Manual Nonfatal Strangulation Assessment for Health Care Providers and First Responders

Diana Faugno, a Minnesota native, graduated from the University of North Dakota in 1973 with a degree in nursing and obtained an MSN in 2006. Her professional experience includes nursing in the Medical/Surgical, Labor and Delivery, Pediatrics, and Neonatal Intensive Care departments. Ms. Faugno obtained her certification in pediatric nursing in 1990, began a career as a sexual assault nurse examiner in 1991, and became a certified sexual assault nurse examiner in 2002. She is the former director of Forensic Health Services, which includes a child abuse program, sexual assault team, and a family violence program in North San Diego County. Currently, Ms. Faugno is a board director for End Violence Against Women International. She has made several presentations to the scientific community and has led workshops on sexual assault presented at the American Academy of Science.Angelia Trujillo is an associate professor of nursing at the University of Alaska, Anchorage, School of Nursing and primary nurse planner for the Continuing Education unit of the Alaska Nurses Association. She received her doctorate of nursing practice in 2008 from the University of Tennessee Health Science Center with a concentration in forensic nursing and program evaluation. She has five years of experience as a forensic nurse examiner for adults and adolescents and seven years of experience in pediatric and adolescent response. She has worked on 20 peer-reviewed publications over the course of six years, including the first and second volume of Sexual Assault Across the Lifespan 2E: A comprehensive Clinical Reference. In 2015, she received the award for Education Article of the Year from the Journal of Forensic Nursing.Barbra Bachmeier is a nurse practitioner and forensic nurse examiner at IU Health – Methodist Hospital and a solo attorney at Guardian Ad Lietem and Guardianship Practice in Indianapolis, IN. She completed her clinical ethics fellowship in 2013 at Charles W. Fairbanks Center for Medical Ethics - IU Health. Her nursing career began in 1982 as a licensed practical nurse at Trinity Medical Center in Minot, ND. From there, she has worked as a staff nurse, nurse practitioner, and forensic nurse examiner with several positions being held in the emergency unit. In 2015, she received the National ENA Nursing Practice and Professionalism Award from the National Emergency Nurses Association. She also has 29 years of experience in the US military.Patricia Speck is an internationally recognized family nurse practitioner who specializes in public health and forensic nursing. She graduated from the University of Tennessee Health Science Center, College of Nursing and later completed her doctoral dissertation on sexual assault program evaluation. As a board certified family nurse practitioner, Patricia’s clinical practice focuses on the health aftermath of violence and her research centers on forensic nursing practice topics. She is a consultant, author, and lecturer on forensic nursing and has earned more than 20 local, national, and international awards and professional honors for her work. Patricia chairs the American Public Health Association’s Family Violence Forum and is a former president of the International Association of Forensic Nurses.

• Section I: Strangulation AssessmentSection II:Nonfatal Strangulation PhotographySection III: Case Study Chapters 1. 26-year-old Female Patient Assaulted by Ex-Partner 2. 31-year-old Female Patient Assaulted by Ex-Boyfriend 3. 26-year-old Female Patient Assaulted by Ex-Boyfriend 4. 14-year-old Female Patient Assaulted by Boyfriend5. 43-year-old Female Patient Assaulted by Ex-Boyfriend 6. 27-year-old Female Patient Assaulted by Boyfriend 7. 12-year-old Male Patient Assaulted by Mother 8. 17-year-old Female Patient Assaulted by Friend9. 37-year-old Female Patient Assaulted by Husband10. 31-year-old Female Patient Assaulted by Ex-Boyfriend11. 22-year-old Female Patient Assaulted by Significant Other12. 15-year-old Female Patient Assaulted by Stranger13. 21-year-old Male Patient Assaulted by SuitorSection IV: Reccommended ReadingSection V: Answer KeySection VI: CME Questions