The ACS COT employs a comprehensive strategy
aimed at reducing death and disability from firearm
injury. This strategy is built upon a trauma system
and public health model. The intent of this approach
is to reduce unnecessary death and disability through
a combination of prevention and optimal clinical care.
In the following three articles in this issue of the
Bulletin, members of the COT highlight and describe our
injury and violence prevention strategies. We believe
these approaches can and will significantly reduce fatal
firearm injuries and disability. The degree to which
these initiatives are successful depends not only on
the quality of our science, but also on the quality of
our conversation. We want to thank all members of
the ACS COT and all members of the Board of Governors for their willingness to work together for the
betterment of our patients and our communities. ♦
The authors would like to thank members of the ACS Board
of Regents; the Executive Committee of the Board of Governors; the COT Executive Committee; the COT Injury
Prevention and Control Committee; and (all MD, FACS)
David B. Hoyt, ACS Executive Director; Patricia L. Turner,
Director, ACS Division of Member Services; Michael F.
Rotondo, Medical Director, ACS Trauma Programs; ACS
Regent James K. Elsey; ACS Regent Beth Sutton; Michael
J. Zinner, Chair, ACS Board of Regents; Diana L. Farmer,
Chair, ACS Board of Governors Executive Committee; ACS
Regent Henri R. Ford, MHA, FAAP; ACS Regent Lenworth
M. Jacobs, Jr., MPH; and numerous staff of the ACS; as well
as Trudy Lerer, MS, senior biostatistician, Connecticut
Children’s Medical Center, Hartford, for their support and
guidance on this important initiative.
1. American College of Surgeons. National Trauma Database.
Available at: facs.org/quality-programs/trauma/ntdb.
Accessed August 21, 2017.
2. Lee J, Quraishi SA, Bhatnagar S, Zafonte RD, Masiakos PT.
The economic cost of firearm-related injuries in the United
States from 2006 to 2010. Surgery. 2014;155( 5):894-898.
3. Stewart RM, Kuhls DA. Firearm injury prevention: A
consensus approach to reducing preventable deaths.
J Trauma Acute Care Surg. 2016; 80( 6):850-852.
4. Kuhls DA, Campbell BT, Burke PA, et al. Survey of
American College of Surgeons Committee on Trauma
members on firearm injury: Consensus and opportunities.
J Trauma Acute Care Surg. 2016; 82( 5):877-886.
5. National Academies of Sciences, Engineering, and
Medicine. A National Trauma Care System: Integrating
Military and Civilian Trauma Systems to Achieve Zero
Preventable Deaths After Injury. Washington, DC: The
National Academies Press. 2016. Available at: www.nap.
edu/23511. Accessed August 21, 2017.