• cmac@lemmy.world
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    7 months ago

    What’s actually the answer though? I would think A, D, C in that order is probably best, but I’m guessing they just want C?

    • dual_sport_dork 🐧🗡️@lemmy.world
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      7 months ago

      The most lawyer friendly answer is probably C.

      I am not a doctor, but I do know how to handle firearms, so I would also unload and ensure that the gun is not in a condition to fire. This would probably dock me points for diluting potential evidence or some such horseshit, but it’d still be the right thing to do. Provided you knew what you were doing.

      • Glowstick@lemmy.world
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        7 months ago

        Doing anything to the gun is probably a bad idea, even if you have experience with firearms. This gun came from a gang member, it could be in a very janky altered condition that makes it act unpredictably. If you’re going to try to disarm it anyway then you should still move it outside first before attempting that just in case it malfunctions and fires while you’re trying to manipulate it

    • ArcaneSlime@lemmy.dbzer0.com
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      7 months ago

      Tbf if nobody in the room has experience handling them, it’d be better to tell a nurse to grab the security guard or something than to handle it at all.

      That said, if there’s a possibility one may be in this situation they should take the 5 whole minutes to learn one day, as the actual safest option is to A) know what you’re doing and clear it or B) don’t even touch it until someone does clear it, though this could impact medical care or the speed with which it is delivered.

    • Lizardking27@lemmy.world
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      7 months ago

      Lmao I would absolutely not trust some random Healthcare worker to both verify a handgun is unloaded, and safely hold onto it for any amount of time. The answer is clearly, obviously, and only C.

    • shalafi@lemmy.world
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      7 months ago

      I wouldn’t trust a doctor to clear a weapon. It’s stupid easy, if you know what you’re doing.

    • bstix@feddit.dk
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      7 months ago

      It’s not difficult.

      A is wrong because whoever wrote this is in no position to evaluate if the person reading it is capable of “to check if the gun is loaded” without blowing their own head off.

      D is wrong because the person whoever wrote this is in no position to evaluate if the person reading it is capable of “hold the gun personally” without blowing their own head off.

      C is the only correct answer.

      • mipadaitu@lemmy.world
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        7 months ago

        A is additionally wrong because you don’t know the condition of the firearm. If it is not mechanically sound, manipulating it in any way could cause it to discharge in the worst case, or possibly jamming it in an unsafe condition. Best to let someone get it to a safer location before trying anything. There’s likely no especially safe direction to allow a firearm to discharge in a hospital, much less the ED.

      • cmac@lemmy.world
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        7 months ago

        I agree that’s what they want you to answer, but you can’t move it to a safe location without handling it, so C necessarily entails D. Unless there’s a designated firearm handler in the ER you can call over, which to be fair, maybe there should be.

        • Glowstick@lemmy.world
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          7 months ago

          You’re being too pedantic about wording. The right answer is to make it most safe while minimizing the chance of it accidentally firing. Simply moving it to a locked room down the hallway is the best way to achieve that.

          • bstix@feddit.dk
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            7 months ago

            Unless you pass by a “good person with a gun” seeing you with a gun and killing you because you’re carrying a gun on the way.

            The only answer is to leave the gun where it is without touching it, exit the room with the patient, lock the door from outside, leave the building yourself, light a cigarette, forget about whatever the problem was, go home, because they aren’t paying you enough to get shot on your job

            • Revan343@lemmy.ca
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              7 months ago

              because they aren’t paying you enough to get shot on your job

              If you’re a surgeon, they might be

        • dual_sport_dork 🐧🗡️@lemmy.world
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          7 months ago

          If you are at a hospital in the hood they probably have armed security. The ones in the city nearest me certainly do. One would hope they know how to safely handle a firearm as well as have some manner of secure storage someplace, so that’d probably be their department. At least until the cops inevitably get involved.

  • SzethFriendOfNimi@lemmy.world
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    7 months ago

    C. Since it just wants one and I would think the immediate safety of people involves moving it away and then tending to the patient.

    Messing with the weapon, checking whether it’s empty, isn’t necessary and you’d still have to move it anyway

  • frickineh@lemmy.world
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    7 months ago

    Considering that he got shot in the arm, not the face, my real life response would probably be, “really, man? You didn’t think you should give this to someone else before ems got there?” That’s why I’m not a doctor. Because I’m pretty dumb and bad at hiding my reactions. Also the part with all the blood.

