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Telling Families About Multiple Deaths
- One evening Dr. Spain had to tell four families their 20-year-old sons had died from gun violence in separate visits.
- By the fourth notification a young resident could not go out with him due to emotional strain.
Rapid Chain Response For Gunshot Arrivals
- Trauma teams use a rapid, rehearsed chain response when EMS reports a gunshot wound, mobilizing ER, OR, and blood bank immediately.
- The first minutes focus on ABC: Airway, Breathing, Circulation to find and fix life-threatening injuries.
Prioritize ABC In The Golden Hour
- Follow the ABCs immediately: secure airway, ensure breathing, then address circulation and bleeding within the golden hour.
- Prioritize stabilizing vital signs in the first 10–20 minutes to improve survival chances.