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Today’s blog is about investing in our children’s and grandchildren’s lives

This is the weapon:AR-16

It is unlike every other gun. It sends out bullets at high velocity and inflicts huge damage to the victim. How huge? Read this article by a doctor in Florida who witnessed first hand the Parkland shootings.

What I Saw Treating the Victims From Parkland Should Change the Debate on Guns by Heather Sherin of The Atlantic

They weren’t the first victims of a mass shooting the Florida radiologist had seen –but their wounds were radically different.

As I opened the CT scan last week to read the next case, I was baffled. The history simply read “gunshot wound.” I have been a radiologist in one of the busiest trauma centers in the nation for 13 years, and have diagnosed thousands of handgun injuries to the brain, lung, liver, spleen, bowel, and other vital organs. I thought that I knew all that I needed to know about gunshot wounds, but the specific pattern of injury on my computer screen was one that I had seen only once before.

In a typical handgun injury that I diagnose almost daily, a bullet leaves a laceration through an organ like the liver. To a radiologist, it appears as a linear, thin, grey bullet track through the organ. There may be bleeding and some bullet fragments.

I was looking at a CT scan of one of the victims of the shooting at Marjory Stoneman Douglas High School, who had been brought to the trauma center during my call shift. The organ looked like an overripe melon smashed by a sledgehammer, with extensive bleeding. How could a gunshot wound have caused this much damage?

The reaction in the emergency room was the same. One of the trauma surgeons opened a young victim in the operating room, and found only shreds of the organ that had been hit by a bullet from an AR-15, a semi-automatic rifle which delivers a devastatingly lethal, high-velocity bullet to the victim. There was nothing left to repair, and utterly, devastatingly, nothing that could be done to fix the problem. The injury was fatal.

A year ago, when a gunman opened fire at the Fort Lauderdale airport with a 9mm semiautomatic handgun, hitting 11 people in 90 seconds, I was also on call. It was not until I had diagnosed the third of the six victims who were transported to the trauma center that I realized something out-of-the-ordinary must have happened. The gunshot wounds were the same low velocity handgun injuries as those I diagnose every day; only their rapid succession set them apart. And all six of the victims who arrived at the hospital that day survived.

Routine handgun injuries leave entry and exit wounds and linear tracks through the victim’s body that are roughly the size of the bullet. If the bullet does not directly hit something crucial like the heart or the aorta, and they do not bleed to death before being transported to our care at a trauma center, chances are, we can save the victim. The bullets fired by an AR-15 are different; they travel at higher velocity and are far more lethal. The damage they cause is a function of the energy they impart as they pass through the body. A typical AR-15 bullet leaves the barrel traveling almost three times faster than, and imparting more than three times the energy of, a typical 9mm bullet from a handgun. An AR-15 rifle outfitted with a magazine cartridge with 50 rounds allows many more lethal bullets to be delivered quickly without reloading.

I have seen a handful of AR-15 injuries in my career. I saw one from a man shot in the back by a SWAT team years ago. The injury along the path of the bullet from an AR-15 is vastly different from a low-velocity handgun injury. The bullet from an AR-15 passes through the body like a cigarette boat travelling at maximum speed through a tiny canal. The tissue next to the bullet is elastic-moving away from the bullet like waves of water displaced by the boat-and then returns and settles back. This process is called cavitation; it leaves the displaced tissue damaged or killed. The high-velocity bullet causes a swath of tissue damage that extends several inches from its path. It does not have to actually hit an artery to damage it and cause catastrophic bleeding. Exit wounds can be the size of an orange.

With an AR-15, the shooter does not have to be particularly accurate. The victim does not have to be unlucky. If a victim takes a direct hit to the liver from an AR-15, the damage is far graver than that of a simple handgun shot injury. Handgun injuries to the liver are generally survivable unless the bullet hits the main blood supply to the liver. An AR-15 bullet wound to the middle of the liver would cause so much bleeding that the patient would likely never make it to a trauma center to receive our care.

One of my ER colleagues was waiting nervously for his own children outside the school. While the shooting was still in progress, the first responders were gathering up victims whenever they could and carrying them outside the building. Even as a physician trained in trauma situations, though, there was nothing he could do at the scene to help to save the victims who had been shot with an AR-15. Most of them died on the spot, with no fighting chance at life.

As a doctor, I feel I have a duty to inform the public of what I have learned as I have observed these wounds and cared for these patients. It’s clear to me that AR-15 or other high-velocity weapons, especially when outfitted with a high-capacity magazine, have no place in a civilian’s gun cabinet. I have friends who own AR-15 rifles; they enjoy shooting them at target practice for sport, and fervently defend their right to own them. But I cannot accept that their right to enjoy their hobby supersedes my right to send my own children to school, to a movie theater, or to a concert and to know that they are safe. Can the answer really be to subject our school children to active shooter drills-to learn to hide under desks, turn off the lights, lock the door and be silent-instead of addressing the root cause of the problem and passing legislation to take AR-15-style weapons out of the hands of civilians?

But in the aftermath of this shooting, in the face of specific questioning, our government leaders did not want to discuss gun control even when asked directly about these issues. Florida Senator Marco Rubio warned not to “jump to conclusions that there’s some law we could have passed that could have prevented it.” A reporter asked House Speaker Paul Ryan about gun control, and he replied, “As you know, mental health is often a big problem underlying these tragedies.” And on Tuesday, Florida’s state legislature voted against considering a ban on AR-15-type rifles, 71 to 36.