  • lugal@lemmy.ml
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    7 months ago

    Depends. If the patient lives, it’s D. If he dies, you need to revenge him, so E

  • don@lemm.ee
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    7 months ago

    Everyone here just straight up ignoring the fact that option B is completely correct.

  • taiyang@lemmy.world
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    7 months ago

    B, but you actually use it to get attention and yell to everyone to “calm the fuck down and be cool.” Then safely and discretely dispose of the evidence to get in good with your local gang.

  • FiniteBanjo@lemmy.today
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    7 months ago

    C is okay but why are we not allowed to put the safety on and safely remove all of the ammunition?

    • bluewing@lemm.ee
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      7 months ago

      The general risk assessment is that medical personal don’t know as much about firearms as Law enforcement - and LEOs don’t know much. And you generally have other things to do that are more important than causing a negligent discharge in the ER.

      Beside, do you really want to trust the Triage Nurse with a loaded firearm?

      • ArcaneSlime@lemmy.dbzer0.com
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        7 months ago

        I’m confident that, maybe with 5min instructional time from a gun guy (or gal, women are the fastest growing group of gun owners today), anyone with a phd could be taught “push button, remove mag, rack slide” and “push button, swing cylinder, push ejector rod out.”

        They really aren’t as hard to learn to use safely as Alec Baldwin would have you believe. Shooting accurately is another matter but simply being safe is as easy as learning 4 rules and a basic knowledge of how common firearms function.

        Edit: here, I’ll link a video where for three easy payments of $29.99 in one whole minute and 38 seconds you too can learn how to clear semi auto handguns (the most common type of gun by a mile) safely like a pro!

        You see how easy this is? A surgeon should be competent enough to learn how to do this.

        • bluewing@lemm.ee
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          7 months ago

          It’s harder to learn for many people than you might think. There are 1000’s of different kinds of types and models many with subtle differences from one another from one year to the next. Nor do you know just how mechanically sound that gangbanger’s gun is either - what parts might be broken, missing, or badly modified.

          It’s probably not worth the risk when you can just place it in a lockbox and call the cops to deal with it.

          • ArcaneSlime@lemmy.dbzer0.com
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            7 months ago

            Sure there’s 1000s of diff types but he doesn’t have a vickers or an mg-42 stuffed down his joggers, he has one of the many revolvers or semi autos that all function the same way. Probably could narrow it down even further, it’s likely either a glock (26, 43, 45, 19, 19x, or 17), a sig (p320 or p365), a S&W (m&p or sd9ve), a Ruger (mkIII or IV, lcp9), a taurus (lol gross), or a hi-point (also lol) or any crappy .22lr revolver. For 99.9% of guns you encounter (unless your friend is a collector,) they’re all going to function similarly enough to at least get it cleared.

            As to broken or badly modified, typically it can still be cleared, I’ve never seen a gun so badly broken that dropping the mag or racking the slide fires it. In theory, sure, but that’s why you’re following all the rules of gun safety and pointing it in a safe direction (at something that’ll catch the bullet if all goes wrong.)

            I’ve seen literal children learn how, if they can I hope a surgeon can.

              • ArcaneSlime@lemmy.dbzer0.com
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                7 months ago

                Well medical accidents kill more people per year in the US than guns, including suicide and accidents. Oddly enough.

                (Frankly though if a gang member is shot, he was probably brought in by paramedics, and therefore before they were able to administer care the police secured the scene, so he was probably cuffed to the stretcher, already searched, and accompanied by two or more cops, and this question is frankly silly to begin with.)

                • bluewing@lemm.ee
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                  7 months ago

                  I was a medic for 15 years. Ain’t no one EVER going to cuff a patient to a cot. We can’t even transport a cuffed patient. Hard restrains are illegal for us to use. And no cop is ever going to ride in the back of an ambulance. They will follow in a squad car, but they won’t ride with. And maybe the police secured the scene, maybe they didn’t. Maybe they had time to search the patient, maybe they didn’t. It’s not always picture perfect. And yes, medical mistakes kill more people. But, the job is to prevent killing more people due to missed or lacking protocols. So we do what we can to prevent even one.

