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Lynda Gibbons argues that emergency nurses require specialised training to recognise the signs of physical, sexual or psychological abuse and to manage patients who present with themDomestic violence has a lasting and damaging effect on the lives of thousands of women, men and children in Ireland and the UK. Yet, healthcare services are ill equipped to deal with the victims of physical, sexual, and psychological abuse, many of whom present to emergency departments because they need help and support. As this article discusses, healthcare staff have a responsibility of care for such people. They must be able to recognise and respond to the signs of domestic abuse, and refer people who experience it to the appropriate organisations.