# Gunshot Wound — GCMD Library living collection

Everything in the library about gunshot wound — built automatically from dossiers that name it.

Updated: n/a · 4 episodes · 40 cited statements

## Episodes
### Acute Management
- [Update Course Rewind: Massive Transfusion Protocol 2023](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117) — video · [machine version](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117.md)

### Evidence & Research
- [Quick Literature Updates Episode 6](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636) — video · [machine version](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636.md)

### Patient & Family Education
- [Firearm safety advocacy: Practice Gap discussion at Update Course 2018](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347) — video · 10:58 · [machine version](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347.md)
- [Update Course Rewind: Firearm Screening 2023](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992) — video · [machine version](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992.md)

## Chapters
- [0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1) Case presentation and evidence for CAP laws (Ep 1)
- [3:36](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=216) Anticipatory guidance and international perspectives (Ep 1)
- [7:18](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=438) International injury patterns and household prevalence (Ep 1)
- [0:00](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=0) Introduction and episode overview (Ep 2)
- [0:20](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=20) Firearm mortality in pediatric trauma (Ep 2)
- [1:29](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=89) Helicopter transport utilization in pediatric trauma (Ep 2)
- [2:50](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=170) Bedside gastroschisis reduction without intubation (Ep 2)
- [3:33](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=213) Thromboelastography in pediatric massive transfusion (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=0) Introduction and Case Presentation (Ep 3)
- [1:16](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=76) Hospital-Based Prevention Programs and Resources (Ep 3)
- [2:59](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=179) Epidemiology and Data Challenges (Ep 3)
- [6:31](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=391) Regional Variation in Interventions (Ep 3)
- [0:00](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=0) Case presentation and initial MTP activation decision (Ep 4)
- [1:17](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=77) MTP activation criteria and blood product sequencing (Ep 4)
- [3:50](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=230) Massive transfusion definition and balanced resuscitation evidence (Ep 4)
- [5:06](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=306) MTP team implementation and institutional protocols (Ep 4)
- [6:45](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=405) Pre-hospital care and adjunctive therapies (Ep 4)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- "Teodoro et al. studied pediatric trauma patients presenting to a level one trauma center with gunshot wounds or MVCs between 2009 and 2019." — Ellen Encisco (host_summary) [Ep 2 · 0:20](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=20)
- "Teodoro et al. examined California Department of Public Health data on pediatric gunshot wounds and MVCs from 2006 to 2015." — Ellen Encisco (host_summary) [Ep 2 · 0:20](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=20)
- "Gunshot wound victims were more likely to require immediate surgery and had increased mortality compared to MVC victims." — Ellen Encisco (host_summary) [Ep 2 · 0:20](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=20)
- "Gunshot wound victims were 7.8 times more likely to die than MVC victims." — Ellen Encisco (host_summary) [Ep 2 · 0:20](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=20)
- "In California statewide data, the case fatality rate for gunshot wound victims was higher than that for motor vehicle collisions." — Ellen Encisco (host_summary) [Ep 2 · 0:20](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=20)
- "The case fatality rate for pediatric gunshot wounds increased from 2006 to 2015." — Britney Levy (host_summary) [Ep 2 · 1:29](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=89)
- "Petterson et al. examined 10 years of data comprising approximately 8800 pediatric trauma patients transported by helicopter or ground to pediatric trauma centers." — Britney Levy (host_summary) [Ep 2 · 1:29](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=89)
- "Children transported via helicopter had a higher injury severity score than those transported by ground." — Britney Levy (host_summary) [Ep 2 · 1:29](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=89)
- "1.3% of children transported by helicopter required an emergency operation, compared to 0.2% of those transported by ground." — Britney Levy (host_summary) [Ep 2 · 1:29](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=89)
- "98.7% of children transported by helicopter did not require an emergency intervention." — Britney Levy (host_summary) [Ep 2 · 1:29](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=89)
- "Helicopter transport may be over-utilized in pediatric trauma." — Britney Levy (host_summary) [Ep 2 · 1:29](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=89)
- "Miyata et al. used the Canadian Association of Pediatric Surgery Network to study pediatric patients with gastroschisis who underwent bedside reduction and closure." — Rod Gerardo (host_summary) [Ep 2 · 2:50](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=170)
- "There was no significant difference in the rate of successful primary closure between intubated and non-intubated neonates with gastroschisis." — Rod Gerardo (host_summary) [Ep 2 · 2:50](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=170)
- "Philips et al. conducted a retrospective study from 2015 to 2018 evaluating 117 patients from two trauma centers." — Cecilia Gigena (host_summary) [Ep 2 · 3:33](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=213)
- "Patients receiving massive transfusions had shortened alpha angles on TEG analysis." — Cecilia Gigena (host_summary) [Ep 2 · 3:33](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=213)