                  And no, this isn’t a silly discussion. We do indeed need to have protocols in place involving weapons because it is a real thing and we discuss scenarios where this happens. And while I never had to remove a firearm myself, I have relieved more than one patient of knives, brass knuckles, tears gas, and one leather sap while doing my assessment. And it happened enough we equipped every ambulance with a lock box to secure them. When I retired, they were considering get kevlar vests for the us. Not so much because of guns, but knives. While not a perfect solution it did offer some small protection. At least a bit more than just a jump bag does. We could even take special self defense seminars on how to protect yourself in the confines of the ambulance, and do so without leaving a mark on a patient - it’s considered VERY bad form to beat up your patient. And it was an odd month were you didn’t get assaulted at least once. I think I averaged about 3 a month or so. Things often be whack after midnight yo.

        • Maggoty@lemmy.world
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          7 months ago

          You would think that. But the number of trained soldiers who have been punished for a negligent discharge while clearing their weapon would say otherwise. Also, you have to assume everyone employed at that ER is at the end of a 48 hour double shift where every attempt to sleep was interrupted less than an hour later.

          • ArcaneSlime@lemmy.dbzer0.com
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            7 months ago

            Idk man I can’t sit here and claim to be so ridiculously intelligent I can learn how to cycle a firearm faster than a literal surgeon. I mean, when I learned I was a pizza delivery man. I may have a different job now, but if a pizza man can learn it I’d hope a surgeon could pick it up pretty quick, “it isn’t brain surgery.”

            • Maggoty@lemmy.world
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              7 months ago

              The learning isn’t the problem. The exhaustion is. If people who are highly trained with firearms cannot reliably clear them while exhausted then nobody can. And the medical industry insists on seriously overworking staff.

        • Crashumbc@lemmy.world
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          7 months ago

          You’re a great example why there should be more gun laws. That is probably the most dangerous reply I’ve ever heard.

        • Bytemeister@lemmy.world
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          7 months ago

          Consider that the gun may be part of the crime scene. The more people interact with it, the less useful it is as evidence.

          • ArcaneSlime@lemmy.dbzer0.com
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            7 months ago

            While true, I’d rather the gun actually be made safe, didn’t wear my plate carrier to work today lol.

            “Sorry cops, my life is more important to me, if you need prints get them off the guy’s fingers who’s pants I just pulled this out of, it isn’t really a question of who had it, it was him.”

          • FiniteBanjo@lemmy.today
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            7 months ago

            Who cares? It’s an immediate threat if untouched, and the gangster’s clothes are already covered in gunpowder.

      • FiniteBanjo@lemmy.today
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        7 months ago

        I don’t trust leaving it behind a desk counter or in a cabinet with bullets in it, personally, I feel like that’s the more dangerous option.

        • BlitzoTheOisSilent@lemmy.world
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          7 months ago

          Gun safety courses actually discuss (at length, at least in my state) about how even if you’ve just got the gun on your desk next to you, but it’s loaded, it needs to be pointed in a safe direction. Even doing dry fire exercises (practicing, say, holstering/unholstering with the gun unloaded and the magazine removed entirely), you’re supposed to point the gun down at where the floor meets the wall to minimize any chance of anyone being hurt by an accident discharge.

          Basically, you’re supposed to follow the same rules as if the gun was loaded and you’re holding it: don’t point it at anything you aren’t willing to destroy, and know both what it is pointed at and what lies beyond that.

          I personally wouldn’t want a doctor on their 23rd hour of work to try to unload a firearm in a crowded and hectic ER, and don’t have the answer to how to handle this situation, but I’m not a medical professional so…

        • bluewing@lemm.ee
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          7 months ago

          IF you run across a firearm on a patient, (which is really isn’t a common thing), it gets placed in a lockbox and then locked into a “safe room”. Chances are good there be a cop there in a short order anyway due to the patient having been shot by a gun.

          • BlitzoTheOisSilent@lemmy.world
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            7 months ago

            I honestly didn’t know that, I tend not to live my life in a way that would preclude me being shot or being around folks who will shoot someone. Thanks for the info! :)

            • bluewing@lemm.ee
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              7 months ago

              The overwhelming number of tend to live like you also. It’s a just a few of us that make a choice to have to deal with such less than savory people.

    • _lilith@lemmy.world
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      7 months ago

      Medical staff arn’t trained with guns and they figure there’s less possibility of an accidental discharge the less people are touching it

      • FiniteBanjo@lemmy.today
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        7 months ago

        Oh I apologize, I kind of saw through the lense of an American so I assumed basic firearm knowledge. We have 15 guns per person so there really is no excuse not to know over here. With that in mind the possibility of discharge goes down because a gun with no ammo does not discharge.

