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AZIENDA USL RM B
POLICLINICO CASILINO
EMERGENCY DEPARTMENT:
IDENTIFICATION AND FIRST AID FOR
VICTIMS OF FEMALE TRAFFICKING
A.Pagnanelli *, T.N.Pinto **, L.Raia **
* Medicina d’Urgenza e Pronto Soccorso
** Servizio Assistenza Pazienti (SAP)
Policlinico Casilino - Roma
FOREIGNERS %
AZIENDA USL RM B
Largest communities
Romania
Bangladesh
8
Policlinico
Casilino
48,6%
5,9%
Cina
5,4%
Nigeria
3,7%
Albania
3,6%
Marocco
2,8%
L' 8° Municipio
243.922 citizens (8.5% of Rome’s citizens ); 37.767 foreigners (10.9% of Rome’s
foreigners)
2.4% increase of demography in Rome; 22,6% in the VIII Municipio
15.5% of VIII Municipio’s population is foreign; ( 12.1% in Rome) It’s the Municipio
with the second highest number of immingrants in Rome
AZIENDA USL RM B
DATA LAZIO
POLICLINICO CASILINO
All
%
Nigerian
nations
users
NIG/TOT
All
users
%
Nigerian
nations
Abortion
users
NIG/TOT
7904
diagnosis
Threat of
abortion
diagnosis
66
0,84
78 9404 0,83
users
19
14
532 3,57
578 2,42
Tot. accesses
566
60586
0,93
Women accesses
435
33190
1,31
Gynechological ward
306
9
10829
228
2,83
3,95
142
3,52
Abortion hospitalization
Hospitalization
5
Nigerian users
%
Casilino/Lazio
28,79
17,95
AZIENDA USL RM B
IDENTIFICATION OF 3 CASES OF FEMALE
TRAFFICKING VICTIMS (2009-2011)
• Woman
access in ER
•Request for support to the Hospital Welfare
Bureau (SAP) (group of Psychologists, Human
Service workers and Sociologists)
• Cooperation of SAP and Roxanne to support
women
AZIENDA USL RM B
• 2009 - first case: a 25-year-old female with a fractured arm
reported abuse and induced prostitution. Consequently a
social protection program has been activated.
• 2010 - second case: a 23-year-old female arrived at ER for
severe abdminal pain,with the embryo sac visible from the
cervix and presence of cardiac activity. She refused medical
aid.
•2011 - third case: a 26-year-old female came in the ER with
blood losse and handed a cigarette packet containing a 1415-week-old embryo to a nurse, then left the hospital.
AZIENDA USL RM B
THERE IS A SERIOUS NEED TO TRAIN ER TEAM
FOR THE FOLLOWING:
•RECOGNITION OF FEMALE TRAFFICKING
CASES
•IDENTIFICATION OF SPECIFIC SITUATIONS
SUCH AS INDUCED ABORTION ( ABUSE OF
PROSTAGLANDIN, DRUG USED TO TREAT
PEPTYC ULCER)
•COOPERATION WITH LOCAL ASSOCIATIONS
INVOLVED IN SOCIAL ISSUES
AZIENDA USL RM B
ER TEAM TRAINING IS THE ONLY WAY TO DEVELOP
SKILLS AND SENSITIVITY TO RECOGNIZE CRITICAL
SITUATIONS THAT ARE OFTEN UNDERESTIMATED.
I.E.
NUMBER OF REQUESTS FROM ER TEAM FOR
SUPPORT/INTERVENTION OF SAP GROUP
WHEN A GENDER-BASED ABUSE AND
VIOLENCE CASE IS HYPOTHESIZED.
AZIENDA USL RM B
SAP
September-November 2009
Training course for ER team - Policlinico Casilino concerning “female victim of violence”.
(Doctors and nurses, gynechologists and
obstestricians)
Official trainer: TELEFONO ROSA
NUMBER OF SUPPORT REQUESTS FOR ABUSED WOMEN
CASES.
2008
2009
4
14
2010
47
2011
58
AZIENDA USL RM B
POLICLINICO CASILINO: AN HYPOTHESIS OF
FIRST AID FOR FEMALE TRAFFICKING VICTIMS
TRAINING COURSE IN COLLABORATION WITH
ROXANNE AND PARSEC DIRECTED TO :
•Doctors and nurses of the ER
•Gynechologists, obstetricians of the hospital and family
planning clinic of the III District of ASL Roma B.
AZIENDA USL RM B
TRAINING FEATURES:
7-hours course focusing on:
-Data mapping of Female trafficking in Rome and in the
VIII Municipio;
-Suspicious markers in recognizing cases of female
trafficking I.e.:
• Geographic origin
• Anamnestic data
• Approach mode
Approach, Healthcare and first aid.
AZIENDA USL RM B
POLICLINICO CASILINO
GRAZIE
DELL’ATTENZIONE
A.Pagnanelli , T.N.Pinto , L.Raia
www.casilinoemergenza.it