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Chapter 3 - Penetrating Trauma

Published online by Cambridge University Press:  20 July 2023

By
Alejandro A. Palma ,
Doreen Agboh  and
Devon Fiorino
Edited by
Mark Curato ,
Kaushal Shah  and
Christopher Reisig
Mark Curato
Affiliation:
Weill Cornell Medicine, New York
Kaushal Shah
Affiliation:
Weill Cornell Medicine, New York
Christopher Reisig
Affiliation:
Weill Cornell Medicine, New York
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Summary

Gun violence is a public health crisis. In 2020, America had the highest number of deaths due to gun violence on record. Gun violence and stabbings were the second and fifth causes of violence-related deaths in the United States, respectively. There were 45,222 gun deaths in the United States, with suicide comprising 54% and homicides comprising 43% of those deaths. While 30% of American adults report owning a gun, 52% of non-gun owners could see themselves owning a gun in the future. Urban areas are particularly affected by gun violence. In 2015, 81% of the 12,979 firearm homicides that occurred in the US occurred in cities. In the urban trauma setting, penetrating trauma disproportionately impacts the pre-existing violence in these areas. During the COVID-19 global pandemic, emergency departments have seen a rise in trauma admissions. This exacerbation of violence may correlate with the economic devastation caused by the COVID-19 pandemic. Higher poverty rates in these areas contribute to the crime and increased prevalence of penetrating injury. This upsurge of trauma is particularly salient in urban hospital settings, where there is a concentration of violent injuries.

Keywords

Penetrating traumagun injuriesgun violencecrimeorthopedic traumavascular traumaextremity traumatraumatic arrestGunknifestabshooting
Type
Chapter
Information
Urban Emergency Medicine , pp. 26 - 38
Publisher: Cambridge University Press
Print publication year: 2023

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References

References

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Further Reading

The Center for Disease Control and Prevention. 10 Leading Causes of Violence-Related Injury Death, United States. 2020; https://wisqars.cdc.gov/data/lcd/home?lcd=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%3D%3D.Google Scholar
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