20 statements
· 1 topic
· summaries given as host listed separately
Featured statements
▶Ep 3 · 3:26
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.
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.
quoteWhat are people doing in your hospital routinely in the room around firearm safety and education.↗
▶Ep 3 · 1:16
clinicalThe Bullet Points project is a great source of information in Ohio for firearm counseling.↗
▶Ep 3 · 1:16
clinicalThe AAP chapter in Ohio has a program called Store It Safe with materials that can be transferred into other institutions.↗
▶Ep 3 · 1:16
clinicalCincinnati 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.↗
▶Ep 3 · 3:26
epidemiologicalAbout 30% of pediatric firearm injuries are unintentional, involving kids playing with firearms or engaging with them at home because they're not safely stored.↗
▶Ep 3 · 3:26
epidemiologicalThe remaining pediatric firearm injuries after assault and unintentional are self-inflicted.↗
▶Ep 3 · 3:26
epidemiologicalThe 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.↗
▶Ep 3 · 3:26
opinionOne 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.↗
▶Ep 3 · 3:26
epidemiologicalThe biggest driver of community level violence is poverty and economic opportunity.↗
▶Ep 3 · 3:26
clinicalPediatric colleagues in Cincinnati, Matt Zaf and Joe Real, are doing virtual reality counseling and screening for firearm safety.↗
▶Ep 3 · 3:26
opinionVR 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.↗
▶Ep 3 · 4:01
quoteif you live in a community where you don't feel safe, walking up to you and tell you, it will be really great if you could store your guns separately from the bullets, locked in a safe, is not going to be an effective strategy.↗
▶Ep 3 · 5:41
epidemiologicalPapers 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.↗
▶Ep 3 · 5:41
epidemiologicalThe data on pediatric firearm injuries is poor, with huge amounts of missingness in terms of location, weapon type, and relationship to shooter.↗
quoteI don't know the answer of when is the time, and I don't know if it's the same everywhere for when you call. I would always do it just because of gestalt. I'd be like, okay, I gave blood, I'm going to call MTP.↗
▶Ep 4 · 3:28
clinicalMost trauma coolers that come to the bay do not have platelets initially↗
▶Ep 4 · 5:35
clinicalThe MTP team consists of a trauma APP running the team and an ER nurse who knows how to run the Belmont rapid infuser↗
▶Ep 4 · 6:01
epidemiologicalAfter implementing an MTP team, balanced resuscitation rates improved from 25% to 85%↗
▶Ep 4 · 7:32
clinicalThere is evidence to support pre-hospital TXA use↗
▶Ep 4 · 7:32
clinicalUsing TXA in MTP should be combined with rapid viscoelastic testing (ROTEM or TEG) to directly target resuscitation goals↗
Summaries Katie gave as host
· 2 summaries
Recaps of other experts' statements, not Katie's own clinical position.
Summaries Katie gave as host · Gunshot Wound2 summaries
host summaryKatie Russell summarizes what Dr. Mira Koral said: Mike Nash published a study in JAMA showing that the majority of pediatric firearm injuries are self-inflicted coming out of rural communities.↗
host summaryKatie Russell summarizing the discussion: After 20 ml/kg of blood within an hour, you should activate the MTP according to the MATIC trial investigators↗
