ED Pathway for Evaluation/Treatment of Children with Sexual Abuse Concerns

Pregnancy Prophylaxis

Indications for Emergency Contraception

ALL post-pubertal females presenting within 120 hours of an assault

Preferred regimen

Plan B (1.5mg levonorgetrel)

Give both pills together in the ED if within 120 hours of assault

Package label recommends one dose with second dose 12 hrs later
Efficacy of both regimens is equivalent

Prescribe Ondansetron along with EC

Adolescents 8 mg
Both written and verbal information to be provided to patient offered Pregnancy Prophylaxis.