1、Designation: E 2124 09Standard Practice forthe Specification for Equipment and Supplies in SexualAssault Investigations1This standard is issued under the fixed designation E 2124; the number immediately following the designation indicates the year oforiginal adoption or, in the case of revision, the
2、 year of last revision. A number in parentheses indicates the year of last reapproval. Asuperscript epsilon () indicates an editorial change since the last revision or reapproval.1. Scope1.1 This practice describes the basic instruments used forthe medical-legal examination of victims and/or suspect
3、s insexual assault investigations. These specifications are designedto be used in conjunction with other specifications, guides, andpractices associated with sexual assault examinations that arelisted in Section 2.1.2 Additional information can be found in TerminologyE 1732, Guide E 1843, Specificat
4、ion E 2057, and PracticeE 2123.2. Referenced Documents2.1 ASTM Standards:2E 1732 Terminology Relating to Forensic ScienceE 1843 Guide for Sexual Assault Investigation, Examina-tion, and Evidence CollectionE 2057 Specifications for Preparation of Laboratory Analy-sis Requests in Sexual Assault Invest
5、igations3E 2123 Practice for the Transmittal of Evidence in SexualAssault Investigation3. Summary of Practice3.1 These specifications outline considerations when choos-ing equipment to be used in the medical-legal examination ofsexual assaults. The types of equipment listed should beincluded in any
6、examination facility. Considerations for choos-ing a variation or optional equipment are also given.4. Instrumentation and Supplies4.1 The following instrumentation should be available atexamining facilities where sexual assault cases are received:4.1.1 SpeculumThe speculum is used to view the vagin
7、alwalls and cervix. Clear plastic disposable specula are preferredbecause they allow the examiner to see through them andvisualize the vaginal walls. Metal specula do not allow thisvisibility and also may reflect light when taking photographs.Speculum illuminators which attach to the handle should b
8、econsidered as an aid (as they assist) in visualizing the vaginalwalls and cervical area.4.1.2 ColposcopeThe colposcope is used to magnify andprovide increased visibility, especially in the vaginal areawhere structures include many folds and grooves of tissue. Theexaminer must deliberately examine e
9、ach structure to deter-mine the presence or absence of injury and/or foreign material.The use of colposcopy has been shown to be critical in bothpediatric and adult sexual assault examinations.4.1.2.1 There are several varieties of colposcopes manufac-tured and each program should review numerous ty
10、pes toascertain the best instrument for their facility in view ofexisting equipment and physical layout of the examinationenvironment.4.1.2.2 The colposcope should have photographic or videocapability, as well as print capacity. The photographic or videocapability should be of sufficient resolution
11、to adequatelyrecord and document the detail observed in the examination.4.1.2.2.1 Appropriate film digital storage media, and othersupplies necessary for the type of photographic instrumentmust also be maintained.4.1.2.2.2 Cameras incapable of close-up photography, dis-posable cameras, and/or camera
12、s that produce “instant” pho-tographs are generally not of sufficient quality to warrantconsideration.4.1.3 Alternate Light SourcesAlternate light sources as-sist in the location, documentation and collection of driedstains, foreign debris, and subclinical bruising. The ultravioletlight (Woods lamp)
13、 is most often used and is considered basicequipment in a sexual assault physical examination.4.1.3.1 Recently, alternate light sources specifically de-signed for use in criminal investigation activities have beendeveloped and have the capability of illuminating surfacesunder variable wavelength set
14、tings which can help in locating1This practice is under the jurisdiction of ASTM Committee E30 on ForensicSciences and is the direct responsibility of Subcommittee E30.01 on Criminalistics.Current edition approved June 15, 2009. Published July 2009. Originallyapproved in 2001. Last previous edition
15、approved in 2001 as E212401.2For referenced ASTM standards, visit the ASTM website, www.astm.org, orcontact ASTM Customer Service at serviceastm.org. For Annual Book of ASTMStandards volume information, refer to the standards Document Summary page onthe ASTM website.3Withdrawn. The last approved ver
