I’m entering a few months prep for the UK and Ireland exit exam in Emergency Medicine: the FRCEM. I’ll be adding lots of little notes on pearls I’ve learned along the way. A lot of my revision is based around the Handbook of EM as a curriculum guide and review of contemporary, mainly UK guidelines. I also focus on the areas that I’m a bit sketchy on. With that in mind I hope they’re useful.
You can find more things on the FRCEM on this site here.
- under the Sexual Offences Act 2003 the definition of rape is the non-consensual penetration of vagina, mouth or anus by a penis
- Sexual assault by penetration is the non-consensual, intentional insertion of an object or part of the body other than the penis into the vagina or anus
- Intercourse with a child under 13 is rape
- Age of consent is 16
(RCEM acknowledges this is not a straightforward decision)
- assailant known HIV
- has risk factors
- anal rape
- multiple assailants
- Where the victim is a child. Any sexual assault of a child should trigger local safeguarding procedures.
- Where there are concerns about the welfare of children of the victim.
- Where the victim lacks capacity and is unlikely to regain capacity.
- Where guns or knives have been used by the perpetrator.
RCEM Statements summarised as follows
- Victims should ideally be assessed in a SARC (Sexual Assault Referral Centre)
- Forensic examinations should only be conducted by those with the right training and performed in the right location
- Any info that would identify a person should not be shared without consent unless in exceptional circumstances (in particular this includes the Police)
- There is no requirement for ED clinicians to take blood for the police
- PEP should be available for all