Human Trafficking Clinical Presentation and Treatment in the ED;

A Teaching Module:

 

The purpose of providing this information to ED clinicians is to improve the quality of healthcare that trafficked persons receive upon ED presentation. Emergency care practitioners are one of the few groups of people on the frontline, able to facilitate the escape of trafficked persons. Armed with the knowledge of how these patients present and the proper treatment available for them, providers can positively change lives. Appropriately implemented, such education should increase the number safe opportunities for trafficked persons to leave unsafe and unjust living conditions.

 

The following is a module, meant to guide the educator; it is offered as an effective and efficient means of educating busy but dedicated practitioners. It is by no means all- inclusive or fixed. Education facilitators should feel free to revise this guide in an effort to best train ED clinicians. Visit here for more training and educational resources.

 

Pre-Session Assessment (~a week before the Session)

 

Introduction/Salutation (≤60 sec):

 

Present Case Study (~60 sec):

“Obtunded teenage ♀, GCS of 5, presents to LA E.D., w/her older bro. She is bleeding from her vaginal canal; old/new burns, scars, cuts visible on wrists, ankles, neck. Pt. unresponsive, but brother reports she is schizophrenic and suspects a ‘dangerous abortion attempt.’”

 

Read Jill’s Abbreviated Story (~4 min) (Warn that this narrative contains graphic information that may be triggering for some listeners.)

 

Short Transition/Pause to PowerPoint Presentation (~ “So. I imagine that was a lot for some of you. So. Let’s talk about our role, in the care of trafficked persons, as practitioners in the E.D.”)

 

PowerPoint Presentation (guiding notes included in powerpoint)

 

Post-Session Evaluation (immediately following presenation)

Before you give this presentation you should be familiar with the following resources:

  1. www.polarisproject.org; read US testimonies
  2. Trafficking Victims Protection Act of 2000
  3. Jill Leighton, Ashek Hamid, and Ricardo Veisaga’s entire stories (included or visit: http://ex-oriente-lux.org/acc_usa_01.html (Leighton)

http://www.npr.org/templates/story/story.php?storyId=3282013 (Hamid;

audio version—transcript fee: $3.95)

http://chicagoreporter.com/2006/5-2006/trafficking/trafficking1.htm

(Veisaga))

  1. “Hiding in Plain Sight” (included or visit: http://www.uri.edu/artsci/wms/hughes/hiding_in_plain_sight.pdf); note that this document is dated and refers to the TVPA of 2000; the Reauthorization 2005 does protect domestic victims, as well as international victims.
  2. conceptual framework chart (included or visit: http://www.salvationarymusa.org/usn%5Cwww_usn.nsf/vw-sublinks/820384F6BA996E585256F25005D5274?openDocument)

 

More resources on human trafficking:

  1. 1-888-3737-888
  2. 1-888-428-7581 (voice and TTY)
  3. local Polaris Project chapter
  4. local anti-trafficking groups (important to find out about the healthcare needs and presentation of the victims in your area)
  5. local US Attorney’s office
  6. www.HEALTrafficking.org
  7. Office of Victims of Crime grantees, who serve trafficked persons