This webinar presentation will illustrate the differential diagnosis tree the clinician must consider when performing a prepubescent medical forensic exam or consulting when ano-genital injury has been identified. A review of normal pediatric anogenital anatomy, followed by case studies that include normal variants that can be mistaken for abuse, STI’s that may mimic trauma, straddle injury review, and traumatic injuries from sexual abuse.

Objectives:

Presenter(s):

Diane Daiber BSN, SANE-A, SANE-P As a Forensic Nursing Specialist for the International Association of Forensic Nurses( IAFN), Diane was responsible for the collaborative development of the U.S. Department of Justice, Office on Violence Against Women’s, National Protocol for Sexual Abuse Medical Forensic Examinations: Pediatric (Pediatric SAFE Protocol). Since the release of the Protocol, Diane has been providing technical assistance and training on both the National SAFE Protocol and the Pediatric SAFE Protocol. In this role, she participated in the 2017 revision of the National SAFE Training Standards and was a contributing author to the IAFN’s Pediatric Strangulation Case Review and Assessment Program. A forensic nurse examiner with extensive experience, including program development and management, she also teaches the Indian Health Service and IAFN Adolescent/Adult and Pediatric Sexual Assault Nurse Examiner Course as well as a member of the Ohio Attorney General Sexual Assault Response Training Team, a preferred trainer for the Ohio Peace Officers Training Academy, and the Collaborative Initiative to End Human Trafficking. Diane holds a Bachelor of Science in Nursing from Ursuline College and holds international certifications as a Sexual Assault Nurse Examiner for Adolescent, Adult and Pediatric

Kimberly Nash BSN, SANE-A, SANE-P is a Forensic Nursing Specialist for the International Association of Forensic Nurses (IAFN) since May 2017, providing medical forensic training and technical assistance. She earned her BSN from Regis University in 1998 and became a Sexual Assault Nurse Examiner in 2006. Dual board certified as a SANE-A and a SANE-P, she has been part of a team of forensic nurses since 2006 at Memorial Hospital, University of Colorado Health in Colorado Springs, Colorado who provide medical forensic care to more than 1800 patients per year who are victims of violence (sexual assault, intimate partner violence, child abuse, elder abuse, strangulation, human trafficking). She served on the Board of Directors for the International Association of Forensic Nurses (IAFN) 2012-2014, and is a Past President of the Colorado Chapter of IAFN. Additionally, she provides clinical skills training through Memorial Hospital’s Simulation Laboratory, utilizing live models and teaching sexual assault care to providers from across the US, with a special emphasis on those working in rural or underserved areas. In 2012, she served as an international consultant for a USAID project in Swaziland, Africa, mentoring local health care professionals in the care of pediatric rape patients with an emphasis on the prevention of HIV. Ms. Nash was involved as the medical consultant for the International Association of Chiefs of Police (IACP) for a project addressing the response to sexual gender based violence in Egypt and in August 2015 and October 2016 she traveled to Cairo to teach. She was involved with a similar international project (2017) with the IAFN and IACP addressing organized crime and gender-based violence in Mexico. Ms Nash has extensive experience providing training to various disciplines on sexual violence across the lifespan, intimate partner violence, child abuse, elder abuse, strangulation and human trafficking.