Human Trafficking of Children and Adolescents

<p>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 <a href="https://www.ebmedicine.net/topics/social/pediatric-emergency-medicine-human-trafficking">Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department</a>. Listen to the discussion to hear more about the emergency medicine approach to human trafficking. </p><p></p><p><a href="https://www.ebmedicine.net/topics/social/pediatric-emergency-medicine-human-trafficking">Human Trafficking of Children and Adolescents: Recognition and Response in the Emergency Department </a></p><p></p><p>EMplify - Sept 2022</p><p></p><p>Episode Outline:</p><p></p><p>Differential Diagnosis</p><ul><li>What is the differential diagnosis for this scenario in the ED?</li><li>Are these diagnoses mutually exclusive ?</li></ul><p></p><p>EMS/Prehospital Care</p><ul><li>What role do EMS providers play in the recognition of trafficking?</li></ul><p></p><p>ED Evaluation</p><ul><li>What are common presentations/complaints that may represent trafficking?</li><li>Examination: Privacy, use of a separate room, how do we accomplish this with minors?</li><li>Ground rules: What does this mean? How do you state this in your practice? Do you find this dissuades patients form reporting?</li><li>Technology: What if they are on the phone?</li><li>History - HEADS-ED</li><li>Physical examination - Findings that lead to suspicion, documentation best practices.</li></ul><p></p><p>Diagnostic Studies</p><ul><li>Imaging: Any role for this?</li><li>Lab testing: STI, anything else?</li><li>Screening tools: Trauma-informed care, PEARR tool</li><li>Local laws differ by state. How do we handle this with patients? Does it dissuade reporting?</li><li>"Rescuing mentality" and what that means in the ED</li></ul><p></p><p>Treatment </p><ul><li>Medical</li><li>Beyond medicines: Local services, national hotline</li></ul><p></p><p>Special Populations</p><p></p><