Photos

---

1. EMS Quick-Reference Cheat Sheet

You can distribute this as a pocket guide or post it in the ambulance for quick recall on shift.

Cultural Competence: Transgender & Non-Binary Patient Care

Patient Contact & Charting:

Names: Use the patient’s chosen name and pronouns verbally during all patient care.

Charting: The official chart (ePCR) must reflect the First Name, Last Name, and Sex listed on their Government I.D.

Medical History: Note "Transgender" or "Non-Binary" in the medical history section.

Insurance/Billing: If a Non-Binary patient has an "X" on their I.D. but an "F" or "M" on their insurance, chart the sex shown on the insurance card for billing purposes.

Assessment & Vitals:

Abdominal Pain: Always ask for the sex assigned at birth.

Trans Men (AFAB): Rule out active labor.

Trans Women (AMAB): Rule out testicular torsion if they have not had an orchiectomy.

Airway: If a patient has had Jaw/Chin Recontouring (e.g., Facial Feminization Surgery), ask the patient or family for their specific, pre-measured NPA/OPA sizes before placing an adjunct.

12-Lead ECGs:

Ask Sex Assigned at Birth: This ensures accurate algorithm interpretation (eliminates calling out trans/non-binary patients).

Intersex Patients: Select "Female" on the monitor due to criteria differences for LVH/STEMI.

Medication Alerts: Spironolactone (common for trans women) can cause hyperkalemia, which mimics STEMI/causes peaked T-waves on an ECG.

Trauma & Surgical Complications:

Genital Surgeries: For bleeding following a Penectomy/Vaginoplasty, use Abdominal (ABD) pads. Do not use combat gauze. Transport to the hospital that performed the surgery if stable.

Trauma Scans: Be aware of items like breast forms, chest binders, and prosthetics (pack/STP). Do not forcefully remove surgical tape securing a phallus. Check for priapism in AMAB trauma patients.

This organization was founded by Taylor Sprecher, an Emergency Medical Technician (EMT) with an extensive background in emergency services, including deployments for wildfires and hurricanes. The website provides specialized training for first responders regarding transgender emergency medicine, which aims to equip providers with the necessary skills to address the unique healthcare needs of transgender and non-binary populations.

The training provided through 911transedu.net—which covers medical scenarios, trauma care, and the specific risks associated with gender-affirming medical or surgical options—is approved by the State of Oregon as a Cultural Competence Continuing Education (CCCE) course. This training is geared toward a wide array of healthcare and allied health professionals, ranging from EMTs and paramedics to nurses, physicians, and social workers.