Released: 2.27.25
Expires: 2.24.28

2.27.25

Description: This course will explore the unique healthcare needs of transgender and gender-expansive trauma patients, focusing on the incidence and common causes of injury within this population. Justin Milici will address special considerations when performing primary and secondary surveys on transgender patients, emphasizing the importance of inclusive communication, respectful history-taking, and awareness of anatomical variations due to gender-affirming procedures. Participants will gain practical insights into delivering trauma care that is sensitive, informed, and tailored to the unique needs of this population, ensuring optimal and respectful treatment.

Objectives:

• Discuss the incidence and common causes of injury in the patient who is transgender or gender-expansive.
• Describe special considerations when performing a primary and secondary survey on the trauma patient who is transgender or gender-expansive.
• Discuss special considerations while performing interventions on the trauma patient who is transgender or gender-expansive.

Moderator: Steve Weinman
Presenter: Justin Milici

Bio: Justin is a masters prepared nurse with over 38 years of experience. Justin has presented around the country numerous times on transgender and gender-expansive care. In addition to being a presenter, Justin has served as an author and contributing author for several books on the subject of transgender and gender-expansive care, including the Emergency Nurses Association’s (ENA) Sheehy’s Manual of Emergency Care and Emergency Nursing Core Curriculum. Justin served as Chair and contributing author for ENA’s “LGBTQ Toolkit for Emergency Care Settings” work group and authored the Society of Pediatric Nurses’ (SPN) “Caring for the Transgender Patient”. In 2017, Justin authored the first resolution on transgender care for the ENA General Assembly, which passed. Justin also authored the ENA Topic Brief, “Care of the Gender-expansive and Transgender Patient in the Emergency Care Setting”, and “The Gender-diverse and Transgender Patient: A Special Population in Trauma Care” for the Journal of Emergency Nursing. Justin holds a master of science in nursing degree and currently works as a Clinical Editor for Elsevier Clinical Solutions. Justin has clinical backgrounds in emergency, trauma, pediatrics, and nursing education.

•Morrison, S. D., et al (2018). Injury in the transgender population: What the trauma surgeon needs to know. Journal of Trauma and Acute Care Surgery, 85(4), pp. 799-809.
•Human Rights Campaign (2024). Fatal Violence Against the Transgender and Gender-Expansive Community in 2024. https://www.hrc.org/resources/fatal-violence-against-the-transgender-and-gender-expansive-community-in-2024  
•Human Rights Campaign (2023). Fatal Violence Against the Transgender and Gender-Expansive Community in 2023. https://www.hrc.org/resources/fatal-violence-against-the-transgender-and-gender-expansive-community-in-2023
•Bauer, G.R., and others (2015). Intervenable factors associated with suicide risk in transgender persons: a respondent driven sampling study in Ontario, Canada. BMC Public Health. 2015 Jun 2;15:525.
•National LGBTQIA+ Health Education Center (2024). LGBTQIA+ Glossary of Terms for Health Care Teams. https://www.lgbtqiahealtheducation.org/publication/glossary/
•UCLA Williams Institute (2023). More than 40% of transgender adults in the US have attempted suicide. https://williamsinstitute.law.ucla.edu/press/transpop-suicide-press-release/
•Coleman, E., and others. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International journal of transgender health, 23(Suppl 1), S1–S259. https://doi.org/10.1080/26895269.2022.2100644
•Endocrine Society (2023). Transgender people seen in the ER much more likely than cisgender people to be admitted to hospital. https://www.endocrine.org/news-and-advocacy/news-room/2023/endo-2023-press-stroumsa