Emergency medicine providers must have keen interviewing skills, an ability to convey openness and kindness to the victim, and use a multidisciplinary treatment approach
A 19-year-old female presents to the ED with complaints of cough; rhinorrhea; sinus pressure; nausea; body aches; and mild, intermittent cramping abdominal pain. Her vital signs: T 100.1, HR 99, RR 18. She appears tired and thin and has a blunted affect. She is wearing open-toed pumps, leggings, and a tank top. It is winter and very cold outside. Accompanying her is a man who appears to be in his late 20s and is introduced by the patient as her boyfriend. He gives the registrar the patient’s identification.
The boyfriend insists upon accompanying the patient into the room. The patient is guarded during history and gives short, abrupt answers. She avoids eye contact with the examiner and keeps looking at her boyfriend. He interjects that he just wants her to get some antibiotics so they can get out of there.