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

Note:
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.