Injury in the transgender population: What the trauma surgeon needs to know

Shane D. Morrison; Sarah M. Kolnik; Jonathan P. Massie; Christopher S. Crowe; Daniel Dugi; Jeffrey B. Friedrich; Tam N. Pham; Jens U. Berli; Grant E. O'Keefe; Eileen M. Bulger; Ronald V. Maier; Samuel P. Mandell

doi:10.1097/TA.0000000000001859

Injury in the transgender population: What the trauma surgeon needs to know

Shane D. Morrison, Sarah M. Kolnik, Jonathan P. Massie, Christopher S. Crowe, Daniel Dugi, Jeffrey B. Friedrich, Tam N. Pham, Jens U. Berli, Grant E. O'Keefe, Eileen M. Bulger, Ronald V. Maier, Samuel P. Mandell

Research output: Contribution to journal › Review article › peer-review

5 Scopus citations

Abstract

Gender dysphoria, or the distress caused by the incongruence between a person's assigned and experienced gender, can lead to significant psychosocial sequelae and increased risk of suicide (>40% of this population) and assault (>60% of this population). With an estimated 25 million transgender individuals worldwide and increased access to care for the transgender population, trauma surgeons are more likely to care for patients who completed or are in the process of medical gender transition. As transgender health is rarely taught in medical education, knowledge of the unique health care needs and possible alterations in anatomy is critical to appropriately and optimally treat transgender trauma victims. Considerations of cross-gender hormones and alterations of the craniofacial, laryngeal, chest, and genital systems are offered in this review. Further research on the optimal treatment mechanisms for transgender patients is needed.

Original language	English (US)
Pages (from-to)	799-809
Number of pages	11
Journal	Journal of Trauma and Acute Care Surgery
Volume	85
Issue number	4
DOIs	https://doi.org/10.1097/TA.0000000000001859
State	Published - Oct 1 2018
Externally published	Yes

Keywords

Trauma
surgical considerations
transgender
venous thromboembolism

ASJC Scopus subject areas

Surgery
Critical Care and Intensive Care Medicine

Access to Document

10.1097/TA.0000000000001859

Cite this

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abstract = "Gender dysphoria, or the distress caused by the incongruence between a person's assigned and experienced gender, can lead to significant psychosocial sequelae and increased risk of suicide (>40% of this population) and assault (>60% of this population). With an estimated 25 million transgender individuals worldwide and increased access to care for the transgender population, trauma surgeons are more likely to care for patients who completed or are in the process of medical gender transition. As transgender health is rarely taught in medical education, knowledge of the unique health care needs and possible alterations in anatomy is critical to appropriately and optimally treat transgender trauma victims. Considerations of cross-gender hormones and alterations of the craniofacial, laryngeal, chest, and genital systems are offered in this review. Further research on the optimal treatment mechanisms for transgender patients is needed.",

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AU - Crowe, Christopher S.

AU - Dugi, Daniel

AU - Friedrich, Jeffrey B.

AU - Pham, Tam N.

AU - Berli, Jens U.

AU - O'Keefe, Grant E.

AU - Bulger, Eileen M.

AU - Maier, Ronald V.

AU - Mandell, Samuel P.

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AB - Gender dysphoria, or the distress caused by the incongruence between a person's assigned and experienced gender, can lead to significant psychosocial sequelae and increased risk of suicide (>40% of this population) and assault (>60% of this population). With an estimated 25 million transgender individuals worldwide and increased access to care for the transgender population, trauma surgeons are more likely to care for patients who completed or are in the process of medical gender transition. As transgender health is rarely taught in medical education, knowledge of the unique health care needs and possible alterations in anatomy is critical to appropriately and optimally treat transgender trauma victims. Considerations of cross-gender hormones and alterations of the craniofacial, laryngeal, chest, and genital systems are offered in this review. Further research on the optimal treatment mechanisms for transgender patients is needed.

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KW - surgical considerations

KW - transgender

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Injury in the transgender population: What the trauma surgeon needs to know

Abstract

Keywords

ASJC Scopus subject areas

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