16、sion of this historical standard is referencedon www.astm.org.1Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.a greater variety of stains and are valuable in locating subclini-cal bruising and establishing patterns of injury.4.1.4 An
17、oscopeWhen the examiner needs more than anexternal examination of the anorectal area, a clear plasticdisposable anoscope should be available.4.1.5 Otoscope and OpthalmoscopeThese instruments areuseful to determine whether injury to the ear(s) and/or eye(s)have occurred.4.1.5.1 Disposable shields sho
18、uld be used to prevent cross-contamination.4.1.5.2 The otoscope may also be helpful in examiningother cavities, such as the oropharynx.4.1.6 Alight-staining microscope, which is especially usefulin the identification of spermatozoa as sharply contrasted inyellow against a purple background, may be c
19、onsidered,especially in those facilities where sexual assault cases arefrequently seen.4.1.6.1 A variety of photographic attachments are alsoavailable with light-staining microscopes and should be con-sidered when procuring the instrumentation.4.1.7 Swab Dryer To reduce degradation of samples, theex
20、amination area should contain equipment necessary to allowadequate air drying of wet or moist evidence items prior topackaging. Swab dryers are available commercially or can bebuilt (no heating element should be present) to the specifi-cations of an individual examination setting.4.1.8 Examination L
21、ightThe best quality examinationlight available should be obtained, preferably with a halogenlight source.4.1.9 Overhead LightingOverhead lights such as “day-light” fluorescent bulbs that give good skin tone illuminationshould be used, for improved observation as well as accuratephotography.4.1.10 S
22、caleA balance beam scale should be available toaccurately measure the height and weight of the examinee.4.1.11 Trays and TablesCounter space, trays and tablesshould be adequate and at proper height to facilitate usingequipment during examinations. These surfaces should meethospital standards for cle
23、anliness.4.1.12 Other InstrumentsStethoscope, sphygmomanom-eter, thermometer, and surface measuring devices should beeasily available.4.2 SuppliesIn addition to those supplies included withthe instrumentation described above in 4.1, disposable supplieslisted in Table 1 should be available during sex
24、ual assaultexaminations.4.2.1 A list of medical equipment and supplies is providedin Table 1.TABLE 1 Medical Equipment and SuppliesMedical EquipmentSpec illuminator lightIlluminator replacement bulbHalogen exam lightBalance beam scaleOverbed tableOtoscopeRechargeable handle for otoSphygmo, aneroidMe
25、dical SuppliesEmesis basin, 9”Temp-a-dot, F.3cc, 21Gxl,12 Syringe20 cc Syringe w/o needle, monojectSharps cont. lqtFoley, 5cc, 18FrExam gloves, latex unisive, no powderNon-sterile 2x2Non-sterile, 4x4Paper tape, 1” w/dispenserPVP iodine scrub, 1 stick/pakExam gownSlippers, MSlippers, LFt. drapesHead
26、towels, blueWashclothes, dispo, non-scrimProcto apps. 16”Surgilube 5g tubeTongue depressors, non-sterileCotton-tipped applicators, sterile 6”Otoscope speculaVag spec smallVag spec medAnoscopeVacutainer, 7ml, lavender EDTAVacutainer needles, 21Gx 1”Vacutainer holdersVacutainer winged collection sets,
27、 21Gx34 ”Calgiswab type 4, sterile 1sTable paper, 18” crepe5. Keywords5.1 instrumentation; investigation; sexual assault; suppliesASTM International takes no position respecting the validity of any patent rights asserted in connection with any item mentionedin this standard. Users of this standard a
28、re expressly advised that determination of the validity of any such patent rights, and the riskof infringement of such rights, are entirely their own responsibility.This standard is subject to revision at any time by the responsible technical committee and must be reviewed every five years andif not
29、 revised, either reapproved or withdrawn. Your comments are invited either for revision of this standard or for additional standardsand should be addressed to ASTM International Headquarters. Your comments will receive careful consideration at a meeting of theresponsible technical committee, which y
30、ou may attend. If you feel that your comments have not received a fair hearing you shouldmake your views known to the ASTM Committee on Standards, at the address shown below.This standard is copyrighted by ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959,United States. Individual reprints (single or multiple copies) of this standard may be obtained by contacting ASTM at the aboveaddress or at 610-832-9585 (phone), 610-832-9555 (fax), or serviceastm.org (e-mail); or through the ASTM website(www.astm.org).E2124092
