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Sexual assault immediate care — DFSRH MCQ

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HardSTI diagnosis and managementSexual assault immediate careDFSRH

A 19-year-old presents 12 hours after sexual assault. She has genital soreness, has not washed, is unsure about ejaculation and is not using contraception. Observations are stable and she wants help but is undecided about police involvement. What is the most appropriate management?

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Correct answer: EOffer SARC referral, EC, STI risk assessment and trauma-informed care

Acute sexual assault care should be trauma-informed, with referral to a sexual assault referral centre, forensic options, EC, STI and safeguarding assessment. EC should not be delayed while forensic decisions are considered. Police involvement is the patient's choice unless safeguarding or capacity issues require action.

Reference: BASHH Sexual Assault Guidance; FSRH Emergency Contraception