Human Trafficking: Clinical Presentation & Treatment How to Care for Trafficked Persons in the E.D. Makini Chisolm-Straker , MSII Brown Medical School, Mt. Sinai School of Medicine 2007 Instructional Goals:
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How to Care for
Trafficked Persons in the E.D.
Brown Medical School, Mt. Sinai School of Medicine
You will know the hotline to call when a suspected trafficking victim presents to the emergency department.
commercial abuse of children
massage parlors, hostess clubs, brothels, escort services, commercial phone sex & internet dating
exotic dancing/strippingTypes of Trafficking
domestic servitude (domestic work & child care)
-small-scale factory work
-sweatshops & farms of multinational corps
-agricultural & landscape work
organ harvestingTypes of Trafficking
(Populations at Risk):
not in control of personal ID
few no personal possessions
does not speak
3rd party insists on being present or interpreting
injuries (multiple, old & new)
signs of malnourishment
brandingSigns & Sx
under 18 & in sex industry – DE FACTO
claim of “just visiting”
behavior change when “law enforcement” is mentioned
bacterial &/or yeast infxns
demeanor (e.g.: fearful, anxious, submissive, flat affect)Signs & Sx
What to do
The folks working at the hotlines are trained to know how to help you, but you are their eyes & ears. Trust their knowledge, your experience & your gut. If the patient is an adult, they have the last say, but give them every opportunity to receive help.Even if a potential victim doesn’t want help, call: 1 - 8 6 6 - U S - T I P L I N E,to report suspected trafficking;the tip can save lives.
Presumptive Treatment for:
*for sexually exploited victims
Special thanks to Polaris Project help you, but you are their eyes & ears.
for the images & information.
Clinical Recommendations courtesy of
Doctors of the World.