The Bullet Related Injury Clinic—Healing the Deep Wounds of Gun Violence

Hayes, Jane; Hann, Indigo; Punch, L

doi:10.1001/jamasurg.2021.4889

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Relevant to Samuel's case, a recent JAMA Surgery piece on surgical innovation, "The Bullet Related Injury Clinic-Healing the Deep Wounds of Gun Violence," describes a surgical team listening to and accompanying their community. 45 Jayne Hayes, Indigo Hann, and L. J. Punch describe a clinic that focuses on creating "a new system of care . .…”

Section: Yet An Ethic Of Accompaniment Hasmentioning

confidence: 99%

“…Relevant to Samuel's case, a recent JAMA Surgery piece on surgical innovation, “The Bullet Related Injury Clinic—Healing the Deep Wounds of Gun Violence,” describes a surgical team listening to and accompanying their community 45 . Jayne Hayes, Indigo Hann, and L. J. Punch describe a clinic that focuses on creating “a new system of care … by providing low‐barrier, timely, and culturally competent support of survivors of BRI [bullet‐related injury]”—a clinic that was born out of extensive community involvement through the Stop the Bleed Campaign 46 .…”

Section: Accompaniment In Surgery: a Case‐based Reviewmentioning

confidence: 99%

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The Power of Proximity: Toward an Ethic of Accompaniment in Surgical Care

Nicholson,

Bodd,

Sarosi

et al. 2024

Hastings Center Report

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Although the field of surgical ethics focuses primarily on informed consent, surgical decision‐making, and research ethics, some surgeons have started to consider ethical questions regarding justice and solidarity with poor and minoritized populations. To date, those calling for social justice in surgical care have emphasized increased diversity within the ranks of the surgical profession. This article, in contrast, foregrounds the agency of those most affected by injustice by bringing to bear an ethic of accompaniment. The ethic of accompaniment is born from a theological tradition that has motivated work to improve health outcomes in those at the margins through its emphasis on listening, solidarity against systemic drivers of disease, and proximity to individuals and communities. Through a review of surgical ethics and exploration of a central patient case, we argue for applying an ethic of accompaniment to the care of surgical patients and their communities.

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Section: Yet An Ethic Of Accompaniment Hasmentioning

confidence: 99%

Section: Accompaniment In Surgery: a Case‐based Reviewmentioning

confidence: 99%

The Power of Proximity: Toward an Ethic of Accompaniment in Surgical Care

Nicholson,

Bodd,

Sarosi

et al. 2024

Hastings Center Report

View full text Add to dashboard Cite

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“…3 , 4 This places additional burden on these patients who must manage the physical pain and emotional distress of having survived a BRI, and then learn how to care for their injury without prior wound care experience. 5 This can create a challenging and traumatic recovery for many patients.…”

Section: Introductionmentioning

confidence: 99%

Care of Bullet-related Injuries: A Cross-sectional Study of Instructions and Prescriptions Provided on Discharge from the Emergency Department

Hayes

Punch

Mueller

2023

WestJEM

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Introduction: There are more than 80,000 emergency department (ED) visits for non-fatal bullet- related injuries (BRI) per year in the United States. Approximately half of these patients are discharged home from the ED. Our objective in this study was to characterize the discharge instructions, prescriptions, and follow-up plans provided to patients discharged from the ED after BRI. Methods: This was a single-center, cross-sectional study of the first 100 consecutive patients who presented to an urban, academic, Level I trauma center ED with an acute BRI beginning on January 1, 2020. We queried the electronic health record for patient demographics, insurance status, cause of injury, hospital arrival and discharge timestamps, discharge prescriptions, and documented instructions regarding wound care, pain management, and follow-up plans. We analyzed data using descriptive statistics and chi-square tests. Results: During the study period, 100 patients presented to the ED with an acute firearm injury. Patients were predominantly young (median age 29, interquartile range 23-38 years), male (86%), Black (85%), non-Hispanic (98%), and uninsured (70%). We found that 12% of patients did not receive any type of written wound care instruction, while 37% received discharge paperwork that included instructions to take both an NSAID and acetaminophen. Fifty-one percent of patients received an opioid prescription, with a range from 3-42 tablets (median 10 tablets). The proportion of patients receiving an opioid prescription was significantly higher among White patients (77%) than among Black patients (47%). Conclusion: There is variability in prescriptions and instructions provided to survivors of bullet injuries upon ED discharge at our institution. Our data indicates that standardized discharge protocols could improve quality of care and equity in the treatment of patients who have survived a BRI. Current variable quality in discharge planning is an entry point for structural racism and disparity.

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