The sexual assault examination.

The sexual assault examination poses many problems for physicians. They must deal not only with the patient's physical and emotional trauma, but also collect forensic evidence, and provide proper treatment and follow-up. Patient management has been simplified and improved in Ontario by a standardized sexual assault examination kit. It has been used at McMaster University's Regional Sexual Assault Centre since its establishment in 1979. The first step in managing victims is ensuring their wellbeing, and treating them sympathetically. The kit provides information on consent, taking the sexual assault history, recording the patient's emotional status, and treatment guidelines. It also contains equipment and instructions on collecting clothing and body evidence, and on the genital and anal examination. The collection of good forensic evidence can decrease the need for doctors and nurses to testify in court.