If politicians want to back comprehensive mental-health reform, I am all for it. As a medical doctor, I’ve witnessed firsthand the toll that mental-health issues take on families and the individuals themselves who have no access to satisfactory long-term mental-health care. But the president and Congress should not use this issue as an excuse to deliberately overlook the fact that the use of AR-15 rifles is the common denominator in many mass shootings.

A medical professor taught me about the dangers of drawing incorrect conclusions from data with the example of gum chewing, smokers, and lung cancer. He said smokers may be more likely to chew gum to cover bad breath, but that one cannot look at the data and decide that gum chewing causes lung cancer. It is the same type of erroneous logic that focuses on mental health after mass shootings, when banning the sale of semi-automatic rifles would be a far more effective means of preventing them.

Banning the AR-15 should not be a partisan issue. While there may be no consensus on many questions of gun control, there seems to be broad support for removing high-velocity, lethal weaponry and high-capacity magazines from the market, which would drastically reduce the incidence of mass murders. Every constitutionally guaranteed right that we are blessed to enjoy comes with responsibilities. Even our right to free speech is not limitless. Second Amendment gun rights must respect the same boundaries.

The CDC is the appropriate agency to review the potential impact of banning AR-15 style rifles and high-capacity magazines on the incidence of mass shootings. The agency was effectively barred from studying gun violence as a public-health issue in 1996 by a statutory provision known as the Dickey amendment. This provision needs to be repealed so that the CDC can study this issue and make sensible gun-policy recommendations to Congress.

The Federal Assault Weapons Ban (AWB) of 1994 included language which prohibited semi-automatic rifles like the AR-15, and also large-capacity magazines with the ability to hold more than 10 rounds. The ban was allowed to expire after 10 years on September 13, 2004. The mass murders that followed the ban’s lapse make clear that it must be reinstated.

On Wednesday night, Rubio said at a town-hall event hosted by CNN that it is impossible to create effective gun regulations because there are too many “loopholes” and that a “plastic grip” can make the difference between a gun that is legal and illegal. But if we can see the different impacts of high- and low-velocity rounds clinically, then the government can also draw such distinctions.

As a radiologist, I have now seen high velocity AR-15 gunshot wounds firsthand, an experience that most radiologists in our country will never have. I pray that these are the last such wounds I have to see, and that AR-15-style weapons and high-capacity magazines are banned for use by civilians in the United States, once and for all.

I have four grandchildren. I worry about their safety. The Parkland kids, happily, are moving like no other survivors of  a school shooting.

Last night, I thought, “Their work and travel is not coming cheap. How can I give them some money?”

I found it. They’re raising money. They have a web site: Here’s the pitch:

My name is Cameron Kasky. I am a student at Stoneman Douglas.

I created the #NeverAgain movement as well as the March for Our lives. Our team has been working hard since day one.

The funds will be spent on the incredibly difficult and expensive process that is organzing a march like this. We have people making more specific plans, but for now know that this is for the march and everything left over will be going to the victims’ funds.

These donations are not tax deductible.

Click here. 

Here are more of their words:

MarchforOurLives2

Please give  them a little money:

MarchForOurLives

Also click here. 

Like all good ventures, they have a:

Mission Statement

Not one more. We cannot allow one more child to be shot at school. We cannot allow one more teacher to make a choice to jump in front of a firing assault rifle to save the lives of students. We cannot allow one more family to wait for a call or a text that never comes. Our schools are unsafe. Our children and teachers are dying. We must make it our top priority to save these lives.

March For Our Lives is created by, inspired by, and led by students across the country who will no longer risk their lives waiting for someone else to take action to stop the epidemic of mass school shootings that has become all too familiar. In the tragic wake of the seventeen lives brutally cut short in Florida, politicians are telling us that now is not the time to talk about guns. March For Our Lives believes the time is now.

On March 24, the kids and families of March For Our Lives will take to the streets of Washington, DC to demand that their lives and safety become a priority. The collective voices of the March For Our Lives movement will be heard.

School safety is not a political issue. There cannot be two sides to doing everything in our power to ensure the lives and futures of children who are at risk of dying when they should be learning, playing, and growing. The mission and focus of March For Our Lives is to demand that a comprehensive and effective bill be immediately brought before Congress to address these gun issues. No special interest group, no political agenda is more critical than timely passage of legislation to effectively address the gun violence issues that are rampant in our country.

Every kid in this country now goes to school wondering if this day might be their last. We live in fear.

It doesn’t have to be this way. Change is coming. And it starts now, inspired by and led by the kids who are our hope for the future. Their young voices will be heard.

Stand with us on March 24. Refuse to allow one more needless death.

MARCH FOR OUR LIVES!

Give them money. I did. Click here. 

Good news: Early Friday morning. My comment just got approved:

comment

HarryNewton
Harry Newton, who marvels at the NRA’s marketing “creativity.” Try this one:

The NRA’s Dana Loesch said this week that ‘many in legacy media love mass shootings’ because ‘crying white mothers’ are good for ratings.

As of 6:37 AM this morning, the kids have raised $2,059,313 of their latest $2.5M goal. They’ve raised the money in under four days! These kids will change  the world.