Sexual assault victims

1. Referral of Sexual assaultReferral of Sexual assault
victimsvictims
(rape/sex abuse)(rape/sex abuse)
Accident & Emergency depttAccident & Emergency deptt
GTB hospitalGTB hospital
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2. 2
 SEXUAL OFFENCESSEXUAL OFFENCES
 Natural offences:Natural offences: Rape; IncestRape; Incest
 Unnatural offences:Unnatural offences: Sodomy;Sodomy;
Tribadism; Bestiality; Buccal coitusTribadism; Bestiality; Buccal coitus
 Sexual abuse of childrenSexual abuse of children
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3. All patients male or female are receivedAll patients male or female are received
in main casualtyin main casualty
Female patients are refd to deptt. ofFemale patients are refd to deptt. of
Gynecology and Obs. for furtherGynecology and Obs. for further
management.management.
Male victims – are taken care of in mainMale victims – are taken care of in main
casualty.casualty.
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4. 1.1. ConsentConsent
2.2. ConfidentialityConfidentiality
3.3. Maintenance Of RecordsMaintenance Of Records
4.4. Collection And Preservation Of SamplesCollection And Preservation Of Samples
DUTIES OF REGISTERED MEDICAL PRACTITIONERDUTIES OF REGISTERED MEDICAL PRACTITIONER
TOWARDS STATETOWARDS STATE
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5. 5
STEPS IN SPECIFIC CASESSTEPS IN SPECIFIC CASES
 IN RAPE CASEIN RAPE CASE
 Inform the policeInform the police
 After taking consent, medicolegalAfter taking consent, medicolegal
examination and treatment givenexamination and treatment given
 Samples for examination of blood,Samples for examination of blood,
stains, semen, swabs, sweat, hair, nailsstains, semen, swabs, sweat, hair, nails
etc preserved, sealed, labeled and sentetc preserved, sealed, labeled and sent
to police under proper receiptto police under proper receipt
 Issue medicolegal certificate and sendIssue medicolegal certificate and send
report as early as possiblereport as early as possible
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6. EXAMINATION OF PERSON ACCUSED OF
SEXUAL ASSAULT
Section 53A CrPC
•Brought by police written and signed request
•Details of examination findings
•Sample preservation –Clothing/Blood/Semen sample/Pubic hairs
for DNA profiling
•Opinion
•Age determination
Consent not required
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7. 7
STEPS IN SPECIFIC CASESSTEPS IN SPECIFIC CASES
 IN RAPE CASEIN RAPE CASE
THE CrPC 2005 AMENDMENTTHE CrPC 2005 AMENDMENT::
Some mandatory points for examination:Some mandatory points for examination:
 examined within 24 hrs after taking proper consentexamined within 24 hrs after taking proper consent
 Always examined in presence of femaleAlways examined in presence of female
 Note the time of start and the time of endNote the time of start and the time of end
 Always state reasons for all conclusionsAlways state reasons for all conclusions
 It is necessary to keep samples for examination of blood,It is necessary to keep samples for examination of blood,
stains, semen, swabs, sweat, hair, nails, DNA etc asstains, semen, swabs, sweat, hair, nails, DNA etc as
requiredrequired
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8. Guidelines laid down by hon’ble courtGuidelines laid down by hon’ble court
 A detailed description of assault/abuse history is mentionedA detailed description of assault/abuse history is mentioned
 In case of girl victim medical examination preferably by a femaleIn case of girl victim medical examination preferably by a female
doctordoctor
 As far as practical –psychiatrist help made available to victimAs far as practical –psychiatrist help made available to victim
 Report prepared as early as possibleReport prepared as early as possible
 Parents/ guardian whom child trust allowed to be presentParents/ guardian whom child trust allowed to be present
 In case of results of examination are likely to be delayed theIn case of results of examination are likely to be delayed the
same mentionedsame mentioned
 Emergency medical treatment/prophylaxis against STD providedEmergency medical treatment/prophylaxis against STD provided
when necessary/HIV testing after window periodwhen necessary/HIV testing after window period
 After examination child permitted to wash up and provide freshAfter examination child permitted to wash up and provide fresh
clothing if clothing is taken as evidenceclothing if clothing is taken as evidence
 Samples Preserved according to guidelines –SAFE [SexualSamples Preserved according to guidelines –SAFE [Sexual
abuse Forensic Evidence] Kit provided in Govt. hospitalsabuse Forensic Evidence] Kit provided in Govt. hospitals
CHILD ABUSE/ SUSPECTED VICTIMS OFCHILD ABUSE/ SUSPECTED VICTIMS OF
SEXUAL ASSAULT/ABANDONED CHILDRENSEXUAL ASSAULT/ABANDONED CHILDREN
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9. MEDICAL EXAMINATION OF VICTIMS
OF SEXUAL ASSAULT
Section 164A of CrPC
•Examination only by female registered medical practitioner
in case of female victims
•Without delay
•Consent -documented
•Note down particulars
•Complete history
•Examination – Genital examination and injuries:
Standard protocols and guidelines
•Preserve samples-DNA profiling
•Emergency Contraception if required
•Treatment /prophylaxis as required
•Opinion
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10. Where?Where?
Specified area is defined for all such casesSpecified area is defined for all such cases
Emergency Department is the area where malesEmergency Department is the area where males
victims MLC is preparedvictims MLC is prepared
butbut
sometimes may be in wards after detection of newsometimes may be in wards after detection of new
findingsfindings
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11. • Clothes in assault/injury/fire-arm/burn casesClothes in assault/injury/fire-arm/burn cases
• Nail clippings in assault/rape casesNail clippings in assault/rape cases
• Vaginal swabs/public hair in rape casesVaginal swabs/public hair in rape cases
• Swabs in un-natural sexual offence casesSwabs in un-natural sexual offence cases
COLLECTION AND PRESERVATION OF SAMPLES
Gastric lavage/ vomitus in poisoning casesGastric lavage/ vomitus in poisoning cases
Blood in alcoholic/poisoning cases/drug abuse orBlood in alcoholic/poisoning cases/drug abuse or
for DNA testfor DNA test
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12. 12
PREPARATION OFPREPARATION OF
MEDICOLEGAL REPORTMEDICOLEGAL REPORT
 Medicolegal report (MLR) prepared immediatelyMedicolegal report (MLR) prepared immediately
after the examination of a medicolegal case isafter the examination of a medicolegal case is
donedone
 It is prepared in duplicate, preferably with a ball-It is prepared in duplicate, preferably with a ball-
point-pen, in a clear and legible handwritingpoint-pen, in a clear and legible handwriting
 Cutting/ overwriting etc avoided as much asCutting/ overwriting etc avoided as much as
possible and all corrections properly initialedpossible and all corrections properly initialed
 Abbreviations of any sort avoidedAbbreviations of any sort avoided
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13. Consent in Medico legal casesConsent in Medico legal cases
CONSENT FOR MEDICOLEGALCONSENT FOR MEDICOLEGAL
EXAMINATION TO BE TAKEN IN WRITTENEXAMINATION TO BE TAKEN IN WRITTEN
IN ALL CASESIN ALL CASES
Exception : Cases brought by police beingException : Cases brought by police being
arrested on charge of committing an offencearrested on charge of committing an offence
Person below 12 years/unsound mind-Person below 12 years/unsound mind-
consent of guardian is to be taken.consent of guardian is to be taken.Brought to you by

