UAB And JeffCo Officials Plan Hospital-Based Intervention Program For Gunshot Survivors

 ========= Old Image Removed =========1Array
(
    [_wp_attached_file] => Array
        (
            [0] => 2021/06/FEATURE__RS16953_UAB_ER-19_2-scaled.jpg
        )

    [_wp_attachment_metadata] => Array
        (
            [0] => a:6:{s:5:"width";i:2560;s:6:"height";i:1440;s:4:"file";s:47:"2021/06/FEATURE__RS16953_UAB_ER-19_2-scaled.jpg";s:5:"sizes";a:12:{s:6:"medium";a:4:{s:4:"file";s:40:"FEATURE__RS16953_UAB_ER-19_2-336x189.jpg";s:5:"width";i:336;s:6:"height";i:189;s:9:"mime-type";s:10:"image/jpeg";}s:5:"large";a:4:{s:4:"file";s:40:"FEATURE__RS16953_UAB_ER-19_2-771x434.jpg";s:5:"width";i:771;s:6:"height";i:434;s:9:"mime-type";s:10:"image/jpeg";}s:9:"thumbnail";a:4:{s:4:"file";s:40:"FEATURE__RS16953_UAB_ER-19_2-140x140.jpg";s:5:"width";i:140;s:6:"height";i:140;s:9:"mime-type";s:10:"image/jpeg";}s:12:"medium_large";a:4:{s:4:"file";s:40:"FEATURE__RS16953_UAB_ER-19_2-768x432.jpg";s:5:"width";i:768;s:6:"height";i:432;s:9:"mime-type";s:10:"image/jpeg";}s:9:"1536x1536";a:4:{s:4:"file";s:41:"FEATURE__RS16953_UAB_ER-19_2-1536x864.jpg";s:5:"width";i:1536;s:6:"height";i:864;s:9:"mime-type";s:10:"image/jpeg";}s:9:"2048x2048";a:4:{s:4:"file";s:42:"FEATURE__RS16953_UAB_ER-19_2-2048x1152.jpg";s:5:"width";i:2048;s:6:"height";i:1152;s:9:"mime-type";s:10:"image/jpeg";}s:9:"wbhm-icon";a:4:{s:4:"file";s:38:"FEATURE__RS16953_UAB_ER-19_2-80x80.jpg";s:5:"width";i:80;s:6:"height";i:80;s:9:"mime-type";s:10:"image/jpeg";}s:13:"wbhm-featured";a:4:{s:4:"file";s:40:"FEATURE__RS16953_UAB_ER-19_2-800x450.jpg";s:5:"width";i:800;s:6:"height";i:450;s:9:"mime-type";s:10:"image/jpeg";}s:20:"wbhm-featured-square";a:4:{s:4:"file";s:40:"FEATURE__RS16953_UAB_ER-19_2-600x600.jpg";s:5:"width";i:600;s:6:"height";i:600;s:9:"mime-type";s:10:"image/jpeg";}s:18:"wbhm-featured-home";a:4:{s:4:"file";s:40:"FEATURE__RS16953_UAB_ER-19_2-553x311.jpg";s:5:"width";i:553;s:6:"height";i:311;s:9:"mime-type";s:10:"image/jpeg";}s:22:"wbhm-featured-carousel";a:4:{s:4:"file";s:40:"FEATURE__RS16953_UAB_ER-19_2-470x265.jpg";s:5:"width";i:470;s:6:"height";i:265;s:9:"mime-type";s:10:"image/jpeg";}s:14:"post-thumbnail";a:4:{s:4:"file";s:40:"FEATURE__RS16953_UAB_ER-19_2-125x125.jpg";s:5:"width";i:125;s:6:"height";i:125;s:9:"mime-type";s:10:"image/jpeg";}}s:10:"image_meta";a:12:{s:8:"aperture";s:1:"0";s:6:"credit";s:20:"Steve Wood UAB Photo";s:6:"camera";s:0:"";s:7:"caption";s:97:"UAB Emergency Department staff working on patients in the trauma bay of the Emergency Room, 2017.";s:17:"created_timestamp";s:10:"1484820538";s:9:"copyright";s:9:"UAB Media";s:12:"focal_length";s:1:"0";s:3:"iso";s:1:"0";s:13:"shutter_speed";s:1:"0";s:5:"title";s:32:"UAB Emergency Department at Work";s:11:"orientation";s:1:"0";s:8:"keywords";a:5:{i:0;s:8:"medicine";i:1;s:9:"emergency";i:2;s:7:"doctors";i:3;s:6:"nurses";i:4;s:8:"patients";}}s:14:"original_image";s:32:"FEATURE__RS16953_UAB_ER-19_2.jpg";}
        )

    [_media_credit] => Array
        (
            [0] => UAB Media Relations
        )

    [_navis_media_credit_org] => Array
        (
            [0] => 
        )

    [_navis_media_can_distribute] => Array
        (
            [0] => 1
        )

)
1657405455 
1625029200

UAB Emergency Department staff working on patients in the trauma bay of the Emergency Room, 2017.

