to the Second Edition
This handbook was first produced by the American College of
Emergency Physicians in 1999. This project was an enormous
undertaking at the time and was produced under its contract 980347(P) with the U.S. Department of Health and Human Services,
Health Resources and Services Administration, Maternal and
Child Health Bureau. Several key stakeholder organizations were
assembled to produce and review this handbook (see next page).
Since the first production of this handbook, “A National Protocol for
Sexual Assault Medical Forensic Examinations” was developed by the
US Department of Justice/Office for Violence Against Women. This
was revised in 2013. In addition, ACEP created the Forensic Medicine
Section in 2009. One of the goals of the section was to revise and
update this handbook. In 2011, the Forensic Medicine Section was
awarded an ACEP Section Grant to accomplish this goal.
This handbook represents the work of several members of the section
to revise and update the information provided. We are grateful to
them for their work on this project. We also would like to thank
ACEP for their continued dedication to the Section, its members, and
to the victims we serve. Finally, we would thank the organizations
listed below who graciously reviewed and commented on this 2nd
edition of the handbook. We hope this becomes a valuable resource
for ACEP Members.
Ralph J. Riviello, MD, MS, FACEP
Heather V. Rozzi, MD, FACEP
Project Co-Directors
Evaluation and Management of the Sexually Assaulted or Sexually Abused Patient | ACEP