E2210. Gutshot: A Radiologic and Societal-Level Overview of Firearm-Related Violence in the United States
  1. Timothy Iafe; Claremont McKenna College
  2. Miriam Romero; Keck School of Medicine of USC
  3. Gilbert Whang; Keck School of Medicine of USC
Gun-related violence is common in the United States, resulting in injuries and deaths at rates significantly higher than those of other high-income countries. The full impact of this issue on our public health system is not well understood due to unique cultural and legislative circumstances in the US.

Educational Goals / Teaching Points
1. Understand the extent of gun-related injury/death in the US and review comparative statistics for other developed nations 2. Illustrate the salient findings of gun-related injuries with a survey of cases of abdominopelvic injuries from our institution 3. Briefly review AAST Injury Scoring Scale for common solid organ injuries with case examples. 4. Review Western Trauma Association’s algorithm for managing gunshot wound patients 5. Understand the current political/legislative context and advocacy initiatives relating to gun-related violence prevention in the US

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
We discuss the mechanisms of penetrating ballistic injury, along with a descriptive and pictorial review of some commonly encountered injuries. We demonstrate implementation of the AAST Injury Scoring Scale for common solid organ injuries and review an algorithm for evaluating gunshot wound patients. We present data on the burden of gun-related violence in the US and offer comparative data for other countries. We also provide a background on the recent political and legislative movements relating to gun-related violence prevention.

Gun-related violence is a common, devastating mechanism of injury and death in the US and a growing burden on the health system. Radiologists should be familiar with imaging findings related to penetrating gunshot trauma given the scale of the problem. Approaching gun-related violence from a public health perspective will lead to a better understanding and potential solutions.