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Creating an Effective Handgun Safety Curriculum for Emergency Physicians
Russell Baker1, Robert Root1, Camie McCaffree1
1Department of Emergency Medicine, Texas Tech University Health Sciences Center, El Paso, Texas.
The Journal of Emergency Medicine
|November 8, 2025
Summary
Firearm safety training significantly improved emergency physicians' skills in managing unexpected firearms encountered in clinical settings. This simulation-based education enhanced their preparedness and safe handling abilities.
Area of Science:
- Medical Education
- Emergency Medicine
- Firearm Safety
Background:
- Emergency physicians frequently encounter firearms in clinical environments.
- A gap exists in assessing emergency physicians' skills for safely managing unexpected firearms on patients.
Purpose of the Study:
- To evaluate the effectiveness of simulation-based training in preparing emergency physicians to manage and secure unexpected firearms.
- To assess the impact of firearm safety training on physician preparedness.
Main Methods:
- A single-center prospective cohort study involving emergency medicine residents.
- Pre- and post-intervention simulations assessed firearm management skills.
- A 2-hour live-fire handgun safety course was administered.
Main Results:
- Median critical actions increased from 5.5 to 7.5 post-training (p < 0.001).
- Performance improved across all evaluated checklist items.
- Sustained improvement in firearm handling skills was observed.
Conclusions:
- Simulation-based firearm safety training is feasible and effective for emergency medicine residents.
- Structured training enhances physician preparedness for clinical firearm encounters.
- Improved firearm handling skills were demonstrated post-intervention.
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