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Emergency medicine and Level 4 trauma center for severe and life-threatening situations that require immediate medical attention including: ?- Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine for severe and life-threatening situations that require immediate medical attention including:

• Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and Level 4 trauma center for severe and life-threatening situations that require immediate medical attention including:

• Adult mental health hospital care: For adults ages 18 and older who need 24 hour hospital care. Criteria for admission to the unit are for the patient to be a danger to self or others. This treatment program is for patients who have a major mental illness and require professional assistance to learn how to cope with significant problems they are experiencing in day-to-day living. Patients receive care in the secured hospital unit while learning how to manage their illness. Professionals from a variety of health care disciplines including psychiatrists, hospitalists, registered nurses, social workers, program specialists and leisure skills facilitators assist patients with treatment and recovery.

?- Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Sexual assault nurse examiners provide sexual assault forensic exams for survivors of sexual violence. Exams are provided at hospital emergency departments at local hospitals. Advocates are present to support victims throughout the exam.

Emergency medicine for severe and life-threatening situations that require immediate medical attention including:

• Broken bones or fractures

• Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and hospital for severe and life-threatening situations that require immediate medical attention including: ?- Chest pain or pressure ?- Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Surgery?

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and Level 4 trauma center for severe and life-threatening situations that require immediate medical attention including:

• Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Provides full-service reproductive and wellness clinic services including:

• Birth control

• Emergency contraception

• Family planning

• HIV testing

• IUD removal

• Pregnancy testing

• Referrals for Human papillomavirus infection (HPV) vaccinations

• Routine exams (blood pressure, pelvic, pap smears, and breast exams)

?- Sexual assault after-care testing and treatment

• Sexual health education

• Sexually transmitted disease (STD) testing and treatment (including herpes, chlamydia, gonorrhea, syphilis, hepatitis, and HPV)

• Testicular cancer information and instruction

• Vaginal exams for yeast, trichomoniasis, bacterial vaginitis (BV), and urinary tract infections (UTI)

Level IV trauma emergency room treating a range of medical conditions:

• Abdominal pains
• Breathing difficulties
• Broken bones
• Carbon monoxide exposure
• Confusion/inabilty to speak
• Dizziness
• Head/brain injuries
• High fever
• Loss of consciousness
• Major burns
• Mental health, substance use crisis, and suicidal behaviors
• Partial or full paralysis
• Poisoning
• Seizures
• Severe bleeding or deep cuts
• Severe eye injuries or blindness
• Severe pain/chest pain/cardiovascular/heart emergencies
• Stroke/neurological emergencies

Adult Mental Health Hospital Care: For adults ages 18 and older who need 24 hour hospital care. Criteria for admission to the unit are for the patient to be a danger to self or others. This treatment program is for patients who have a major mental illness and require professional assistance to learn how to cope with significant problems they are experiencing in day-to-day living. Sexual Assault/Rape Victim Nurse Examiner: When a victim comes to the emergency department, a sexual assault nurse examiner can evaluate him or her for health risks, and provide treatment. Telehealth options available

Emergency medicine and Level 3 trauma center for severe and life-threatening situations that require immediate medical attention, including: ?- Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and Level 3 trauma center for severe and life-threatening situations that require immediate medical attention including: ?- Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and Level 1 trauma center for severe and life-threatening situations that require immediate medical attention including:

• Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault: Exams on site by a Sexual Assault Nurse Examiner (SANE)

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and Level 4 trauma center for difficult and life-threatening situations that require immediate medical attention, including:

• Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Mental Health Crisis Assessment and Referral

?- Seizures ?- Severe abdominal pain ?- Sexual assault ?- Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis, or weakness

• Traumatic injury

• Uncontrolled bleeding

Sexual advocate services include:

• Assistance in emergency room visits to collect evidence of an assault

• Court advocacy

??- Crisis hotline for those who are victims of domestic or sexual violence

• Education on sexual violence

• Help with safety planning and protective orders

• Information on rights and reparations

• Referrals to outside agencies

• Support group for people who have been victims of sexual violence

• Support if reporting an assault to law enforcement

• Support when medical attention is needed to treat injuries, detect potential sexually transmitted infections (STIs), pregnancy, and other concerns

Domestic Violence Intervention Program (DVIP): Identifies and provides services to patients and employees who are victims and survivors of domestic violence. The program collaborates with the Hennepin County Domestic Abuse Service Center (DASC) to provide services. Next Step: A violence prevention program provided to youth ages 12 - 28 years who are admitted to the hospital due to a stabbing or gunshot. Hennepin Assault Response Team - HART: Assists victims of rape and sexual assault through area hospital emergency departments 24 hours a day. They complete an evidentiary exam and help individuals cope with the trauma and consequences of the assault.

