A 25-year-old woman comes to the ED accompanied by a friend reporting that she was the victim of a sexual assault 4 hours ago. The patient is very affected, answering her questions inconsistently, slowly and not being able to remember how the assault occurred. Her vital signs (blood pressure, heart rate and temperature) are normal. Which of the following would be WRONG:
All the actions detailed are correct except the one detailed in option 2. The collection of samples of legal interest will only be carried out in the presence of the coroner, and, without the presence of the coroner, the woman must give her written consent. In addition, the taking of gynecological samples must be adapted to the psychological state of the victim, so in most cases, it is counterproductive to perform it at this time (even more so when they describe the patient's state as "very affected, answering their questions incongruently, slowly and not being able to remember how the aggression occurred".
Contact the duty court.
Immediate gynecological examination with cervical cytology.
Administer 500 mg of intramuscular ceftriaxone, 1 g of azithromycin orally and 2 g of tinidazole orally in single doses.
Administer 1500 mg of levonorgestrel orally in a single dose.
The collection of samples of legal interest will only be carried out in the presence of the coroner, and, without the presence of the coroner, the woman must give her written consent.