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Gunshot Wound
Everything in the library about gunshot wound — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Acute Management
1 item
Update Course Rewind: Massive Transfusion Protocol 2023
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Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Massive Transfusion Protocol". Joining the discussion a
video · Mar 2024
Evidence & Research
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Quick Literature Updates Episode 6
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We’re back with sixth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most int
video · May 2023
Patient & Family Education
2 items
Firearm safety advocacy: Practice Gap discussion at Update Course 2018
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At the 6th Annual Pediatric Surgery Update Course, Drs Charles Snyder, Craig Lillehei and David Powell discussthe top ten practice gaps of 2018. Here they discuss firearm safety advocacy, focusing on strength of child access prevention laws
video10:58 · Sep 2018
Update Course Rewind: Firearm Screening 2023
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Our 11th Annual Update Course in Pediatric Surgery was held past August. In this video series, we'll recap the sessions and share the main highlights with you. Today, we'll talk about "Firearm Screening". Joining the discussion are Drs. Mee
video · Feb 2024
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Quick Literature Updates Episode 6
Teodoro et al. studied pediatric trauma patients presenting to a level one trauma center with gunshot wounds or MVCs between 2009 and 2019.
host_summaryEllen Encisco0:20 ↗
Teodoro et al. examined California Department of Public Health data on pediatric gunshot wounds and MVCs from 2006 to 2015.
host_summaryEllen Encisco0:20 ↗
Gunshot wound victims were more likely to require immediate surgery and had increased mortality compared to MVC victims.
host_summaryEllen Encisco0:20 ↗
Gunshot wound victims were 7.8 times more likely to die than MVC victims.
host_summaryEllen Encisco0:20 ↗
In California statewide data, the case fatality rate for gunshot wound victims was higher than that for motor vehicle collisions.
host_summaryEllen Encisco0:20 ↗
The case fatality rate for pediatric gunshot wounds increased from 2006 to 2015.
host_summaryBritney Levy1:29 ↗
Petterson et al. examined 10 years of data comprising approximately 8800 pediatric trauma patients transported by helicopter or ground to pediatric trauma centers.
host_summaryBritney Levy1:29 ↗
Children transported via helicopter had a higher injury severity score than those transported by ground.
host_summaryBritney Levy1:29 ↗
1.3% of children transported by helicopter required an emergency operation, compared to 0.2% of those transported by ground.
host_summaryBritney Levy1:29 ↗
98.7% of children transported by helicopter did not require an emergency intervention.
host_summaryBritney Levy1:29 ↗
Helicopter transport may be over-utilized in pediatric trauma.
host_summaryBritney Levy1:29 ↗
Miyata et al. used the Canadian Association of Pediatric Surgery Network to study pediatric patients with gastroschisis who underwent bedside reduction and closure.
host_summaryRod Gerardo2:50 ↗
There was no significant difference in the rate of successful primary closure between intubated and non-intubated neonates with gastroschisis.
host_summaryRod Gerardo2:50 ↗
Philips et al. conducted a retrospective study from 2015 to 2018 evaluating 117 patients from two trauma centers.
host_summaryCecilia Gigena3:33 ↗
Patients receiving massive transfusions had shortened alpha angles on TEG analysis.
host_summaryCecilia Gigena3:33 ↗
Patients receiving massive transfusions had lower maximum amplitude values on TEG analysis.
host_summaryCecilia Gigena3:33 ↗
Patients receiving massive transfusions had lower platelet counts.
host_summaryCecilia Gigena3:33 ↗
TEG may help identify hemorrhagic trauma patients who will benefit from cryoprecipitate or platelet transfusions.
host_summaryCecilia Gigena3:33 ↗
Firearm safety advocacy: Practice Gap discussion at Update Course 2018
Strong child access prevention (CAP) laws that hold adults criminally liable for negligently stored firearms are the most effective state laws for reducing pediatric firearm injuries.
host_summaryTodd Ponsky0:01 ↗
Strong CAP laws require adults to safely store guns and hold them liable for injuries when children access the guns; they are associated with a significant reduction in self-inflicted and unintentional pediatric firearm injuries.
host_summaryTodd Ponsky0:01 ↗
CAP laws do not reduce injuries in teenagers who obtain guns and commit crimes (e.g., robbery, shooting another child), but they do decrease suicide and accidental injuries in children.
host_summaryTodd Ponsky0:01 ↗
Weak CAP laws that provide less stringent penalties for adults who allow children access to guns are not effective at decreasing pediatric firearm injuries.
host_summaryTodd Ponsky0:01 ↗
Background check laws and concealed carry laws do not affect pediatric firearm injuries (though they may affect adults).
host_summaryTodd Ponsky0:01 ↗
Banning military-style assault weapons has been effective in reducing mass shooting fatalities in other countries, but the number of people injured in mass shootings is small compared to the overall pool of firearm injuries.
host_summaryTodd Ponsky0:01 ↗
Twenty-seven U.S. states have CAP laws; there is no federal law regarding storage of guns.
host_summaryTodd Ponsky0:01 ↗
States with significantly stringent CAP laws have seen a decrease in pediatric firearm injuries.
host_summaryTodd Ponsky0:01 ↗
Injury prevention is part of what pediatric surgeons do, and firearm safety advocacy is important for true patient advocacy.
opinionTodd Ponsky0:01 ↗
When families report having guns in the home, clinicians can educate them on safe storage: trigger locks, storing ammunition separately, locking the gun away with no accessible key.
clinicalTodd Ponsky3:46 ↗
The speaker's hospital supplies trigger locks for any family that asks for them, and there are multiple signs around the hospital to that effect.
clinicalTodd Ponsky3:46 ↗
In Hong Kong, pediatric gunshot injuries are 'very unheard of.'
epidemiologicalKen Wong4:39 ↗
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