UAB Media Relations

When a patient arrives at UAB Hospital’s trauma bay with a gunshot wound, doctors and nurses descend upon the scene like a well-trained NASCAR pit crew. Every second counts during the race against the clock to evaluate, stabilize and resuscitate the injured. 

“It looks like chaos, but it’s organized chaos,” said Dr. Jeffrey Kerby, director of UAB’s division of trauma and acute care surgery. 

For patients, the experience of getting shot is emotional and unexpected, but the trauma department has to be prepared, especially these days. 

Last year, UAB Hospital’s trauma team treated a record number of 1,056 people for gunshot wounds. The surge is prompting action from the wider medical community. 

A Mounting Crisis

Trauma volume at UAB Hospital has been increasing for years, and not just gunshot wounds, but all injuries, including car accidents and falls. 

“It’s a faucet that really, unfortunately, never stops,” said Dr. Daniel Cox, UAB’s trauma medical director. 

To handle the demand, unit leaders now keep two trauma surgeons on-call in the hospital 24/7 and they hired additional nurses and fellows.

Clinicians also want to reverse the increase in gun violence.

“It’s a public health problem,” Kerby said. “It really needs a public health approach.”

The trauma surgery division is partnering with community advocates and county health officials to launch a Hospital-based Violence Intervention Program (HVIP).

Hospital Intervention

With 40 of these types of programs around the country, HVIPs connect gunshot survivors with community mentors while they are still in the hospital. Mentors help patients readjust to life after injury, linking them to resources like job placement, education and follow-up care.

Carrea Dye, an epidemiological analyst with the Jefferson County Department of Health (JCDH), is spearheading the effort to plan and implement the program in Birmingham. She said gun violence is like a disease. 

“It’s preventable,” Dye said. “And in public health, one of our primary goals is to prevent disease.”

People who survive gunshot wounds are at higher risk than the general public to get injured again and die from their injuries. They are also more likely to participate in violence. 

The idea behind an HVIP is to break that cycle and offer a more comprehensive approach to treating survivors of gun violence.

“They’ve experienced this trauma and they’re in their most vulnerable state,” Dye said. “And you kind of want to meet them there.”

‘Like I Never Got Shot’

JCDH officials contracted with a national advocacy group, the Health Alliance for Violence Intervention, to help guide initial development of the program. The county agreed to fund the first year, pending approval by the department’s board. They hope to begin hiring staff and launch the HVIP within the next year.

The goal is to help gunshot survivors like Quincey Sanders. He was seriously injured 18 years ago when a bullet struck him in the face, entering through the side of his nose and ricocheting out near his jaw. 

Mary Scott Hodgin,WBHM
Quincy Sanders stands on the porch of mom’s house in Birmingham’s Norwood neighborhood.

Sanders spent two months in the hospital recovering. Back then, he was around a lot of guns and drugs, and he said it was hard to break away from that lifestyle.

“Once I got out of the hospital, I was back in action, like I never got shot,” Sanders said. “And I took it like that, like I never got shot. I wasn’t valuing my life.” 

Sanders was eventually arrested for selling drugs. He went to prison and was released a few weeks ago.

Now he is taking classes and preparing to start a new job. It took years, but Sanders said he is on a better path. Having the support of an intervention program might have helped him get there sooner. 

Officials hope having one in the future will make the way easier for other survivors.

Editor’s Note: UAB holds WBHM’s broadcast license, but our news and business departments operate independently.

 

Celine Song had too much fun as a matchmaker

Filmmaker Celine Song isn't religious, but that doesn't stop her from seeing certain dead insects as signs in her life and treating a good meal like prayer.

Diocese of San Bernardino issues dispensation saying Catholics who fear ICE don’t have to attend Mass

The diocese is the first in the U.S. to issue a special dispensation because of fears over immigration detentions.

Supreme Court blocks part of Florida’s immigration law

Immigrant rights organizations sued the state arguing that its new law conflicts with federal immigration law, and under longstanding Supreme Court precedent, states must bow to federal law in the event of such conflicts.

Clinging to a tree, and praying: how a family survived the Texas flash floods

"I thought my mom was going to die in front of me," said Taylor Bergmann, a 19-year-old who fought to save the people in his family after the Guadalupe River smashed through their home.

Elon Musk’s AI chatbot, Grok, started calling itself ‘MechaHitler’

On Sunday, the chatbot was updated to "not shy away from making claims which are politically incorrect, as long as they are well substantiated." By Tuesday, it was praising Hitler.

A young novelist takes on misconceptions about teen moms in ‘The Girls Who Grew Big’

Mottley's latest novel follows three young women as they navigate pregnancy and motherhood in a small town in Florida. She sees the novel as an extension of her work as a doula.

More Front Page Coverage