紧急救援人员对枪支的熟悉程度：一项全国性调查。

Emergency Providers' Familiarity with Firearms: A National Survey.

机构信息

Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA.

Summa Health System, Akron, OH.

出版信息

Acad Emerg Med. 2020 Mar;27(3):185-194. doi: 10.1111/acem.13849. Epub 2020 Jan 20.

DOI:10.1111/acem.13849

PMID:31957230

Abstract

BACKGROUND

Emergency providers (EPs) are uniquely placed to advocate for firearm safety and have been shown to be at risk of exposure to firearms in the emergency department (ED). We sought to characterize EPs' knowledge of firearms, frequency of encountering firearms in the ED and level of confidence with safely removing firearms from patient care settings.

METHODS

This was a survey study of EPs representing medical centers in 22 states. A 15-item questionnaire was e-mailed to all EPs at all included institutions. Questions pertained to EPs' knowledge of firearms, experience with handling firearms, and exposure to firearms while at work. We calculated response proportions with p-values and conducted association analyses among survey items.

RESULTS

Of 2,192 survey recipients, 1,074 (49.0%) completed the survey. A total of 635 (59.1%) reported encountering firearms in the ED or its immediate environment at least once per year, and 582 (54.2%) were not confident in their ability to safely handle a firearm found in a patient's possession. Frequency of handling firearms was significantly higher in states in the top quartile for firearm ownership, with 21.5% of respondents reporting handling firearms daily or weekly, compared to 10.9% in bottom-quartile states. Level of firearms training also differed significantly: 42.1% of respondents in top-quartile states reported formal training compared to 33.0% in bottom-quartile states. Increased regional firearm ownership rates were associated with decreased rates of feeling unsafe at work.

CONCLUSIONS

The majority of surveyed EPs reported little experience with handling firearms. Firearm experience was associated with comfort with managing firearms found in patients' possession. Regional differences were found regarding personal firearm experience and perceptions of workplace safety, both of which were associated with regional variations in firearm ownership. Despite this, no regional differences were found in encountering firearms in or around the ED. EPs may benefit from training on safely handling firearms.

摘要

背景

急救提供者（EPs）处于倡导枪支安全的独特位置，并且已经发现在急诊部（ED）接触枪支的风险。我们旨在描述 EPs 对枪支的了解，在 ED 中遇到枪支的频率以及在安全地从患者护理环境中移走枪支方面的信心水平。

方法

这是一项对来自 22 个州的医疗中心的 EPs 进行的调查研究。向所有参与机构的所有 EPs 发送了一份包含 15 个问题的电子邮件调查问卷。问题涉及 EPs 对枪支的了解，处理枪支的经验以及在工作中接触枪支的情况。我们计算了响应比例和 p 值，并对调查项目进行了关联分析。

结果

在 2192 名调查对象中，有 1074 名（49.0％）完成了调查。共有 635 名（59.1％）报告至少每年在 ED 或其直接环境中遇到过枪支，而 582 名（54.2％）对自己安全处理在患者身上发现的枪支的能力没有信心。在枪支拥有量最高的州，处理枪支的频率明显更高，有 21.5％的受访者报告每天或每周处理枪支，而枪支拥有量最低的州为 10.9％。枪支培训水平也有明显差异：在枪支拥有量最高的州，有 42.1％的受访者报告接受过正规培训，而在枪支拥有量最低的州，这一比例为 33.0％。地区枪支拥有率的增加与工作时感到不安全的比率降低有关。