EMplify by EB Medicine

EMplify by EB Medicine


Episode 49 - Emergency Care for Transgender and Gender-Diverse Children and Adolescents - An Interview With Dr. Hannah Janeway and Dr. Clinton Coil

September 16, 2020

Emergency Care for Transgender and Gender-Diverse Children and Adolescents - An Interview With Dr. Hannah Janeway and Dr. Clinton Coil


 


This issue of Pediatric Emergency Medicine Practice is available at no cost here:


https://www.ebmedicine.net/topics/ethics/trasnsgender-gender-diverse-children




Topics:



  • What is the difference between gender and sexual orientation?

  • What are some of the terms we may encounter (current or retired)?

  • How does a lack of knowledge / competency regarding care for transgender and gender diverse (TGD) youth create barriers to effective care? Or negatively affect the quality of care these patients receive?

  • What is the best way to approach a transgender patient in the ER?

  • There are a number of ways transgender patient may alter their appearance. Why are these methods relevant (complications) and how do I ask about them?

    • Tucking

    • Packing

    • Binding



  • What medical gender-affirming therapies are currently available? And what complications can they cause?

    • Pubertal suppression

    • Feminizing or masculinizing hormones

    • Contraception



  • Is gender-affirming surgery used in this population ? What types (chest, genital) ?

  • STI’s and Pregnancy are still considerations, correct?

  • What are some of the problems that transgender youth have an increased risk of?

    • Substance abuse

    • Suicide

    • Self harm

    • Anxiety

    • Depression

    • Eating disorders

    • Physicians and sexual violence

    • Family rejection

    • Homelessness

    • Food insecurity

    • Poverty



  • What are some helpful resources if I want to learn more?



 


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