        • DAMunzy@lemmy.dbzer0.com
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          7 months ago

          I understand but we’ve all seen the video of buff 'locs shot himself while giving a gun safety course to students. No need to get poor Mary, the nurse who has been on shift for 14 hours because the hospital refuses to staff properly, any extra duties that she hasn’t been explicitly trained for.

          • FiniteBanjo@lemmy.today
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            7 months ago

            The prompt outlines that a physician has the gun. IN THEIR HANDS. Every possible answer has the same concern that you just outlined, we’ve crossed that line a while back.

        • surewhynotlem@lemmy.world
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          7 months ago

          We have 15 guns per person

          And this is why statistics classes are important. Only 30% of US adults own guns. So at 15 guns per person, that means most of those people own a fuckton of guns. I’d hazard a guess to say most of those people are not in the medical field.

          Most American adults do not own a gun, probably have never fired a gun, and their only training is from video games.

          • FiniteBanjo@lemmy.today
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            7 months ago

            Regardless of owning a gun: when they’re so commonplace then you should learn the basics, it could save a life someday knowing about the safety, magazine, chamber, and about never pointing a gun, loaded or otherwise, at anything that you don’t intend to destroy.

          • Mirshe@lemmy.world
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            7 months ago

            Also, a good handful of the people who DO own a weapon, have no training in the weapon and don’t know how to use or handle one safely.

        • scrion@lemmy.world
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          7 months ago

          Amassing guns does not mean amassing knowledge and training on how to properly use them. On a side note, the actual number is more like 1.2 guns per civilian, which is (terrifyingly) impressive.

          Even if that number wouldn’t be a simple average, it still doesn’t mean each civilian has received proper training or is even fit for handling a gun, even though 72% have apparently at least once fired a gun in their lifetime - though that can literally mean they onced pulled the trigger on a hunting trip with dad at age 7, with him holding the gun.

          Honestly, let me speak as an American as well: People shouldn’t be handling guns at all.

          Sources: https://www.pewresearch.org/social-trends/2017/06/22/the-demographics-of-gun-ownership/

          https://www.smallarmssurvey.org/

          • FiniteBanjo@lemmy.today
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            7 months ago

            You probably meant to link to this rather than the SAS homepage: LINK

            Also, by that estimate, there are less registered firearms than total US Soldiers in the military…

    • Rivalarrival@lemmy.today
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      7 months ago

      Most modern handguns do not have a (manually operated) safety.

      “A” is the answer closest to “remove all of the ammunition”.

    • chiliedogg@lemmy.world
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      7 months ago

      Couple reasons.

      One: do you know anything about that model of firearm? Does it have a safety? Can it slam-fire if handled improperly?

      Two: Is there important information that can be conveyed by the present condition of the firearm. Was it a shooting or an accident. Would clearing the firearm remove important information that can be used to ascertain what happened?

      Three: Preserving the firearm can preserve evidence. While that is not necessarily part of the duty of medical staff, there’s no reason to risk destroying evidence if the firearm can be safely isolated with minimal disturbance.

      Four: Why do it? An isolated, secure gun isn’t going to decide to start blasting people on its own. What advantage is there to handling the gun more than is necessary in that situation? Get it out of the way and keep working.

      • FiniteBanjo@lemmy.today
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        7 months ago

        You’re already assumed to be handling the gun from the onset. Most handguns are pretty standard if they’re from this century. The physician is likely wearing gloves and the conviction isn’t as important as everybody’s immediate safety. The gun isn’t in an isolated secure place, this is a physician’s office.

        • nonfuinoncuro@lemm.ee
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          7 months ago

          Performing outside of your scope of practice is the fastest way to a lawsuit and loss of your license. I don’t want to go to the station and fill out a bunch of forms. I have enough to fill out in the hospital already.

          I’ll stay in my lane thank you very much. Like everything else that is on the patient, whether it’s clothes, phone, drugs, weapons, money, whatever, I will hand it to a nurse to put in a bag and lock it away for the gun shooty people to take care of while I do my job. It’ll all be on camera and nobody can blame me for tampering with anything.

  • abbadon420@lemm.ee
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    7 months ago

    I was expecting one of the answers to be blatantly racist. It’s like this test doesn’t even want to prepare students for real life.