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Tytuł:
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Emergency care for transgender and gender-diverse children and adolescents.
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Autorzy:
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Janeway H; International and Domestic Health Equity and Leadership Fellow, Department of Emergency Medicine, UCLA, Los Angeles, CA.
Coil CJ; Associate Health Sciences Clinical Professor, David Geffen School of Medicine at UCLA; Co-Medical Director for Transgender Health, Los Angeles County Department of Health Services, Los Angeles, CA; Chief Quality Officer, Harbor-UCLA Medical Center, Torrance, CA.
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Źródło:
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Pediatric emergency medicine practice [Pediatr Emerg Med Pract] 2020 Sep; Vol. 17 (9), pp. 1-20. Date of Electronic Publication: 2020 Sep 02.
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Typ publikacji:
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Journal Article; Review
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Język:
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English
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Imprint Name(s):
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Publication: - : Norcross, GA : EB Medicine
Original Publication: Alpharetta, GA : EB Practice, c2004-
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MeSH Terms:
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Pediatric Emergency Medicine*
Practice Guidelines as Topic*
Transgender Persons*
Emergency Medical Services/*standards
Adolescent ; Anxiety/epidemiology ; Child ; Depression/epidemiology ; Emergency Medical Services/methods ; Emergency Service, Hospital ; Female ; Food Insecurity ; Gender Identity ; Ill-Housed Persons/statistics & numerical data ; Hormone Replacement Therapy/adverse effects ; Hormone Replacement Therapy/methods ; Humans ; Male ; Physical Examination ; Risk Management ; Suicide/statistics & numerical data
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Entry Date(s):
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Date Created: 20200818 Date Completed: 20210118 Latest Revision: 20221207
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Update Code:
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20240105
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PMID:
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32805092
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Transgender and gender-diverse (TGD) youth may present to the emergency department with a range of medical problems and health concerns. Some of these may be directly related to their gender identity, but the vast majority are not. While gender diversity is not considered a mental illness, TGD youth are at increased risk for suicide, anxiety, depression, and other psychological conditions, as well as family rejection, homelessness, food insecurity, and poverty. Lack of knowledge and cultural competency among emergency clinicians can create a barrier to effective care. This issue will review relevant terminology, epidemiology, and clinical best practices. It will help emergency clinicians understand common gender-affirming practices and recognize possible complications.