The Trauma Patient Who is Transgender or Gender-Expansive: Special Considerations for the Trauma Team-Handout: Transgender

Handout: Transgender

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The document, "The Trauma Patient Who is Transgender or Gender-Expansive: Special Considerations for the Trauma Team," by Justin J. Milici, discusses the unique needs and considerations when addressing trauma in transgender and gender-expansive patients. The educational activity, accredited by the Trauma Center Association of America, provides continuing medical education credits to physicians and nursing contact hours.<br /><br />The document outlines the basic terms and definitions around gender identity, including key differences between biological sex and gender identity, and explains concepts such as transgender, cisgender, nonbinary, and gender affirmation. It emphasizes the importance of respectful engagement, such as asking patients their preferred names and pronouns, and the sensitive handling of personal information related to gender identity.<br /><br />Statistical data presented includes that about 1.6 million people in the U.S. identify as transgender. Notably, transgender and gender-diverse individuals face significant challenges in healthcare settings, with 21% avoiding emergency care due to perceived discrimination. There is a higher incidence of violence, depression, anxiety, and suicidal ideation within this population.<br /><br />Best practices for trauma teams include strong communication, ensuring respect for patient's chosen pronouns, understanding the implications of gender-affirming procedures and hormone therapies on medical treatment, and maintaining privacy in clinical assessments. Medical staff are encouraged to engage in continuous learning about transgender healthcare needs to reduce stigma and improve patient care quality.<br /><br />Overall, the document advocates for a more inclusive, informed, and respectful approach in trauma care settings to better serve transgender and gender-expansive patients, ensuring a supportive atmosphere that considers physical, psychological, and social needs.

Keywords

transgender healthcare

gender-expansive patients

trauma care

gender identity

inclusive medical practices

gender affirmation

patient pronouns

healthcare discrimination

gender-affirming procedures

medical education