A guide to caring for patients who identify as transgender and gender diverse in the emergency department

Author:

Jardine Logan1ORCID,Edwards Courtney2,Janeway Hannah3,Krempasky Chance4,Macias‐Konstantopoulos Wendy5,Whiteman Paula6,Hsu Antony7

Affiliation:

1. Mount Sinai Beth Israel Department of Emergency Medicine New York New York USA

2. Rees‐Jones Trauma Center Parkland Health Dallas Texas USA

3. White Memorial Medical Center/West Los Angeles VA University of California Los Angeles Los Angeles California USA

4. Callen‐Lorde Community Health Center New York New York USA

5. Center for Social Justice and Health Equity, Department of Emergency Medicine Massachusetts General Hospital and Harvard Medical School Boston Massachusetts USA

6. Cedars‐Sinai Medical Center Los Angeles California USA

7. Department of Emergency Medicine Trinity Health Ann Arbor Ypsilanti Michigan USA

Abstract

AbstractThrough a review of current research, standards of care, and best practices, this paper serves as a resource for emergency physicians (EPs) caring for persons who identify as transgender and gender diverse (T/GD) in the emergency department (ED). Both patient‐ and physician‐based research have identified existent potential knowledge gaps for EPs caring for T/GD in the ED. T/GD have negative experiences related to their gender identity when seeking emergency medical care and may even delay emergency care for fear of discrimination. Through the lens of cultural humility, this paper aims to address potential knowledge gaps for EPs, identify and reduce barriers to care, highlight gender‐affirming hospital policies and protocols, and improve the care and experience of T/GD in the ED.

Publisher

Wiley

Reference102 articles.

1. PFLAG National Glossary of Terms. PFLAG. Accessed June 1 2022.https://pflag.org/glossary

2. GLAAD Media Reference Guide Glossary of Terms: Transgender.11th ed. GLAAD. Accessed June 1 2022.https://glaad.org/reference/trans‐terms/

3. Glossary of LGBT Terms for Health Care Teams. The Fenway Institute. Accessed June 1 2022.https://www.lgbthealtheducation.org/wp‐content/uploads/2018/03/Glossary‐2018‐English‐update‐1.pdf

4. Understanding the Transgender Community. Human Rights Campaign. Accessed June 1 2022.https://www.hrc.org/resources/understanding‐the‐transgender‐community

5. HermanJL FloresAR O'NeillKK.How Many Adults and Youth Identify as Transgender in the United States?The Williams Institute UCLA School of Law.2022. Accessed May 5 2024.https://williamsinstitute.law.ucla.edu/wp‐content/uploads/Trans‐Pop‐Update‐Jun‐2022.pdf

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