Patients' Perceptions of the Role of Physicians in Questioning and Educating in Firearms Safety: Post-FOPA Repeal Era.

Abstract:

OBJECTIVES:In this study, we determined patients' attitudes toward discussing firearms and issues of firearms safety with emergency department physicians. We assessed whether patients feel discriminated against should physicians discuss firearms safety, and whether they believed that physician counseling may change how patients store firearms. METHODS:From June to October 2017, we conducted a cross-sectional institutional review board-approved survey of 200 consenting adult patients (convenience sample) not requiring critical care presenting to the emergency department of Mount Sinai Medical Center in Miami Beach, Florida. The survey consisted of 22 questions about perceptions of physicians inquiring about firearms, demographics, firearms statistics, and firearms knowledge. Results on firearms owners and nonowners were compared with the Fisher exact test. P < 0.05 was considered significant. RESULTS:Ninety percent of patients said they felt comfortable discussing firearms safety with a physician (firearms vs no firearms owner, 100% vs 87.5%, P = 0.028). Ninety percent (firearms 90.7% vs no firearms owners 89.9%, P = 1.0) of patients did not believe that physicians were discriminating against patients who are firearms owners when discussing firearms safety. Seventy-six percent (firearms 76.4% vs no firearms owners 77.3%, P = 0.367) of patients believed that physicians should be educating their patients about firearms safety, and 71% (n = 142) believed that education provided by physicians will change how people store their firearms (firearms 75% vs no firearms owners 70.2%, P = 0.67). CONCLUSIONS:Firearms safety is a difficult but important public health matter that requires significant intervention to help prevent future firearms incidents. This study supports physicians' efforts to help educate patients about the dangers of firearms, along with proper firearms storage techniques, showing that patients are largely open to this discussion. We propose that training of physicians in strategies for initiating clinical discourse and addressing firearms safety is needed.

journal_name

South Med J

journal_title

Southern medical journal

authors

Boge LA,Dos Santos C,Burkholder JD,Koschel BR,Cubeddu LX,Farcy DA

doi

10.14423/SMJ.0000000000000915

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

34-38

issue

1

eissn

0038-4348

issn

1541-8243

pii

SMJ50640

journal_volume

112

pub_type

杂志文章
  • Displaced tibial shaft fractures: a comparison of treatment methods.

    abstract::Eighty-five overriding tibial shaft fractures (46 open, 39 closed) were treated at Ochsner Foundation Hospital between 1960 and 1972. Nine different treatment methods were employed by seven orthopedic surgeons. The best results were obtained in the nine patients treated by open reduction and either compression plating...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197601000-00014

    authors: Dunn AW

    更新日期:1976-01-01 00:00:00

  • Herpes simplex type 2 causing fulminant hepatic failure.

    abstract::Although exceedingly rare, fulminant hepatic failure (FHF) in immunocompetent patients can develop with primary or recurrent infection due to herpes simplex virus (HSV). The diagnosis is frequently obscured by the absence of mucocutaneous involvement. Elevated transaminase values with leukopenia and a relatively low b...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Fahy RJ,Crouser E,Pacht ER

    更新日期:2000-12-01 00:00:00

  • Euthyroid hyperthyroxinemia due to familial excess of thyroxine-binding globulin.

    abstract::The correct diagnosis of benign hyperthyroxinemia in this patient and his family members will spare them the unnecessary testing and treatment for thyrotoxicosis that has befallen some such patients. Results of the usual blood tests for assessment of thyroid function, such as T4, T3, and thyrotropin determinations, we...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198903000-00022

    authors: Tucker WS Jr

    更新日期:1989-03-01 00:00:00

  • Chest pain evaluation unit: a cost-effective approach for ruling out acute myocardial infarction.

    abstract::We compared a "cardiac profile" test with standard creatine kinase (CK) and lactic dehydrogenase (LD) electrophoresis in 798 cases of possible acute myocardial infarction (MI). The cardiac profile enzyme screen (CK-B, CK, LD) used on 495 patients who came to the emergency department with chest pain suggestive of acute...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: de Leon AC Jr,Farmer CA,King G,Manternach J,Ritter D

