A 34-year-old male presents to the ED with a chief complaint of arm pain. He speaks Cape Verdean creole primarily.
A 34-year-old male presents to the ED with a chief complaint of arm pain. He speaks Cape Verdean creole primarily. On history, he states that he fell down the stairs but is reluctant to provide further details. He is accompanied by a female who offers to translate. On musculoskeletal exam, his left upper arm appears deformed. On skin exam, he has bruises in multiples stages of healing. The HCP is concerned that there may be physical abuse and/or human trafficking; however, because the health facility has no HT protocol in place, it is unclear what next steps to take, including what screening questions to ask.
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