Empowering Clinicians: Pediatric Firearm Safety and Strategies for Assisting Caregivers in Limiting Lethal Means

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Accreditation Designation Statements

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 Credits^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Continuing Education Credit

The University of Nevada, Reno School of Medicine approves this program for 1.50 hours of nursing continuing education credit. Nevada State Board of Nursing provider number 120894-1.

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.

All presenters, planners or anyone in a position to control the content of this continuing medical education activity have indicated that they do not have any financial relationships with commercial or proprietary 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, 95(3), 295–304. DOI link to the Journal of Urban Health article on firearm storage
• Fowler, K. A., Dahlberg, L. L., Haileyesus, T., Gutierrez, C., & Bacon, S. (2017). Childhood firearm injuries in the United States. Pediatrics, 140(1), e20163486. DOI link to the Pediatrics article on childhood firearm injuries
• Goldstick, J. E., Cunningham, R. M., & Carter, P. M. (2022). Current causes of death in children and adolescents in the United States. New England Journal of Medicine, 386(20), 1955–1956. DOI link to the New England Journal of Medicine article on causes of death in youth
• Safe Kids Worldwide. (2019). Gun Safety Around Children. Safe Kids Worldwide firearm safety resources for children

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 for children and teenagers aged 1 to 17. CDC WONDER Online Database
• Centers for Disease Control and Prevention, National Center for Health Statistics. WONDER Online Database. Yearly average developed using data from 2015 to 2019 for children aged 0 to 16. CDC WONDER Online Database
• Centers for Disease Control and Prevention, National Center for Health Statistics. WONDER Online Database, Underlying Cause of Death. Yearly average developed using data from 2015 to 2019 for children aged 0 to 17. CDC WONDER Online Database
• Azrael, D., Cohen, J., Salhi, C., & Miller, M. (2018). Firearm storage in gun-owning households with children. Journal of Urban Health, 95(3), 295–304.
• Fowler, K. A., Dahlberg, L. L., Haileyesus, T., Gutierrez, C., & Bacon, S. (2017). Childhood firearm injuries in the United States. Pediatrics, 140(1).
• Guohua, L., et al. (1996). Factors associated with the intent of firearm-related injuries in pediatric trauma patients. Archives of Pediatric & Adolescent Medicine.
• Grossman, D. C., Mueller, B. A., Riedy, C., et al. (2005). Gun storage practices and risk of youth suicide and unintentional injuries. JAMA, 293(6), 707–714.
• Hemenway, D., Azrael, D., & Miller, M. (2017). Whose guns are stolen? The epidemiology of gun theft victims.
• Stolzenberg, L., & D’Alessio, S. J. (2000). Gun availability and violent crime. Social Forces, 78(4), 1461–1482.
• Everytown for Gun Safety analysis of data obtained by The Trace from law enforcement agencies. Everytown analysis of firearm data from The Trace
• Baxley, F., & Miller, M. (2006). Parental misperceptions about children and firearms. Archives of Pediatrics & Adolescent Medicine, 160(5), 542–547.
• Hardy, M. S. (2002). Teaching firearm safety to children: Failure of a program. Journal of Developmental & Behavioral Pediatrics, 23, 71–76.

Misty Vaughan Allen, M.A., Nevada Suicide Prevention Coordinator, Division of Public and Behavioral Health

• Education Development Center, Inc. (2014). Assessing and managing suicide risk: Core competencies for behavioral health professionals.
• Office of Analytics, U.S. Department of Health and Human Services. Suicide Surveillance Dashboard.
• National Center for Health Statistics. WISQARS Fatal Injury Data. CDC WISQARS Fatal Injury Reporting System

Kris Deeter, M.D., MBA, FAAP, Chair of Pediatrics, University of Nevada, Reno School of Medicine; Physician-in-Chief, Renown Children’s Hospital

• National Survey of Children’s Health (2011–2012)
• American Academy of Pediatrics. Declaration of a National Emergency in Child and Adolescent Mental Health.
• Centers for Disease Control and Prevention. (2020)
• Multiple studies cited: Chesney et al. (2014); Swanson et al. (2015); Branas et al. (2016); Wintemute et al. (2018); and others.
• Ellis (2020)
• Fischer, K. R., et al. (2019). Trauma-informed care for violently injured patients in the emergency department. Annals of Emergency Medicine, 73(2), 193–202.
• Institute for Clinical Systems Improvement. (2014). Going Beyond Clinical Walls: Solving Complex Problems.
• JAMA Pediatrics. (2016). 170(1), 70–77.
• Kaiser Family Foundation analysis of CDC WONDER and IHME Global Burden of Disease data
• National Center for Trauma-Informed Care, Center for Mental Health Services