    更新日期:1989-09-01 00:00:00

  • Laryngeal microsurgery without intubation.

    abstract::Reviewed are 200 cases in which endolaryngeal suspension microsurgical procedures were done using intravenous anesthesia and Venturi insufflation oxygenation. Patients included 177 adults and 23 children, ranging in age from 20 months to 88 years. No significant complications were observed. The technic allowed the glo...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197607000-00003

    authors: Urban GE Jr

    更新日期:1976-07-01 00:00:00

  • Effect of stress on pregnancy outcome among women undergoing assisted reproduction procedures.

    abstract:BACKGROUND:This study was performed to examine the effect of stress on pregnancy outcome in women who underwent assisted reproductive technology (ART) procedures. METHODS:In a controlled clinical study of healthy volunteers in an academic research environment, stress was measured subjectively by administering patient ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000054567.79881.E9

    authors: Lovely LP,Meyer WR,Ekstrom RD,Golden RN

    更新日期:2003-06-01 00:00:00

  • Relationship between menarcheal age and adult height.

    abstract::Many factors contribute to the attainment of adult height, including genetic and environmental variables. To assess the relationship between menarcheal age and adult height, measured adult height and recalled menarcheal age were compared by regression analysis in 425 women. The overall regression equation, Height = 15...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198904000-00009

    authors: Shangold MM,Kelly M,Berkeley AS,Freedman KS,Groshen S

    更新日期:1989-04-01 00:00:00

  • Radial and volar perilunate transscaphoid fracture dislocation.

    abstract::An unusual volar and radial perilunate transscaphoid fracture dislocation is reported. Treatment of perilunate transscaphoid fracture dislocations by closed reduction often produces a poor result. Early open reduction may be followed by a good result, but if open reduction is impossible, proximal row carpectomy is adv...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197507000-00025

    authors: Woodward AH,Neviaser RJ,Nisenfeld F

    更新日期:1975-07-01 00:00:00

  • Neck mass resulting from local extension of pulmonary blastomycosis.

    abstract::Blastomycosis is an endemic systemic fungal infection that usually involves the lungs and superficial skin. Although head and neck involvement has been reported in the literature, no previous cases of neck mass resulting from direct extension of a pulmonary lesion have been published. We encountered an immunocompetent...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199810000-00009

    authors: Hoskere GV,Hubbs DT,Vasquez JE

    更新日期:1998-10-01 00:00:00

  • Evaluation of extramural programs.

    abstract::Extramural programs may be evaluated in terms of effectiveness in achieving their particular goals. The components of structure, process, and outcome are examined as related sets of program elements. Goals influence appropriate structure in organization, facilities, and manpower. Structure in turn influences process o...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197906000-00027

    authors: Chappell JA,Hain JD

    更新日期:1979-06-01 00:00:00

  • Mesenteric venous thrombosis and oral contraceptives.

    abstract::Reported is a case of mesenteric venous thrombosis occurring in a 46-year-old woman who had taken an oral contraceptive for six years. Seventeen cases of mesenteric venous thrombosis have been reported in young women taking oral contraceptives. An association between oral contraceptive agents and mesenteric venous thr...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197703000-00033

    authors: Nesbit RR Jr,Deweese JA

    更新日期:1977-03-01 00:00:00

  • Diaphragmatic flutter emulating recalcitrant asthma.

    abstract::Diaphragmatic flutter is a rare phenomenon characterized by high-frequency, pulsatile contractions of the thorax and abdominal wall associated with breathlessness. We describe the case of a patient previously treated for status asthmaticus who had physical signs of diaphragmatic flutter. Respiratory inductive plethysm...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199702000-00015

    authors: Harrison P,Onorato DJ

    更新日期:1997-02-01 00:00:00

  • Dinitrophenol poisoning: a diagnosis to consider in undiagnosed fever.

