scholarly journals Human Trafficking Education for Emergency Department Providers

2021 ◽  
pp. 38-55
Author(s):  
Caroline Shadowen ◽  
Sarah Beaverson ◽  
Fidelma Rigby
Keyword(s):  
Emergency Department ◽  
Curriculum Development ◽  
Medical Care ◽  
Human Trafficking ◽  
Scoping Review ◽  
Mandated Training

Many trafficked persons receive medical care in the Emergency Department (ED); however, ED staff have historically not been educated about human trafficking. In this article, we describe interventions aimed to train ED providers on the issue of trafficking. We performed a scoping review of the existing literature and found 17 studies that describe such interventions: 14 trainings implemented in the ED, two taught at conferences for ED providers, and one assessing a state-mandated training. These studies demonstrate that even brief education can improve provider confidence in screening and treating patients that experienced trafficking. We advocate for interventions to promote a team-based approach specific to the ED setting, acknowledge the importance of survivors’ input on curriculum development, and assess outcomes using pre- and post-surveys.

A Scoping Review of Human Trafficking Screening and Response

2021 ◽  
pp. 152483802110572
Author(s):  
Rebecca J. Macy ◽  
L. B. Klein ◽  
Corey A. Shuck ◽  
Cynthia Fraga Rizo ◽  
Tonya B. Van Deinse ◽  
...  
Keyword(s):  
Human Trafficking ◽  
Scoping Review ◽  
Service Providers ◽  
Work Conditions ◽  
Screening Tools ◽  
Specific Response ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Scoping Reviews ◽  
The U.S

Service providers are increasingly asked to identify individuals who are experiencing trafficking and to connect them with resources and support. Nonetheless, identification is complicated by the reality that those who are experiencing trafficking may rarely self-identify, and providers may fail to identify individuals who are experiencing trafficking due to lack of guidance on how to screen for trafficking capably and sensitively. With the aim of guiding practice, we undertook a scoping review to search for and synthesize trafficking screening tools and response protocols. Following the PRISMA extension for Scoping Reviews (PRISMA-ScR), we located 22 screening tools contained in 26 sources. We included any documents that described or tested human trafficking screening tools, screening or identification protocols, response protocols, or guidelines that were published in any year. All documents were abstracted using a standardized form. Key findings showed that most tools were developed by practice-based and non-governmental organizations located in the U.S. and were administered in the U.S. Few screening tools have been rigorously evaluated. The common types of screening questions and prompts included (a) work conditions; (b) living conditions; (c) physical health; (d) travel, immigration, and movement; (e) appearance and presentation; (f) mental health, trauma, and substance abuse; (g) associations and possessions; and (h) arrests and prior involvement with law enforcement. We were not able to locate specific response protocols that provided step-by-step guidance. Nonetheless, the review revealed available practice-based and research-based evidence to help inform guidance concerning how screening and identification of human trafficking may be administered.

Real-time video telemedicine applications in the emergency department: a scoping review of literature

CJEM ◽  
2017 ◽  
Vol 20 (6) ◽  
pp. 920-928 ◽  
Author(s):  
Danielle K. Kelton ◽  
Adam Szulewski ◽  
Daniel Howes
Keyword(s):  
Emergency Department ◽  
Real Time ◽  
Scoping Review ◽  
Exclusion Criteria ◽  
Current State ◽  
Study Selection ◽  
Cochrane Database ◽  
The World ◽  
Data Source ◽  
Widespread Interest

AbstractObjectivesTo collect and synthesize the literature describing the use of real-time video-based technologies to provide support in the care of patients presenting to emergency departments.Data SourceSix electronic databases were searched, including Medline, CINAHL, Embase, the Cochrane Database, DARE, and PubMed for all publications since the earliest date available in each database to February 2016.Study SelectionSelected articles were full text articles addressing the use of telemedicine to support patient care in pre-hospital or emergency department settings. The search yielded 2976 articles for review with 11 studies eligible for inclusion after application of the inclusion and exclusion criteria. A scoping review of the selected articles was performed to better understand the different systems in place around the world and the current state of evidence supporting telemedicine use in the emergency department.ConclusionsTelemedicine support for emergency department physicians is an application with significant potential but is still lacking evidence supporting improved patient outcomes. Advances in technology, combined with more attractive price-points have resulted in widespread interest and implementation around the world. Applications of this technology that are currently being studied include support for minor treatment centres, patient transfer decision-making, management of acutely ill patients and scheduled teleconsultations.

scholarly journals Out-of-Hospital COVID-19 Deaths: Consequences for Quality of Medical Care and Accuracy of Cause of Death Coding

2021 ◽  
Vol 111 (S2) ◽  
pp. S101-S106
Author(s):  
Elizabeth B. Pathak ◽  
Rebecca B. Garcia ◽  
Janelle M. Menard ◽  
Jason L. Salemi
Keyword(s):  
Emergency Department ◽  
Young People ◽  
Medical Care ◽  
Temporal Trends ◽  
Case Fatality ◽  
Timely Access ◽  
Quality Of Medical Care ◽  
Access To Medical Care ◽  
Racial Ethnic

Objectives. To examine age and temporal trends in the proportion of COVID-19 deaths occurring out of hospital or in the emergency department and the proportion of all noninjury deaths assigned ill-defined causes in 2020. Methods. We analyzed newly released (March 2021) provisional COVID-19 death tabulations for the entire United States. Results. Children (younger than 18 years) were most likely (30.5%) and elders aged 64 to 74 years were least likely (10.4%) to die out of hospital or in the emergency department. In parallel, among all noninjury deaths, younger people had the highest proportions coded to symptoms, signs, and ill-defined conditions, and percentage symptoms, signs, and ill-defined conditions increased from 2019 to 2020 in all age–race/ethnicity groups. The majority of young COVID-19 decedents were racial/ethnic minorities. Conclusions. The high proportions of all noninjury deaths among children, adolescents, and young adults that were coded to ill-defined causes in 2020 suggest that some COVID-19 deaths were missed because of systemic failures in timely access to medical care for vulnerable young people. Public Health Implications. Increasing both availability of and access to the best hospital care for young people severely ill with COVID-19 will save lives and improve case fatality rates.

scholarly journals Volunteer contributions in the emergency department: A scoping review

2019 ◽  
Vol 6 (3) ◽  
pp. 105-113
Author(s):  
Sophie Glanz ◽  
Brittany Ellis ◽  
Shelley L McLeod ◽  
Cameron Thompson ◽  
Don Melady ◽  
...  
Keyword(s):  
Emergency Department ◽  
Scoping Review

What impact does Magnet designation have on emergency department nurses’ outcomes? A scoping review

2020 ◽  
Vol 52 ◽  
pp. 100908
Author(s):  
Amy N.B. Johnston ◽  
C.J. Cabilan ◽  
Sue Galbraith ◽  
Dale Mason ◽  
Charandeep Farma ◽  
...  
Keyword(s):  
Emergency Department ◽  
Scoping Review ◽  
Emergency Department Nurses
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