Human Trafficking of Children and Adolescents

In this episode, Sam Ashoo, MD interviews Lela Bachrach, MD, MS, Larissa Truschel, MD, MPH, and Makini Chisolm-Straker, MD, MPH – the authors of the July 2022 PEMP article on Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department. Listen to the discussion to hear more about the emergency medicine approach to human trafficking. 

Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department 

EMplify – Sept 2022

Episode Outline:

Differential Diagnosis

  • What is the differential diagnosis for this scenario in the ED?
  • Are these diagnoses mutually exclusive ?

EMS/Prehospital Care

  • What role do EMS providers play in the recognition of trafficking?

ED Evaluation

  • What are common presentations/complaints that may represent trafficking?
  • Examination: Privacy, use of a separate room, how do we accomplish this with minors?
  • Ground rules: What does this mean? How do you state this in your practice? Do you find this dissuades patients form reporting?
  • Technology: What if they are on the phone?
  • History – HEADS-ED
  • Physical examination
    • Findings that lead to suspicion
    • Documentation best practices.

Diagnostic Studies

  • Imaging: Any role for this?
  • Lab testing: STI, anything else?
  • Screening tools: Trauma-informed care, PEARR tool
  • Local laws differ by state. How do we handle this with patients? Does it dissuade reporting?
  • “Rescuing mentality” and what that means in the ED

Treatment 

  • Medical
  • Beyond medicines:
    • Local services
    • National hotline

Special Populations

Diagnosis: What to chart? 


National Human Trafficking Hotline

1-888-373-7888

https://humantraffickinghotline.org/

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