Presenters: Jorge Montano-Figueroa, R.N., BSN; Sarah Elliott Ph.D.; Misty Vaughan Allen M.A.; & Kris Deeter M.D., MBA, FAAP
Online CME Credit
Fee: $75.00
Provides 1.50 hours of CE/CME credit (Presented: October 25, 2023; Reviewed October 30, 2023; Expires October 30, 2025)
In the US, firearms have become the leading cause of death among children. This course is designed to provide clinicians with comprehensive, evidence-based education covering firearm safety, methods to mitigate firearm-related injuries, and strategies for curtailing access to lethal means. The event will showcase four outstanding presenters from diverse Statewide Agencies over a two-hour virtual course. Through this session, you'll gain valuable insights into your role as an advocate for childhood safety, emphasizing responsible firearm ownership through secure storage practices. This also includes preventing youth suicide while ensuring that, as clinicians, we provide equitable trauma-informed care.
Following participation in this course, participants should be able to:
Jorge Montano-Figueroa
R.N., BSN, Pediatric Injury Prevention, Specialist, Renown Children’s, Hospital
Sarah Elliott
Ph.D. Psychology, Be SMART Campaign
Misty Vaughan Allen
M.A., Nevada Suicide Prevention, Coordinator, Division of Public and Behavior Health
Kris Deeter
M.D., MBA, FAAP, Chair of Pediatrics, University of Nevada, Reno, School of Medicine, Physician-in-Chief, Renown Children’s Hospital
Renown Health is committed to fostering safe and healthy communities. As healthcare leaders, we recognize the alarming reality that firearms have become the primary cause of child mortality. In response, we are committed to leveraging our collective influence to combat this concerning trend. Aligned with our core values of compassion, integrity, collaboration, and excellence, we are actively championing a non-politically affiliated campaign centered on responsible firearm ownership, with a particular focus on ensuring secure firearm storage. As providers specializing in pediatric care, we've witnessed firsthand the devastating impact of firearm-related injuries on our community. Consequently, we firmly believe that children should never have unsupervised access to firearms. We invite you to join us in safeguarding our children by standing united with this message. Through collaborative efforts, we can enhance the safety of our community's most vulnerable members.
The contents are those of the author(s) and do not necessarily represent the official views of Renown Health.
For questions concerning the online evaluation or your certificate, please contact our office at (775) 784-4791 or email us at cme@med.unr.edu.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nevada, Reno School of Medicine and Renown Health. The University of Nevada, Reno School of Medicine is accredited by the ACCME to provide continuing medical education to physicians.
The University of Nevada Reno School of Medicine designates this live activity for a maximum of 1.50 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The University of Nevada Reno School of Medicine approves this program for 1.50 hours of nursing continuing education credit.
The University of Nevada, Reno School of Medicine is a provider of continuing education credit through the Nevada State Board of Pharmacy. This program is approved for 1.50 hours of continuing education credit for pharmacists.
This program provides 1.00 CME credit towards the Nevada State Board of Medical Examiners' requirement for 2 hours of training related to suicide prevention, intervention, and detection every 4 years.
This program provides 1.00 CME credit towards the Nevada State Board of Medical Examiners' requirement for 2 hours of training related to ethics, pain management, or addiction care during each licensure period.
As an accredited provider of continuing medical education through the Accreditation Council for Continuing Medical Education (ACCME) the University of Nevada, Reno School of Medicine must ensure balance, independence, objectivity, and scientific rigor in all its educational activities. In order to assure that information is presented in a scientific and objective manner, The University of Nevada, Reno School of Medicine requires that anyone in a position to control or influence the content of an accredited activity disclose all financial relationships within the prior 24 months with any commercial or proprietary entity producing health care goods or services relevant to the content being planned or presented. All relevant financial relationships have been mitigated. Following are those disclosures.
The following presenter has disclosed the following relationship with a commercial interest:
No disclosures
All other presenters, planners or anyone in a position to control the content of this continuing medical education activity have indicated that neither they nor their spouse/legally recognized domestic partner has any financial relationships with commercial interests related to the content of this activity.
Jorge Montano-Figueroa, R.N., BSN, Pediatric Injury Prevention, Specialist, Renown Children’s, Hospital
Azrael, D., Cohen, J., Salhi, C., & Miller, M. (2018). Firearm Storage in Gun-Owning Households with Children: Results of a 2015 National Survey. Journal of urban health : bulletin of the New York Academy of Medicine, 95(3), 295–304. https://doi.org/10.1007/s11524-018-0261-7
Fowler, K. A., Dahlberg, L. L., Haileyesus, T., Gutierrez, C., & Bacon, S. (2017). Childhood Firearm Injuries in the United States. Pediatrics, 140(1), e20163486. https://doi.org/10.1542/peds.2016-3486
Goldstick, J. E., Cunningham, R. M., & Carter, P. M. (2022). Current Causes of Death in Children and Adolescents in the United States. The New England journal of medicine, 386(20), 1955–1956. https://doi.org/10.1056/NEJMc2201761
Gun Safety Around Children. Safe Kids Worldwide. (2019). https://www.safekids.org/safetytips/field_risks/guns
Sarah Elliott, Ph.D. Psychology, Be SMART Campaign
Centers for Disease Control and Prevention. National Center for Health Statistics. WONDER Online Database, Underlying Cause of Death. Data from 2019. Children and teenagers aged 1 to 17, Black defined as non-Hispanic, number of deaths by known intent (homicide, suicide, unintentional deaths). Age 0 to 1 calculated separately by the CDC because leading causes of death for newborns and infants are specific to the age group.
