In this episode, we will explore the presentation of sexual abuse, sexual assault and sex trafficking in the pediatric setting and discuss trauma and violence informed care practices to guide paramedic care. We will also discuss:
– gaps and barriers to care in this population
– practical tips to guide trauma and violence informed care including what not to ask
– role of the Sexual Assault Nurse Examiner and care available in Ontario through the Network of Sexual Assault and Domestic Violence Treatment Centers (SADVTC’s)
– mandatory and consent based reporting
– prevelence and risks of strangulation in the context of sexual assault and intimate partner violence and the importance of thorough assessment and imaging
Sponsored by:
Marita Smith
Marita is a Registered Nurse and clinical paramedic instructor for Algonquin College. She has worked for over a decade in Pediatric Emergency Care, further specializing as a Forensic Nurse Examiner for children and youth affected by sexualized violence including sexual abuse/assault and sex trafficking. In 2021 she became a sexual health educator and has worked since to provide health care providers and the broader community with a trauma and violence informed intersectional perspective on sexual health, abuse prevention and patient care.
For access to an in-depth course for paramedics on this topic, visit Marita’s education website atwww.maritasmith.ca. The course is eligible for 4 CME credits and provides an in-depth exploration of the issues, guidance on provision of care, and a virtual session to explore specific case scenarios.
On This Episode
How prepared do you feel to care for children and youth who have experienced abuse or assault?
- 1 in 10 Canadians (7.8%) over 15 report at least one instance of sexual abuse before age 15 (Stats Canada)
- Up to 88% of people being trafficked access health care (Polaris Project) – many don’t disclose they are being trafficked
- Highest rates of intimate partner violence occur between age 12-24 (Stats Canada)
- Young people aged 15-24 years have the highest rate of sexual assault (Gov’t of Canada)
In this episode, we will explore the presentation of sexual abuse, sexual assault and sex trafficking in the pediatric setting and discuss trauma and violence informed care practices to guide paramedic care. We will also discuss:
– gaps and barriers to care in this population
– practical tips to guide trauma and violence informed care including what not to ask
– role of the Sexual Assault Nurse Examiner and care available in Ontario through the Network of Sexual Assault and Domestic Violence Treatment Centers (SADVTC’s)
– mandatory and consent based reporting
– prevelence and risks of strangulation in the context of sexual assault and intimate partner violence and the importance of thorough assessment and imaging
Resources:
The CPG from BC although not created for the Ontario context is extensive and offers relevant guidelines for care” https://handbook.bcehs.ca/clinical-practice-guidelines/a-general/a10-sexual-assault/
The following resources each include 24/7 hotlines. They can be offered to patients particularly those who may be refusing care, or can be used by providers to guide decision making including location of closest SADVTC.
- www.canadiancentretoendhumantrafficking.ca/
- National Human Trafficking Hotline: 1-833-900-1010
- Ontario Network of Sexual Assault and Domestic Violence Treatment Centers
- Navigation Line 1-855-NAV-SADV (628-7238)
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