    abstract::A 32-year-old farmer had signs and symptoms of dinitrophenol poisoning after crop spraying with a herbicide containing derivatives of 2,4-dinitrophenol. Dinitrophenol causes toxicity by the uncoupling of oxidative phosphorylation in the mitochondria of cells throughout the body. In man the classic syndrome consists of...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Leftwich RB,Floro JF,Neal RA,Wood AJ

    更新日期:1982-02-01 00:00:00

  • Progressive parkinsonism in boxers.

    abstract::Parkinsonism associated with boxing has attracted recent media attention, yet little has been written about it in the medical literature. This report presents a typical case with a review of the literature. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198905000-00002

    authors: Friedman JH

    更新日期:1989-05-01 00:00:00

  • Treating diseases, not patients.

    abstract::Highly trained medical specialists now possess a vast array of sophisticated technical apparatus with which to fight diseases. These tools, coupled with a growing emphasis on cost accounting and a medical paradigm emphasizing facts and depicting the human body as a machine, depersonalize health care by militating agai...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199307000-00017

    authors: Thompson LM

    更新日期:1993-07-01 00:00:00

  • Posterior approach for total hip arthroplasty.

    abstract::Experience with the posterolateral approach to total hip replacement arthroplasty in 229 patients is reported. The technic has the advantages of providing excellent exposure and decreased operative time, minimal blood loss, and absence of the complications associated with removal and replacement of the greater trochan...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198001000-00019

    authors: Gristina AG,Rovere GD,Nicastro JF,Burke JG

    更新日期:1980-01-01 00:00:00

  • Neurologic abnormalities in a patient with human ehrlichiosis.

    abstract::Human ehrlichiosis is a tick-borne rickettsial disease characterized by fever, headache, myalgias, anorexia, and occasionally rash. In our patient, changes in mental status, upper motor neuron signs, cerebrospinal fluid pleocytosis, and increased serum protein levels were found in association with serologically confir...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199011000-00031

    authors: Harkess JR,Stucky D,Ewing SA

    更新日期:1990-11-01 00:00:00

  • Amniotic fluid embolism.

    abstract::Amniotic fluid embolism is an almost universally fatal complication of pregnancy. We have presented a case and reviewed the literature concerning this rare but catastrophic problem. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199108000-00026

    authors: Hardin L,Fox LS,O'Quinn AG

    更新日期:1991-08-01 00:00:00

  • Tubo-ovarian abscess in postmenopausal patients.

    abstract::We retrospectively reviewed 20 surgically confirmed tubo-ovarian abscesses in postmenopausal women for the period 1973 to 1989. Pain and bleeding were the two most common presenting symptoms. Nine of the 20 patients (45%) had recently had endometrial instrumentation. Fever and the presence of a pelvic mass and elevate...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199207000-00006

    authors: Lipscomb GH,Ling FW

    更新日期:1992-07-01 00:00:00

  • Tuberculous peritonitis: fatality associated with delayed diagnosis.

    abstract::We describe a fatal case of tuberculous peritonitis and review the literature on the diagnostic modalities available to diagnose this entity. We suspect a delayed diagnosis resulted in the death of our patient. Today, the prompt diagnosis of an unknown ascitic process involves laparoscopy. A patient with unknown large...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199904000-00010

    authors: Ahmad M,Ahmed A

    更新日期:1999-04-01 00:00:00

  • Papillary fibroelastoma of the mitral valve 12 years after mitral valve commissurotomy.

    abstract::A 63 year-old woman who had had mitral valve commissurotomy 12 years earlier was seen because of rheumatic mitral stenosis and left brachial paresis due to cerebral embolism. On clinical evaluation, a diastolic rumble was heard over the mitral area, and the echocardiogram revealed a mass attached to the mitral subvalv...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199910000-00017

    authors: Cesena FH,Pereira AN,Dallan LA,Aiello VD,Mansur AJ

    更新日期:1999-10-01 00:00:00

  • Rickets in premature infants fed different formulas.