14. Information is given only to I.O. or anyInformation is given only to I.O. or any
person designated by I.Operson designated by I.O ..
If the I.O. gives requisition for any clarificationIf the I.O. gives requisition for any clarification
regarding certain points mentioned in theregarding certain points mentioned in the
report given, answer is given in writing.report given, answer is given in writing.
DOCTORS MAINTAIN CONFIDENTIALITY INDOCTORS MAINTAIN CONFIDENTIALITY IN
ALL MLC CASESALL MLC CASES Brought to you by

15. Important issuesImportant issues
Psycho- social support to the victimsPsycho- social support to the victims
Need to adjust them in familiesNeed to adjust them in families
Foster families /care homesFoster families /care homes
Police protection to the victims/ familyPolice protection to the victims/ family
membersmembers
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16. Issues of Abused BoysIssues of Abused Boys
Stigma of homosexualityStigma of homosexuality
Loss of freedomLoss of freedom
Expected male roleExpected male role
deal with problems alonedeal with problems alone
don’t be so sensitivedon’t be so sensitive
be strongbe strong
allegianceallegiance
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17. This platform has been started by ParveenThis platform has been started by Parveen
Kumar Chadha with the vision that nobodyKumar Chadha with the vision that nobody
should suffer the way he has sufferedshould suffer the way he has suffered
because of lack and improper healthcarebecause of lack and improper healthcare
facilities in India. We need lots of fundsfacilities in India. We need lots of funds
manpower etc. to make this vision a realitymanpower etc. to make this vision a reality
please contact us. Join us as a member forplease contact us. Join us as a member for
a noble cause.a noble cause.
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mark of the 20,000mark of the 20,000
 Thank you viewersThank you viewers
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collaboration, partners.collaboration, partners. Brought to you by

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