Centers for Disease Control and Prevention. National Center for Health Statistics. WONDER Online Database. A yearly average was developed using five years of most recent available data: 2015 to 2019. Anaylysis includes children aged 0 to 16, homicide includes legal intervention.
Centers for Disease Control and Prevention. National Center for Health Statistics. WONDER Online Database, Underlying Cause of Death. A yearly average was developed using five years of most recent available data: 2015 to 2019. Analysis includes children aged 0 to 17, homicide includes legal intervention.
Azrael D< Cohen J, Salhi C, Miller M. Firearm storage in gun-owning households with children: Results of a 2015 national survey. Journal of Urban Health. 2018; 95(3): 295-304. Study defined children as under the age of 18.
Fowler KA, Dahlberg LL, Haileyesus T, Gutierrez C, Bacon S. Childhood Firearm Injuries in the United States. Pediatrics. 2017; 140(1).
Guohua L, et al. Factors Associated with the Intent of Firearm-Related Injuries in Pediatric Trauma Patients. Archives of Pediatric & Adolescent Med. 1996; 1160, 1162.
Grossman DC, Mueller BA, Riedy C, et al. Gun storage practices and risk of youth suicide and unintentional injuries, JAMA: The Journal of the American Medical Association. 2005; 293(6): 707-714
Hemenway D, Azrael D, Miller M. Whose guns are stolen? The epidemiology of gun theft victims. 2017; 4(1):11.
Stolzenberg L, D’Alessia SJ. Gun availability and violent crime: New evidence from National Incident-Based Reporting System. Social Forces. 2000; 78(4): 1461-1482
Everytown analyzed data obtained by The Trace from 1054 law enforcement agencies in 36 states and Washington, D> For the yearly comparison, Everytown narrowed the analysis of local data obtained by the Trace to 39 cities in 16 states based on the availability of data for all years between 2006 and 2015. Available at https://bit.ly/2UmQhUX.
Baxley F, Miller M. Parental misperceptions about children and firearms. Archives of Pediatrics & Adolescent Medicine. 2006; 160(5): 542-547.
Hardy, MS. Teaching firearm safety to children: Failure of a program. Journal of Developmental & Behavioral Pediatrics. 2002; 23, 71-76
Grossman DC, Mueller BA, Riedy C, et al. Gun storage practices and risk of youth suicide and unintentional injuries. JAMA: The Journal of the American Medical Association. 2005; 293(6); 707-714
Misty Vaughan Allen, M.A., Nevada Suicide Prevention, Coordinator, Division of Public and Behavior Health
Education Development Center, Inc. (2014). Assessing and managing suicide risk: Core competencies for behavioral health professionals. [Participant companion guide].
Waltham MA: Education Development Center, Inc. 30 ©2018 COUNSELING ON ACCESS TO LETHAL MEANS
Office of Analytics. Department of Health and Human Services. Suicide Surveillance Dashboard, 2022.
National Center for Health Statistics-CDC annual mortality data files for WISQARS Fatal data.
Kris Deeter, M.D., MBA, FAAP, Chair of Pediatrics, University of Nevada, Reno, School of Medicine, Physician-in-Chief, Renown Children’s Hospital
2011/12 NSCH
AACAO-CHA Declaration of a National Emergency in Child and Adolescent Mental Health – American Academy of Pediatrics
CDC; 2020
Chesney et al. 2014; Swanson et al. 2015; Branas et al. 2016; Wintemute et al. 2018; McKetin et al. 2014; McGinty et al. 2016; Hawton et al. 2006; Wintemute et al. 1998; Rowhani-Rahbar et al. 2015; Cunningham et al. 2015; Zeoli et al. 2016; Bailey et al. 1997; Rosen et al. 2019; Liljegren et al. 2015; Campbell et al. 2003; Grossman et al. 2005; Monuteaux et al. 2019.
Ellis 2020
Fischer KR, Bakes KM, Corbin TJ, Fein JA, Harris EJ, James TL, Melzer-Lange MD. Trauma-Informed Care for Violently Injured Patients in the Emergency Department. Ann Emerg Med. 2019 Feb;73(2):193-202.
Institute for Clinical Systems Improvement, Going Beyond Clinical Walls; Solving Complex Problems (October 2014)
JAMA Pediatr. 2016;170(1):70-77. doi:10.1001/jamapediatrics.2015.2206
KFF analysis of CDC Wonder and Institute for Health Metrics and Evaluation (IHME) Global Burden of Disease data
NCTIC – National Center for Trauma-Informed Care – Center for Mental Health Services