Automatic acoustic gunshot sensor technology’s impact on trauma care

Beattie, Genna; Cohan, Caitlin M.; Brooke, Magdalene A.; Kaplanes, Stefania; Victorino, Gregory P.

doi:10.1016/j.ajem.2019.10.042

Cited by 7 publications

(9 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study demonstrated no significant difference in prehospital times, scene time, or transport duration for patients who sustained GSWs when acoustic detection occurred compared to patients who experienced GSW when no acoustic detection occurred. The previous reports did find a difference in prehospital time in those associated with acoustic detection showing improved transport times but are geographically distinct [12,13].…”

Section: Discussionmentioning

confidence: 77%

“…The extent of geographic acoustic detection coverage may be an important variable to consider, warranting additional study, especially in the policing literature. ADS use by police has been previously reported [2,[10][11][12][13]. ADS impact in gunshot survival may be less significant in smaller cities or those with sufficient trauma care resources, particularly in relation to the gun violence "hot spots" as demonstrated here [10][11][12][13].…”

Section: Discussionmentioning

confidence: 91%

“…The initial report out of Oakland, CA from Beattie G et al found their ShotSpotter TM event-matched patients had a higher median ISS, longer hospital LOS, more ventilator days, and were more likely to require surgical intervention, but overall mortality did not differ [12]. This suggests that more severely injured patients had improved survival with some attribution to the ADS, allowing for faster presentation to hospital care.…”

Section: Discussionmentioning

confidence: 99%

“…ADS use by police has been previously reported [2,[10][11][12][13]. ADS impact in gunshot survival may be less significant in smaller cities or those with sufficient trauma care resources, particularly in relation to the gun violence "hot spots" as demonstrated here [10][11][12][13]. While the utility of ADS coverage for an entire municipality may act as a deterrent to gunplay, the impact on healthcare remains mixed [10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

“…As of 2016, the system covered all residential areas and schools in the city. The healthcare effects of an ADS have been previously investigated in Oakland, California and Camden, New Jersey [ 12 , 13 ]. Both investigations suggested a potential survival benefit when gunfire was captured by the ADS [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Firearm Acoustic Detection in Hartford, Connecticut: Outcomes of a Trauma Center – Law Enforcement Collaboration

Gontarz¹,

Siddiqui²,

Campbell³

et al. 2021

Cureus

View full text Add to dashboard Cite

IntroductionFirearm homicide is a leading cause of violence-related death in the United States. Unfortunately, more than 80% of illegal firearm discharges are never reported to police by traditional means. ShotSpotter TM (Newark, California) is an acoustic firearm event detection system that can localize gunfire, prompting police, and subsequent emergency medical services (EMS) presence. Previously reported healthcare effects of acoustic detection are speculative in nature. We sought to investigate Hartford, Connecticut's experience with ShotSpotter TM given its smaller size and broad coverage. MethodsThe three trauma centers in Hartford (two for adults and one for pediatric) collaborated with the Hartford Police to review outcomes of victims with acoustically detected gunshots and compare them to those who went undetected. We performed a retrospective review of patients who presented with gunshot wounds (GSW) over a 30-month period, from January 1, 2016 to June 30, 2018. Victim location and acoustic detection were reconciled by the police department and hospital staff independently. Patients were individually matched for location, prehospital response, treatment durations, and hospital outcomes. ResultsOf 387 GSW, 157 (40.6%) presented via EMS and were included in the sample. Of these, 89 correlated to a detection event (56.7%) and 68 had no correlating event (43.3%). These two groups had no difference in prehospital treatment times, scene and transport duration, and injury severity. Further, the need for surgery or transfusion, lengths of stay, and disposition, including mortality, did not differ. ConclusionsDespite limited previous reports demonstrating conferred benefits to acoustic detection of gunshots, Hartford's experience showed no benefit. The potential for such systems to act as early warning systems is evident but may depend on a city's resources, geography, and technology.

show abstract

Section: Discussionmentioning

confidence: 77%