PAEDIATRICS
SEXUAL ASSAULT IN CHILD
Wasn’t asked directly but probably know how to escalate. Mandatory report!!!!!
PromptAssessment of young girl with straddle injury
ResponseMechanism of injury
Witnesses
Firs aid applied
Ability to pass urine/faeces
Degree of bleeding
Exclusion of NAI
Witnesses
Firs aid applied
Ability to pass urine/faeces
Degree of bleeding
Exclusion of NAI
PromptExamination in straddle injury
ResponseAbility to see edges of wound
anal/rectal involvement
Degree of bleeding
anal/rectal involvement
Degree of bleeding
PromptAnxiety over examination - options
ResponseProcedural sedation
- Midazolam (PO/IN), Nitrous
- Ketamine/anaesthesia
PromptDischarge recommendations for straddle injury
ResponseSalt water baths for comfort
Barrier cream/topical anaesthetic to wound
Simple oral analgesia
Barrier cream/topical anaesthetic to wound
Simple oral analgesia
PromptWhat is a straddle injury
ResponseMost straddle injuries are minor but cause great anxiety due to location + concerns for future development. Unoestrognised pre-pubertal female genital tissue is friable with excellent blood flow - even minor trauma can cause injury and bleeding which can appear extensive
NAI is uncommonly associated with it
Abbreviated from RCH
NAI is uncommonly associated with it
Abbreviated from RCH