Trauma physicians have become depressingly prepared for mass shootings

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For many medical providers, the shooting in Uvalde, Tex., was the latest reminder of how depressingly skilled they have become since Columbine at responding to mass casualty events like school shootings.

, more than 20,000 people have died because of gun violence in America. The firearm homicide rate in 2020 was the highest recorded in more than 25 years, and it’s expected to be even higher for 2021 and 2022.

Walking onto the scene at Sandy Hook Elementary School in 2012, Richard Kamin didn’t realize just how much he was going to need that support. He considered himself a well-trained emergency physician. He’d worked with the Connecticut State Police, SWAT teams, and the FBI. But he’d never seen so many injured people, especially not children. And their wounds were catastrophic.“Quite frankly, I’m not really sure how well you can prepare somebody for something like that,” he said.

But on April 16, 2007, when an undergraduate student opened fire at Virginia Tech, killing 32 people, she said everyone was grateful for that training.David Stoeckle was practicing trauma surgery at Woods’s hospital at the time. In his 44-year-long career, he said he would never again see the kind of solidarity he saw that day.

South Texas’s medical community learned a lot from the Sutherland Springs shooting, Liao said. They looked into cases where victims didn’t survive, and realized more blood needed to be available at smaller hospitals to keep patients stable. When the Robb Elementary shooting happened, the San Antonio hospital airlifted blood to Uvalde to make sure there would be enough.

 

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