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 (https://www.ebmedicine.net/topics/social/pediatric-emergency-medicine-human-trafficking). 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  (https://www.ebmedicine.net/topics/social/pediatric-emergency-medicine-human-trafficking)EMplify - Sept 2022Episode 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 EDTreatment * Medical* Beyond medicines: Local services, national hotlineSpecial PopulationsDiagnosis: What to chart? National Human Trafficking Hotline 1-888-373-7888https://humantraffickinghotline.org/ (https://humantraffickinghotline.org/)