Emergency care and level 4 trauma center for severe and life-threatening situations that require immediate medical attention including:

• Burns

• Breathing difficulty

• Broken bones

• Chest pain or pressure

• Head or neck injury

• Heavy bleeding / bleeding that won't stop

• Intense pain

• Loss of consciousness

• Motor vehicle crash injury

• Overdose of drugs or alcohol

• Poisoning

• Seizures

• Severe allergic reaction with trouble breathing, swelling, hives

• Sudden inability to speak or difficulty speaking

• Severe injury

• Sudden confusion

• Weakness or drooping on one side of body or face

Emergency medicine and Level IV trauma center for severe and life-threatening situations that require immediate medical attention including:

• Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault: Exams on site by a Sexual Assault Nurse Examiner (SANE)

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and level 4 trauma center for severe and life-threatening situations that require immediate medical attention including:

• Broken bones or fractures

• Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and Level 2 trauma center for severe and life-threatening situations that require immediate medical attention including: ?- Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Sexual advocate services include:

• Assistance in emergency room visits to collect evidence of an assault

• Court advocacy

??- Crisis hotline for those who are victims of domestic or sexual violence

• Education on sexual violence

• Help with safety planning and protective orders

• Information on rights and reparations

• Referrals to outside agencies

• Support group for people who have been victims of sexual violence

• Support if reporting an assault to law enforcement

• Support when medical attention is needed to treat injuries, detect potential sexually transmitted infections (STIs), pregnancy, and other concerns

Emergency medicine and Level 4 trauma center for severe and life-threatening situations that require immediate medical attention including: ?- Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and Level 4 trauma center for severe and life-threatening situations that require immediate medical attention including:

• Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Emergency medicine and Level 4 trauma center for severe and life-threatening situations that require immediate medical attention including: ?- Chest pain or pressure

• Head injury

• Heart attack or acute coronary syndrome

• Seizures

• Severe abdominal pain

• Sexual assault

• Shortness of breath or pneumonia

• Stroke

• Sudden, severe headaches, paralysis or weakness

• Traumatic injury

• Uncontrolled bleeding

Sexual advocate services include:

• Assistance in emergency room visits to collect evidence of an assault

• Court advocacy

??- Crisis hotline for those who are victims of domestic or sexual violence

• Education on sexual violence

• Help with safety planning and protective orders

• Information on rights and reparations

• Referrals to outside agencies

• Support group for people who have been victims of sexual violence

• Support if reporting an assault to law enforcement

• Support when medical attention is needed to treat injuries, detect potential sexually transmitted infections (STIs), pregnancy, and other concerns

Support Within Reach is pleased to announce the start of our Itasca County Sexual Assault Nurse Examiner (SANE)Program in collaboration with Grand Itasca Clinic and Hospital, Bigfork Valley Clinic and Hospital, and Deer River HealthCare Center! What is a Sexual Assault Nurse Examiner (SANE)A SANE is a specially trained medical provider with a minimum of an RN degree, who: Provides comprehensive care to the sexual assault survivor Conducts a forensic examination and collection of evidence Can be called as an expert witness in the courtroom Why should I see a SANE Nurse?Available 24/7 Non-threatening and sensitive exam and evidence collection Knowledgeable and can answer your questions Can address concerns regarding sexually transmitted infections and pregnancy Will review your options with you and respect your decisions Where can I find a SANE Nurse?SANE's are currently available 24-hours in the emergency departments of: Grand Itasca Hospital and Clinic Deer River HealthCare Center Bigfork Valley