- "Patients receiving massive transfusions had lower maximum amplitude values on TEG analysis." — Cecilia Gigena (host_summary) [Ep 2 · 3:33](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=213)
- "Patients receiving massive transfusions had lower platelet counts." — Cecilia Gigena (host_summary) [Ep 2 · 3:33](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=213)
- "TEG may help identify hemorrhagic trauma patients who will benefit from cryoprecipitate or platelet transfusions." — Cecilia Gigena (host_summary) [Ep 2 · 3:33](https://library.globalcastmd.com/watch/quick-literature-updates-episode-6-6636?t=213)
- "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." — Todd Ponsky (host_summary) [Ep 1 · 0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1)
- "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." — Todd Ponsky (host_summary) [Ep 1 · 0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1)
- "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." — Todd Ponsky (host_summary) [Ep 1 · 0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1)
- "Weak CAP laws that provide less stringent penalties for adults who allow children access to guns are not effective at decreasing pediatric firearm injuries." — Todd Ponsky (host_summary) [Ep 1 · 0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1)
- "Background check laws and concealed carry laws do not affect pediatric firearm injuries (though they may affect adults)." — Todd Ponsky (host_summary) [Ep 1 · 0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1)
- "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." — Todd Ponsky (host_summary) [Ep 1 · 0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1)
- "Twenty-seven U.S. states have CAP laws; there is no federal law regarding storage of guns." — Todd Ponsky (host_summary) [Ep 1 · 0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1)
- "States with significantly stringent CAP laws have seen a decrease in pediatric firearm injuries." — Todd Ponsky (host_summary) [Ep 1 · 0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1)
- "Injury prevention is part of what pediatric surgeons do, and firearm safety advocacy is important for true patient advocacy." — Todd Ponsky (opinion) [Ep 1 · 0:01](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=1)
- "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." — Todd Ponsky (clinical) [Ep 1 · 3:46](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=226)
- "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." — Todd Ponsky (clinical) [Ep 1 · 3:46](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=226)
- "In Hong Kong, pediatric gunshot injuries are 'very unheard of.'" — Ken Wong (epidemiological) [Ep 1 · 4:39](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=279)
- "Gunshot injuries are a public health issue that pediatric surgeons should address through injury prevention, similar to Safe Kids campaigns for seatbelts and bike helmets." (opinion) [Ep 1 · 4:56](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=296)
- "A medical student (Maria Libertine) is working on using iPhone fingerprint sensors on guns so that children cannot activate them, and exploring facial recognition technology for the same purpose." (clinical) [Ep 1 · 4:56](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=296)
- "Firearm injury is a public health issue, not solely a political issue, and pediatric surgeons need to address it as such." (opinion) [Ep 1 · 4:56](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=296)
- "John Petty and Marion Henry of APSA have drafted a position statement on firearm injury that emphasizes CAP laws and approaches the issue from a child-safety perspective rather than a Second Amendment or political perspective." (host_summary) [Ep 1 · 4:56](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=296)
- "The number of automobile deaths in both adults and children has decreased steadily as a result of making cars safer; the same approach should be applied to firearms." (opinion) [Ep 1 · 4:56](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=296)
- "In the Netherlands, gun injuries in children are much less common than in the United States, principally because of very strict laws to own a gun and screening of gun owners; guns are found mainly in the criminal atmosphere and very little in the home." — David (epidemiological) [Ep 1 · 8:03](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=483)
- "In the Netherlands, the risk of pediatric gun injuries is very low unless children get involved in criminal street activity." — David (epidemiological) [Ep 1 · 8:03](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=483)
- "The Netherlands is a cycling society and has more pediatric head injuries because many parents do not have their children wear helmets." — David (epidemiological) [Ep 1 · 8:03](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=483)
- "One in three U.S. households has a gun, and in about 3–5% of those households the gun is not kept in a safe situation." — Todd Ponsky (host_summary) [Ep 1 · 10:11](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=611)
- "CAP laws reduce pediatric firearm injuries." — Todd Ponsky (host_summary) [Ep 1 · 10:30](https://library.globalcastmd.com/watch/firearm-safety-advocacy-practice-gap-discussion-at-update-course-2018-347?t=630)
- "After 20 ml/kg of blood within an hour, you should activate the MTP according to the MATIC trial investigators" — Katie Russell (host_summary) [Ep 4 · 2:34](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=154)
- "There is adult data to support starting with FFP in trauma resuscitation" — Meera Kotagal (clinical) [Ep 4 · 1:17](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=77)
- "The best definition for massive transfusion in kids is 40 ml/kg of any blood product over 24 hours" — Meera Kotagal (guideline) [Ep 4 · 3:50](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=230)
- "Activating MTP threshold is different than the definition of massive transfusion" — Meera Kotagal (clinical) [Ep 4 · 3:50](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=230)
- "The more fresh frozen plasma (FFP) you give, the lower your mortality is in balanced resuscitation" — Meera Kotagal (host_summary) [Ep 4 · 4:40](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=280)
- "The closer you are to 1:1:1 ratio is better and this has been shown in kids, not just adult data" — Meera Kotagal (host_summary) [Ep 4 · 4:40](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=280)
