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 2022Episode Outline:Differential DiagnosisWhat is the differential diagnosis for this scenario in the ED?Are these diagnoses mutually exclusive ?EMS/Prehospital CareWhat role do EMS providers play in the recognition of trafficking?ED EvaluationWhat 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-EDPhysical examination - Findings that lead to suspicion, documentation best practices.Diagnostic StudiesImaging: Any role for this?Lab testing: STI, anything else?Screening tools: Trauma-informed care, PEARR toolLocal laws differ by state. How do we handle this with patients? Does it dissuade reporting?"Rescuing mentality" and what that means in the EDTreatment MedicalBeyond medicines: Local services, national hotlineSpecial PopulationsDiagnosis: What to chart? National Human Trafficking Hotline 1-888-373-7888https://humantraffickinghotline.org/