Consider emergency contraception if possibility of pregnancy
Ceftriaxone 500mg IM in a single dose (1000mg if weight >= 150 kg) AND
Doxycycline 100mg orally twice a day for 1 week AND
For pregnant patients, Azithromycin 1g orally in a single dose instead of doxycycline AND
Metronidazole 500 mg PO BID for 1 week AND
HIV post-exposure prophylaxis
Post-exposure prophylaxis (PEP) recommended as soon as possible if <= 72 hours since exposure AND
Assailant HIV positive
Assailant HIV status unknown, but patient's mucous membranes or non-intact skin exposed to blood, semen, vaginal secretions, or bloody body fluids
For pregnant patients, Azithromycin 1g orally in a single dose instead of doxycycline AND
Post-exposure prophylaxis (PEP) recommended as soon as possible if <= 72 hours since exposure AND
Assailant HIV positive
Assailant HIV status unknown, but patient's mucous membranes or non-intact skin exposed to blood, semen, vaginal secretions, or bloody body fluids
Assailant HIV positive
Assailant HIV status unknown, but patient's mucous membranes or non-intact skin exposed to blood, semen, vaginal secretions, or bloody body fluids
If patient is pre-pubertal, only treat with antibiotics if they test positive rather than empirically.
Pubertal patients should be given empiric antibiotics.
For patients who weigh > 45 kg,<unk> me as adult medications above
For patients who weigh <= 45 kg
Gonorrhea: Ceftriaxone 50 mg/kg IM (maximum dose 250 mg) in a single dose
Chlamydia: Doxycycline 2.2 mg/kg (maximum dose 100 mg) orally twice a day for 1 week
Doxycycline may be used in age < 8 for treatment durations <= 21 days
If patient is pregnant or liquid doxycycline is not available for patients who cannot swallow pills, can give Azithromycin 60 mg/kg (maximum dose 1000 mg) orally in a single dose
Trichomonas: Metronidazole 15 mg/kg (maximum dose 670 mg or 2000 mg/day) orally three times a day for 1 week
Gonorrhea: Ceftriaxone 50 mg/kg IM (maximum dose 250 mg) in a single dose
Chlamydia: Doxycycline 2.2 mg/kg (maximum dose 100 mg) orally twice a day for 1 week
Doxycycline may be used in age < 8 for treatment durations <= 21 days
If patient is pregnant or liquid doxycycline is not available for patients who cannot swallow pills, can give Azithromycin 60 mg/kg (maximum dose 1000 mg) orally in a single dose
Trichomonas: Metronidazole 15 mg/kg (maximum dose 670 mg or 2000 mg/day) orally three times a day for 1 week
Doxycycline may be used in age < 8 for treatment durations <= 21 days
If patient is pregnant or liquid doxycycline is not available for patients who cannot swallow pills, can give Azithromycin 60 mg/kg (maximum dose 1000 mg) orally in a single dose
Tetanus vaccine
Hepatitis B post-exposure prophylaxis
Even if patient is vaccinated, give HBV vaccine booster shot, preferably within 24 hours of exposure
HPV vaccine for female patients age 9-26 and male patients 9-21 if patient has not already completed series of 3 vaccines
Even if patient is vaccinated, give HBV vaccine booster shot, preferably within 24 hours of exposure
Sexual assault
Child abuse
Trauma 
Bladder trauma
Hazmat exposure
Penile trauma
Submersion injury
Abusive head trauma