Emergency Department Clinical Pathway for Evaluation/Treatment
of Children with Sexual Abuse Concerns
Child/Adolescent presenting to ED
with complaint of sexual abuse/assault
Sexual Assault Response Team (SART) Definitionswith complaint of sexual abuse/assault
ED Evaluation
ED Team/SART
Evaluation
Evaluation
ED Team Evaluation
SCAN Consult
Consider Trauma Consult
Discharge Planning with Social Work Consult
Patient discharged from ED
CARE Clinic fellow/attending
reviews SART evaluation
a follow-up plan is determined
CARE Clinic appointment
Follow-up Treatment Program
(counseling)
Other telephone care management
Call child/adolescent/family to discuss
follow-up plan; documentation is in Epic
follow-up plan; documentation is in Epic
Evidence
- CDC Sexually Transmitted Infections Treatment Guidelines, 2021 (PubMed)
- Antiretroviral PEP after Sexual, Injection Drug Use, or Other Nonoccupational Exposure to HIV
- AAP Committee on AIDS. PEP in Children and Adolescents for Nonoccupational Exposure to HIV
- NY SDOH. HIV Prophylaxis Following Non-occupational Exposure Including Sexual Assault
CHOP Program
Educational Media
- SART Module
- Primary Care Perspectives: Podcast for Pediatricians
Episode 76: Identifying Signs of Child Abuse and Neglect
Related Links
- CDC Sexually Transmitted Infections Treatment Guidelines, 2021 (CDC.gov)
- National Clinician’s Post-Exposure Prophylaxis Hotline (PEPLine):
1-888-448-4911 - Enhancing the Identification of Commercial Sexual Exploitation Among a Population of High-Risk Youths
- A Public Health Approach to Global Child Sex Trafficking
- A Short Screening Tool to Identify Victims of Child Sex Trafficking
- Tindamax® (Tinidazole) Prescribing Information