An Assessment of an Outpatient Urology Clinic's Compassion, Comfort and Knowledge of Transgender Care.

Introduction: Transgender patients face significant barriers to care, including providers who lack compassion, comfort and knowledge. We assessed the preparedness of an outpatient urology clinic in caring for transgender patients by administering a questionnaire to all staff.

Methods: Institutional review board approval was obtained to administer a questionnaire to assess transgender education, baseline compassion, comfort and knowledge of members of an outpatient urology clinic.

Orbital Compartment Syndrome as the Presenting Sign of Disseminated Intravascular Coagulation From Metastatic Prostatic Cancer to the Orbit.

A 70-year-old man with castrate-resistant metastatic prostate cancer to the lumbar spine presented with sudden onset of left orbital compartment syndrome. Hematologic workup revealed disseminated intravascular coagulation with isolated left orbital hemorrhage. A canthotomy and blood product transfusions failed to control the bleeding and restore vision.

Contrasting patient, family, provider, and societal goals at the end of life complicate decision making and induce variability of care after trauma.

Background: End-of-life (EoL) decision making during critical illness and injury is important in facilitating compassionate care that is congruent with patient, family, and societal expectations. Herein, we evaluate factors that may effect and induce variability in practitioner EoL decision making, particularly years in practice, use of advance directives (ADs), and cost.

Methods: An anonymous, online survey was offered to all active members of the Eastern Association for the Surgery of Trauma (n = 1,359) in June 2012.