Emergency Medicine Considerations in the Transgender Patient

Benito Nikolas Pascua; Pamela L Dyne

doi:10.1016/j.emc.2023.01.003

Emergency Medicine Considerations in the Transgender Patient

Emerg Med Clin North Am. 2023 May;41(2):381-393. doi: 10.1016/j.emc.2023.01.003.

Authors

Benito Nikolas Pascua¹, Pamela L Dyne²

Affiliations

¹ UCLA Emergency Medicine, 924 Westwood Boulevard, Suite 300, Los Angeles, CA 90095, USA.
² Olive View-UCLA Medical Center, UCLA David Geffen School of Medicine, 14445 Olive View Drive, Sylmar, CA 91342, USA. Electronic address: pdyne@dhs.lacounty.gov.

PMID: 37024171
DOI: 10.1016/j.emc.2023.01.003

Abstract

Transgender patients are at high risk for poor health outcomes and many harbor fear of healthcare settings secondary to prior discrimination, perceived sensationalism, clinician unfamiliarity, and unwanted exams. It is essential to approach transgender patients without judgement and with empathy. Asking open ended questions with explanation as to why your questions are pertinent to their specific care will help create rapport and trust. Through a basic working knowledge of terminology, types of hormone therapy, non-surgical techniques, garments, and surgical procedures typically encountered by such patients, and their respective potential side effects and complications, clinicians can provide quality care to transgender patients.

Keywords: Bottom Surgery; Gender nonconforming; Hormone Therapy; Top Surgery; Transgender.

Publication types

Review

MeSH terms

Delivery of Health Care
Emergency Medicine*
Humans
Quality of Health Care
Transgender Persons*