Overweight and the sexual assault forensic medical examination: a pressing problem.

Abstract:

:This paper examines the problems faced by forensic physicians assessing overweight victim/survivors of sexual assault, using sample cases and reviewing the literature. This under-researched area is a minefield of practical difficulties and unanswered questions, with the need for solutions becoming more pressing as overweight becomes more common. Overweight has the potential to alter injury patterns; the way forensic medical examinations are conducted; and injury and specimen interpretation. Pertinent questions include whether the "cushion effect" noted in motor vehicle accidents is relevant to sexual assault and how obesity-related comorbidities affect our ability to age injuries. Practical problems include positioning the client safely, obtaining clear views of areas of interest, and taking high-quality specimens. Although overweight victims appear to be uncommon in sexual assault services, as the obesity epidemic progresses clinicians will need to address these issues.

journal_name

J Forensic Leg Med

authors

Kramer K

doi

10.1016/j.jflm.2012.07.013

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

207-10

issue

4

eissn

1752-928X

issn

1878-7487

pii

S1752-928X(12)00183-7

journal_volume

20

pub_type

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