According to recent national studies, one in six women and one in 33 men wi
ll experience an attempted or completed rape during their lifetime. Althoug
h most rapes are never reported, victims that do report them often present
to the emergency department for intervention. The emergency physician must
be able to treat acute injuries, accurately collect and record evidence, of
fer STD and pregnancy prophylaxis, offer emotional support (with the social
worker and rape crisis advocate), and provide appropriate referrals for fo
llow-up care. The emergency physician can play a crucial role in easing the
transition from victim to survivor with initial treatment. This article su
mmarizes current recommendations for evaluation and treatment of sexual ass
ault victims.