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.

EMplify - Sept 2022

Episode Outline:

Differential Diagnosis

EMS/Prehospital Care

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

Special Populations

Diagnosis: What to chart?

National Human Trafficking Hotline

1-888-373-7888

https://humantraffickinghotline.org/

Human Trafficking of Children and Adolescents

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