Healthcare and Gun Violence: Kings Against Violence
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According to the WHO, there are more than 400,000 homicides globally each year, with millions more suffering from non-fatal injuries. Our hospitals and emergency departments care for many of these patients; however, many return with repeat injuries or are killed within 5 years. In order to reduce intentional violence, it is necessary to discuss and understand its root causes. Dr. Gore’s talk will touch on some of the root causes of violence and further discuss the program he founded called KAVI, a hospital,school and community based intervention as a way of both improving recidivism as it relates to violent trauma and decreasing the incidence of intentional violence overall.
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Healthcare and Gun Violence: Kings Against Violence
- 1. RETHINKING TRAUMA ROB GORE, MD SMACC 2019 SYDNEY, AUSTRALIA Photo by Russell Frederick
- 9. Image source Getty Images
- 11. 55%
- 12. 68%
- 13. Image courtesy of Euronews.com
- 14. Photo by Mark Silverberg, MD
- 18. ADVERSE CHILDHOOD EXPERIENCES (ACES)
- 25. Assault patient presents to the ED Triage staff notifies ED Social Worker Social worker notifies Intervention team Patient and family assessment in the ED Inpatient and Outpatient Follow Up HOSPITAL PARTICIPANT ENROLLMENT
Hinweis der Redaktion
- Image courtesy of CBS New NYC https://newyork.cbslocal.com/2019/03/11/brooklyn-car-fire-crash/
- Unsplash.com
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- https://www.euronews.com/2018/08/07/europe-s-forgotten-war-the-georgia-russia-conflict-explained-a-decade-on
- https://www.cdc.gov/healthequity/lcod/men/2014/black/index.htm Violence is a public health problem because it is preventable We have certain risk factors that are associated with violence and if we work towards Violence is a pervasive public health problem facing American youth, particularly in urban areas effecting close to 1 million US youth. There are over 700,000 reported violent acts per year involving youth and close to 6000 Youth related homicides/year, with the majority of these homicides due to firearms. The firearm homicide rate in the U.S. is 17 times higher than the next top 25 industrialized nations in the world. Throughout the discussion, when I use the term “youth”, I am referring to those between the ages 10-24 unless otherwise stated. Not only is it the # 2 cause of death for all male youth in the US, 2nd only to accidental injury, but it’s the #2 cause of death for Latino males and the # 1 cause of death for AA males Decrease in homicides but an increase in violent crime 5570 youth homicides in 2003. This is an average of 16 youth killed per day across the U.S. 5292 youth homicides in 2004. This is an average of 15 homicedes/dayOf these victims, 82% were killed with firearms. This is an improvement from 1997, where there were greater than 7500 youth homicides in the U.S. Firearm related homicide rate in the U.S. is 17 times higher compared to the rates in other industrialized nations. In the US, a child is more likely to die by gunfire than in the next 25 largest industrialized countries combined. Reason being, other countries strictly regulate the availability of guns.
- From our experiences in the ER we know that violence is a recurrent phenomenon. To start with we have to look at who they are: https://www.cdc.gov/violenceprevention/youthviolence/riskprotectivefactors.html Because youth violence is a recurrent phenomenon, there are a number of risk factors. What are some of these risk factors? abuse, poverty, gang involvement, poor academic achievement only to name a few. This is a young member of the “Bloods” gang member out in Bushwick, Brooklyn Substance abuse School failure Weapon possession Poverty Male gender Gang involvement Exposure to television violence Rich et al. Am J Public Health 2005;95: 816-824
- Talk about Devante To start with we have to look at who they are: https://www.cdc.gov/violenceprevention/youthviolence/riskprotectivefactors.html
- School slide
- Discuss SELF With any medical problem it is important to develop a tailored approach that incorporates best practices 27% and 18% have PTSD at 3 mo and 1 yr follow up Re-injury rate >45% Link patients to mental health services Team assistance Intervention group 4 times less likely to be convicted of a crime Lower recidivism rate (5% vs 26%)
- Conclusion slide