    abstract::To study the role of formula as a cause of rickets, we randomly assigned 46 very-low-birth-weight (VLBW) infants (less than or equal to 1,500 gm) to one of three groups receiving either Isomil, a soy isolate formula, Similac with Iron, a common milk-based formula, or Similac 24 LBW, a hypercaloric milk-based formula d...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007611-198401000-00005

    authors: Kulkarni PB,Dorand RD,Bridger WM,Payne JH 3rd,Montiel DC,Hill JG

    更新日期:1984-01-01 00:00:00

  • Predictive factors for septic shock in patients with ventilator-associated pneumonia.

    abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) is one of the most frequent infections in intensive care units (ICUs), and nearly 50% of patients with VAP develop septic shock. Septic shock is an independent predictor for mortality in these patients. OBJECTIVE:To investigate the predictors for septic shock in VAP pat...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181827891

    authors: Aydogdu M,Gursel G

    更新日期:2008-12-01 00:00:00

  • Knee flexion contractures in myelodysplasia.

    abstract::From 1976 to 1982, 12 children with myelodysplasia had surgery at our institution for knee flexion contractures (21 affected knees). Follow-up was a minimum of 18 months and averaged 47 months. Soft tissue lengthening of the hamstring tendons and release of the posterior capsule with or without femoral osteotomy yield...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198607000-00009

    authors: Nunley JA,Sperduto PW

    更新日期:1986-07-01 00:00:00

  • Prevalence and significance of decreased bone density in pulmonary arterial hypertension.

    abstract:OBJECTIVE:Decreased bone mineral density has been found in the advanced stages of various lung diseases. Limited data are available about prevalence and risk factors for osteoporosis/osteopenia (OP) in pulmonary arterial hypertension (PAH). METHODS:Patients with PAH (either idiopathic or secondary to scleroderma [SSC-...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31825b8117

    authors: Malik N,McCarthy K,Minai OA

    更新日期:2012-07-01 00:00:00

  • Thyroglossal duct cysts in the elderly.

    abstract::An instance of thyroglossal duct cyst in a 68-year-old man was reported. The clinical diagnosis of a thyroglossal duct cyst is suggested by the presence of a cystic mass situated anteriorly in the midline of the neck regardless of the patient's age. A review of the literature revealed that the incidence markedly decre...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197710000-00028

    authors: Murphy JP,Budd DC

    更新日期:1977-10-01 00:00:00

  • Diagnosis of scabies.

    abstract::Mineral oil scrapings from an infant with a persistent, puzzling, generalized eruption revealed the mite, Sarcoptes scabiei. Various diagnostic technics and treatment for scabies are discussed. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197505000-00008

    authors: Hazelrigg DE,Jarratt M

    更新日期:1975-05-01 00:00:00

  • An Underappreciated and Prolonged Drug Interaction Leads to Ineffective Anticoagulation.

    abstract::A poorly understood significant drug-drug interaction compounded by ineffective communication among providers at times of care transition most likely contributed to multiple thromboembolic events in an 81-year-old patient. Increased awareness of drug interactions with direct oral anticoagulants (DOACs), as well as imp...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000926

    authors: Rogers KC,Neu DW,Jaeger MC,Shah R,Finks SW

    更新日期:2019-02-01 00:00:00

  • Electrical injuries.

    abstract::Electrical injuries may occur from high or low voltage contact. Low voltage injuries usually occur in the home, tetany may lead to sustained contact, and dangerous cardiac disturbances often result. High voltage injuries are usually work related and result from brief contact but may cause serious tissue destruction an...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Martinez JA,Nguyen T

    更新日期:2000-12-01 00:00:00

  • Neuroimaging of arachnoiditis induced by spinal anesthesia.

    abstract::Despite the simplicity, effectiveness, and safety of spinal anesthesia, arachnoiditis can occur as a complication. The cause of this is often unknown, especially since disposable spinal kits are now normally used. It is postulated that an untoward reaction to the anesthesia or chemical contamination was the cause of a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199311000-00026

    authors: Hardjasudarma M,Davis DR 2nd

    更新日期:1993-11-01 00:00:00