性侵法医鉴定.pdfVIP

Sexual Assault Forensic Examination 84 Rajnish Jaiswal, Mary T. Ryan, and Muhammad Waseem When the survivor of a sexual assault seeks medical care, in 84.2 Contraindications addition to addressing their medical needs, their forensic needs must also be addressed. This is best achieved by a spe- • Absolute cialist examiner, who is trained to conduct a Sexual Assault – If the survivor does not consent to evidence collection Forensic Examination (SAFE). When the examiner is a • Relative nurse, she or he is referred to as a Sexual Assault Nurse – If the upper time limit has been exceeded Examiner (SANE). In designated centers, the forensic exam- iner and the nurse, physician, law enforcement offi cials, social workers, and patient advocates work together as a 84.3 Materials and Medications Sexual Assault Response Team (SART). The process of caring for survivors of sexual assault con- • Ideally, a designated SAFE room should be available. tinues to evolve and refl ects the advances in forensic science, • Standardized sexual assault evidence collection kits. judicial reform and our understanding of assault survivor • Gloves. psychology. • Camera. However, when an emergency medical condition exists, it • Portable light source. should be addressed by the designated medical team. The • Swab dryer. role of the SAFE examiner becomes secondary in these situ- • Wood’s lamp. ations. Life- or limb-threatening injuries always take priority • Anoscope. over for