Emergency Medicine

  • Carl G. StreedJr.Email author
  • Elizabeth A. Samuels
  • Joyce Rosenfeld


Over the last 70 years, the emergency department (ED) has developed into one of the key access points for medical care. The ED has three primary care functions (1) stabilization of critically ill patients, (2) acute diagnostic care, and (3) health care access and treatment linkage. It is often the main entry point of the hospital and provides a medical safety net for many under- or uninsured individuals in the fragmented American medical system. This chapter provides a basic overview of the correct approach to LGBTQ patients in the ED regardless of chief complaint. It then discusses conditions that disproportionately affect LGBTQ people or that require a highly intentional approach: acute sexual health complaints, trauma, psychiatric emergencies, intoxication, and withdrawal. Finally, special considerations for transgender people and homeless LGBTQ youth are discussed.


Emergency medicine LGBT health Acute care Differential diagnosis LGBT homelessness Transgender health HIV/AIDs Sexually transmitted infections Emergency psychiatry 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Carl G. StreedJr.
    • 1
    Email author
  • Elizabeth A. Samuels
    • 2
  • Joyce Rosenfeld
    • 3
  1. 1.Boston University School of Medicine, Center for Transgender Medicine & Surgery, Boston Medical CenterBostonUSA
  2. 2.Alpert Medical School, Brown UniversityProvidenceUSA
  3. 3.Harrington Memorial HospitalSouthbridgeUSA

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