Pre-hospital care of the transgender patient

Thanks to improved recognition, management, and overall societal acceptance of atypical gender identity presentations, number of transgender patients is increasing. Written by a transgender female, this paper draws from both personal experience and academic literature and discusses what it means to be transgender and the latest biomedical research into the aetiology of transsexualism. Clarification of common terminology is addressed to ensure an appropriate rapport to be built by the prehospital clinician without alienating the patient during the clinical examination and assessment. Specific considerations that may present to a clinician outside of hospital, with information about history taking, drug therapy and mental health challenges surrounding the condition are then discussed. The paper concludes by stating that paramedics and ambulance clinicians must recognise the health care needs of transgender patients and advocate for them to help eliminate discrimination.

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