Human Trafficking: A Guide to Identification and Approach for the Emergency Physician - 24/09/16
, Makini Chisolm-Straker, MD, MPH c, d, Herbert C. Duber, MD, MPH a, b, Shannon Lynn Findlay, MD e, f, Jessica Munoz, MSN, FNP-BC g, Gillian Schmitz, MD f, h, Melanie Stanzer, DO i, Hanni Stoklosa, MD, MPH d, j, Dan E. Wiener, MD b, k, Neil Wingkun, MD b, lAbstract |
Human trafficking is a significant human rights problem that is often associated with psychological and physical violence. There is no demographic that is spared from human trafficking. Traffickers maintain control of victims through physical, sexual, and emotional violence and manipulation. Because victims of trafficking seek medical attention for the medical and psychological consequences of assault and neglected health conditions, emergency clinicians are in a unique position to recognize victims and intervene. Evaluation of possible trafficking victims is challenging because patients who have been exploited rarely self-identify. This article outlines the clinical approach to the identification and treatment of a potential victim of human trafficking in the emergency department. Emergency practitioners should maintain a high index of suspicion when evaluating patients who appear to be at risk for abuse and violence, and assess for specific indicators of trafficking. Potential victims should be evaluated with a multidisciplinary and patient-centered technique. Furthermore, emergency practitioners should be aware of national and local resources to guide the approach to helping identified victims. Having established protocols for victim identification, care, and referrals can greatly facilitate health care providers’ assisting this population.
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| Supervising editor: Debra E. Houry, MD, MPH |
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| Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org/). The authors have stated that no such relationships exist. |
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| Continuing Medical Education exam for this article is available at ACEPeCME/. |
Vol 68 - N° 4
P. 501 - octobre 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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