VAWnet has updated their special collection on intimate partner homicide prevention. You should range around the site a bit–there’s a lot here for clinicians and for the collaborative teams in which we participate.

OJJDP just released a new resource: Recognizing When a Child’s Injury or Illness Is Caused by Abuse (PDF). It’s written for law enforcement, so this is really more of a SART or MDT resource, than a clinical text. I was happy to see it addresses issues like aging bruises based on color (you can’t), and provides some good overview information about a variety of injuries and other findings. I haven’t gone through the whole thing, but it looks promising. Peds folks weigh in…

NCMEC has a free webinar coming up, Missing and Exploited: Child Sex Trafficking Reporting and Recovery Planning (PDF). The session will be held August 19th from 2-3:30pm ET. Click through for details:

Read more

After yesterday’s post I received a request from an FHO reader for more resources on caring for patients who have experienced female genital mutilation/cutting (literature seems to be divided on the proper terminology so I am using both here). Not surprisingly, there isn’t a huge amount of clinically-focused information out there, and much of it is specific to obstetrics. I rounded up what appeared to be the best and most current articles and clinical guidelines (mostly free full-text) and included links to previous FHO posts addressing the same topic. As always, it’s not exhaustive (I opted to leave most of the obstetric-specific information out), but hopefully it’s useful. Read more

Today is my sweet kid’s 13th birthday, so I am officially the parent of a teenager. I have no idea how that happened. A minute ago she was a newborn and now she’s this funny, interesting, incredibly smart kid who makes me proud every day. Naturally we spent the weekend celebrating (ziplining and dim sum, anyone?) and gorging on homemade Hostess-type treats (my spouse whipped up Twinkies, Ho-Hos and Cupcakes complete with squiggly frosting). Pretty much the only thing I could do after the weekend calorie bombardment was to loll around last night and surf my social media sites. Which is what I did. Here’s what caught my eye since last we spoke:

Read more

This week’s full-text offering is from The Permanente Journal and it addresses an issue that certainly doesn’t get discussed enough in healthcare circles: male patients who have experienced child sexual abuse. Coincidentally, I just saw that IAFN posted this article on Facebook, as well, so perhaps some of you have read the article already. If not, I recommend it. Click through for more details:

Read more

I frequently get asked about setting fees for expert consultation and testimony. Particularly with nurses, I find that people are unsure of how to determine appropriate rates and are prone to undervaluing their worth. So I figured I’d write something up for those of you needing some guidance. These are absolutely my opinions, not hard and fast rules. When I looked to see what had been written on fees for experts there was very little out there relevant to nursing specifically, and where it involved criminal (vs. malpractice) trials, there was even less. We don’t talk about it much (people are squeamish about things involving money), and really, we should. So I’ll kick off the conversation…

Read more

Surveillance data is extremely useful for us; the CDC guidelines are one resource for making decisions about how we treat our patients, but the actual information about what STDs are being seen in our communities, what problems may exists regarding things like antibiotic resistance, and other considerations, are also part of the calculus. For instance, if you have a high rate of syphilis in your community, you may choose to test as a part of your patient care.

Read more

The newest edition of Futures Without Violence‘s Health E-Bulletin (PDF) is now available. Particularly useful is the 1st article on why the ACA-mandated domestic violence screening matters and the one on reproductive coercion. Worth your time.

We finally cleared the last of our houseguests yesterday (that’s 10 days of people in our tiny place for those of you tracking), so we’re back to status quo. I head down to the NAC for the Army this week, but aside from that it should be relatively mellow. I was busy playing tourist in my own city this weekend, but there was still plenty of time to catch up on the news of the day. Here’s what’s caught my eye since last we spoke:

Read more


The best training for the best medical professionals

STM Learning / G.W. Medical Publishing.

SANE/SAFE Forensic Workbook Series:
Entry, Intermediate, and Advanced-Level Adolescent and Adult Sexual Assault Assessment

The newest addition to G.W. Medical Publishing/STM Learning’s library of resources

www.gwmedical.com