NREMT Review Question: 9 Year Old Struck by Car
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- Опубліковано 20 бер 2024
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great example!!
Our Squad form has been changed adding gender preference. We will go with the patient’s desire and let the ER staff sort out the anatomy. Like Dan Limmer said, it’s all about respecting the patient.
Great scenario. I like the ID, evaluate, value triad. I'm going to bring up another issue relavent in today's social structure that your scenario and narrative brought up, sex vs gender. The scenario is written in gender neutral. Your narrative identified the patient as a female. Here we go...when transporting the radio call includes: en route emergent/non-emergent, age, sex, chief complaint/injury, interventions, vitals and ETA. Craft the scenario with the patient as a 17 Y/O XY chromosome male presenting in the femenine gender. During the examination you discover the 'girl' is actually a male. So, you make your radio call: "Rampart, we are in route with a 17 Y/O male... and the patient vocally objects and wants to be identified as a female. Personally, I think Rampart's medical staff (RN Dixie, Dr Early & Dr Brackett) need to know what kind of patient to expect. How is today's EMS to handle the transgender patient?
The short answer: respectfully. If the patient's condition doesn't involve the gender they identify as you can tell Dixie and Dr. Brackett at the hospital. Not a battle to choose over the radio. Then use a proper pronoun when doing a handoff. "They identify as..." This isn't because it is some big secret or issue, because it is respectful to introduce the patient properly.
While this may have been less common for the Rampart staff in the 1960's and 1970's, The hospital will now know what to do.
The NREMT is moving to gender neutral so we are doing so as well.
Sure state the patient's sex and their preferred gender over the radio if you remember.....I think the pertinent point is to treat the person according to sex, which may differ by complications and diagnoses. Stating preferred gender might be necessary for emotional well being of the patient, but may also introduce error in communication and treatment, tho probably small. Either way respect the patient if that means stating both gender and sex. Sure EMT curriculum could enforce a class through excessive conditioning to make all EMTs state gender and sex on calls....and have quality improvement classes on gender sensitivity and how you should properly address patients....but that pales in comparison to improvements of treatment.