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Creating an Effective Handgun Safety Curriculum for Emergency Physicians.

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Bibliographische Detailangaben
Titel: Creating an Effective Handgun Safety Curriculum for Emergency Physicians.
Autoren: Baker R; Department of Emergency Medicine, Texas Tech University Health Sciences Center, El Paso, Texas. Electronic address: Russell.Baker@ttuhsc.edu., Root R; Department of Emergency Medicine, Texas Tech University Health Sciences Center, El Paso, Texas., McCaffree C; Department of Emergency Medicine, Texas Tech University Health Sciences Center, El Paso, Texas., Schwartfeger S; Department of Emergency Medicine, Texas Tech University Health Sciences Center, El Paso, Texas.
Quelle: The Journal of emergency medicine [J Emerg Med] 2025 Dec; Vol. 79, pp. 472-480. Date of Electronic Publication: 2025 Sep 09.
Publikationsart: Journal Article
Sprache: English
Info zur Zeitschrift: Publisher: Elsevier Country of Publication: United States NLM ID: 8412174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0736-4679 (Print) Linking ISSN: 07364679 NLM ISO Abbreviation: J Emerg Med Subsets: MEDLINE
Imprint Name(s): Publication: <2010>- : New York : Elsevier
Original Publication: New York : Pergamon Press, c1983-
MeSH-Schlagworte: Firearms* , Emergency Medicine*/education , Curriculum*/trends , Curriculum*/standards , Physicians*/standards , Physicians*/statistics & numerical data, Humans ; Prospective Studies ; Male ; Clinical Competence/standards ; Female ; Internship and Residency/methods ; Simulation Training/methods ; Adult ; Cohort Studies ; Wounds, Gunshot/prevention & control ; Emergency Service, Hospital/organization & administration
Abstract: Competing Interests: Declaration of competing interest The authors report that they have no known financial or personal conflicts of interest that could have appeared to influence the work reported in this paper.
Background: Emergency physicians are among the healthcare providers most likely to encounter firearms in clinical settings. There are gaps in assessing whether emergency physicians possess the necessary skills to safely manage and secure an unexpected firearm found on a patient.
Objectives: This study assesses how effective simulation-based training is in preparing emergency physicians to safely manage and secure an unexpected firearm discovered on a patient.
Methods: This single-center prospective cohort study evaluates a simulation-based educational intervention for emergency physicians. Participants completed a preintervention simulation where they unexpectedly discovered a firearm on a patient, allowing for a baseline assessment. One month later, residents participated in a 2-h live-fire handgun safety training course, which included instruction on safe firearm handling and safety in clinical settings. Eight months post-training, participants encountered another unexpected firearm in a simulated scenario, requiring them to remove and secure the weapon. Performance was evaluated using an eight-item checklist, with scores compared between pre- and postintervention assessments.
Results: Twenty-four residents participated, with 22 completing the postintervention assessment. The median number of correctly performed critical actions increased from 5.5 (SD = 1.8, IQR = 4-7) preintervention to 7.5 (SD = 0.7, IQR = 7-8) postintervention (p < 0.001). Performance improved across all checklist items.
Conclusions: This study demonstrates the feasibility and effectiveness of firearm safety training for EM residents. Participants showed sustained improvement in firearm handling skills, reinforcing the importance of structured training programs in enhancing physician preparedness for firearm-related encounters in clinical practice.
(Published by Elsevier Inc.)
Contributed Indexing: Keywords: encounter; firearm; gun; healthcare; simulation; training
Entry Date(s): Date Created: 20251108 Date Completed: 20251201 Latest Revision: 20251201
Update Code: 20251202
DOI: 10.1016/j.jemermed.2025.09.005
PMID: 41205308
Datenbank: MEDLINE
Beschreibung
Abstract:Competing Interests: Declaration of competing interest The authors report that they have no known financial or personal conflicts of interest that could have appeared to influence the work reported in this paper.<br />Background: Emergency physicians are among the healthcare providers most likely to encounter firearms in clinical settings. There are gaps in assessing whether emergency physicians possess the necessary skills to safely manage and secure an unexpected firearm found on a patient.<br />Objectives: This study assesses how effective simulation-based training is in preparing emergency physicians to safely manage and secure an unexpected firearm discovered on a patient.<br />Methods: This single-center prospective cohort study evaluates a simulation-based educational intervention for emergency physicians. Participants completed a preintervention simulation where they unexpectedly discovered a firearm on a patient, allowing for a baseline assessment. One month later, residents participated in a 2-h live-fire handgun safety training course, which included instruction on safe firearm handling and safety in clinical settings. Eight months post-training, participants encountered another unexpected firearm in a simulated scenario, requiring them to remove and secure the weapon. Performance was evaluated using an eight-item checklist, with scores compared between pre- and postintervention assessments.<br />Results: Twenty-four residents participated, with 22 completing the postintervention assessment. The median number of correctly performed critical actions increased from 5.5 (SD = 1.8, IQR = 4-7) preintervention to 7.5 (SD = 0.7, IQR = 7-8) postintervention (p &lt; 0.001). Performance improved across all checklist items.<br />Conclusions: This study demonstrates the feasibility and effectiveness of firearm safety training for EM residents. Participants showed sustained improvement in firearm handling skills, reinforcing the importance of structured training programs in enhancing physician preparedness for firearm-related encounters in clinical practice.<br /> (Published by Elsevier Inc.)
ISSN:0736-4679
DOI:10.1016/j.jemermed.2025.09.005