Firearm safety advocacy: Practice Gap discussion at Update Course 2018
With Dr. Ken Wong · hosted by Dr. Todd Ponsky & Dr. Em Gootee · StayCurrentMD
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Injury prevention is part of what pediatric surgeons do, and firearm safety advocacy is important for true patient advocacy.
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.
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.
In Hong Kong, pediatric gunshot injuries are 'very unheard of.'
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.
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.
Firearm injury is a public health issue, not solely a political issue, and pediatric surgeons need to address it as such.
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.
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.
In the Netherlands, the risk of pediatric gun injuries is very low unless children get involved in criminal street activity.
The Netherlands is a cycling society and has more pediatric head injuries because many parents do not have their children wear helmets.
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.
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.
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.
Weak CAP laws that provide less stringent penalties for adults who allow children access to guns are not effective at decreasing pediatric firearm injuries.
Background check laws and concealed carry laws do not affect pediatric firearm injuries (though they may affect adults).
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.
Twenty-seven U.S. states have CAP laws; there is no federal law regarding storage of guns.
States with significantly stringent CAP laws have seen a decrease in pediatric firearm injuries.
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.
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.
CAP laws reduce pediatric firearm injuries.