- "There is great pediatric data on whole blood for trauma resuscitation" — Meera Kotagal (clinical) [Ep 4 · 4:40](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=280)
- "Kids bleed whole blood, making balanced resuscitation important" — Meera Kotagal (clinical) [Ep 4 · 4:40](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=280)
- "Blood can usually be returned to the blood bank unless you spike the bag" — Meera Kotagal (clinical) [Ep 4 · 3:00](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=180)
- "Most trauma coolers that come to the bay do not have platelets initially" — Katie Russell (clinical) [Ep 4 · 3:28](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=208)
- "After implementing an MTP team, balanced resuscitation rates improved from 25% to 85%" — Katie Russell (epidemiological) [Ep 4 · 6:01](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=361)
- "Pre-hospital transfusion could reduce mortality according to recent data" (clinical) [Ep 4 · 6:23](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=383)
- "There is evidence to support pre-hospital TXA use" — Katie Russell (clinical) [Ep 4 · 7:32](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=452)
- "Using TXA in MTP should be combined with rapid viscoelastic testing (ROTEM or TEG) to directly target resuscitation goals" — Katie Russell (clinical) [Ep 4 · 7:32](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=452)
- "Whole blood for pediatric trauma needs to be irradiated, which creates blood bank implementation challenges" — Meera Kotagal (clinical) [Ep 4 · 3:00](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=180)
- "The MTP team consists of a trauma APP running the team and an ER nurse who knows how to run the Belmont rapid infuser" — Katie Russell (clinical) [Ep 4 · 5:35](https://library.globalcastmd.com/watch/update-course-rewind-massive-transfusion-protocol-2023-8117?t=335)
- "Firearms are now the leading cause of death in all children and adolescents in the US, overtaking motor vehicle crashes in 2019." — Em Gootee (host_summary) [Ep 3 · 0:00](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=0)
- "Firearm injuries are the leading cause of death for kids in the United States, though not necessarily the same around the world." — Meera Kotagal (epidemiological) [Ep 3 · 0:53](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=53)
- "The Bullet Points project is a great source of information in Ohio for firearm counseling." — Katie Russell (clinical) [Ep 3 · 1:16](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=76)
- "The AAP chapter in Ohio has a program called Store It Safe with materials that can be transferred into other institutions." — Katie Russell (clinical) [Ep 3 · 1:16](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=76)
- "Cincinnati Children's Hospital started a firearm related injury task force to address the problem in community, focusing on both safety and education, suicide prevention, and community level violence prevention." — Katie Russell (clinical) [Ep 3 · 1:16](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=76)
- "School shootings are a tiny percentage of pediatric firearm injuries." — Meera Kotagal (epidemiological) [Ep 3 · 2:59](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=179)
- "According to the American College of Surgeons non-fatal firearm study, 50-60% of pediatric firearm injuries are assault related, with many being bystander injuries." — Meera Kotagal (epidemiological) [Ep 3 · 2:59](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=179)
- "About 30% of pediatric firearm injuries are unintentional, involving kids playing with firearms or engaging with them at home because they're not safely stored." — Katie Russell (epidemiological) [Ep 3 · 3:26](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=206)
- "The remaining pediatric firearm injuries after assault and unintentional are self-inflicted." — Katie Russell (epidemiological) [Ep 3 · 3:26](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=206)
- "Mike Nash published a study in JAMA showing that the majority of pediatric firearm injuries are self-inflicted coming out of rural communities." — Katie Russell (host_summary) [Ep 3 · 3:26](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=206)
- "The rural-urban divide in pediatric firearm injuries is very different: rural populations are much more likely to see self-inflicted injuries in both adults and kids, while urban populations see assaults as the predominant source." — Katie Russell (epidemiological) [Ep 3 · 3:26](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=206)
- "One size doesn't fit all for all communities in terms of reducing firearm injury; interventions must address both safety and community violence drivers like poverty and economic opportunity." — Katie Russell (opinion) [Ep 3 · 3:26](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=206)
- "The biggest driver of community level violence is poverty and economic opportunity." — Katie Russell (epidemiological) [Ep 3 · 3:26](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=206)
- "Pediatric colleagues in Cincinnati, Matt Zaf and Joe Real, are doing virtual reality counseling and screening for firearm safety." — Katie Russell (clinical) [Ep 3 · 3:26](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=206)
- "VR counseling is a strategy to help people become comfortable with firearm safety conversations in a virtual reality way, and this work will continue to develop and grow." — Katie Russell (opinion) [Ep 3 · 3:26](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=206)
- "The data on pediatric firearm injuries is poor, with huge amounts of missingness in terms of location, weapon type, and relationship to shooter." — Katie Russell (epidemiological) [Ep 3 · 5:41](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=341)
- "Papers from the ACS firearm study will show that we don't collect data very well on pediatric firearm injuries, including whether incidents happened at school, proximity to home, weapon type, and relationship to the shooter." — Katie Russell (epidemiological) [Ep 3 · 5:41](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=341)
- "Firearm injury prevention can't be done effectively on a national basis alone; local environments differ significantly and require tailored interventions." (opinion) [Ep 3 · 6:31](https://library.globalcastmd.com/watch/update-course-rewind-firearm-screening-2023-7992?t=391)

## Changelog
- Sep 25: 4 items added automatically

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