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

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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?
  • UCSF Center for Excellence for Transgender Health (https://prevention.ucsf.edu/transhealth)
  • PFLAG (https://pflag.org/)

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