PT - JOURNAL ARTICLE AU - Robert D Winfield AU - Marie Crandall AU - Brian H Williams AU - Joseph Victor Sakran AU - Kathy Shorr AU - Tanya L Zakrison TI - Firearm violence in the USA: a frank discussion on an American public health crisis—The Kansas City Firearm Violence Symposium AID - 10.1136/tsaco-2019-000359 DP - 2019 Dec 01 TA - Trauma Surgery & Acute Care Open PG - e000359 VI - 4 IP - 1 4099 - http://tsaco.bmj.com/content/4/1/e000359.short 4100 - http://tsaco.bmj.com/content/4/1/e000359.full SO - Trauma Surg Acute Care Open2019 Dec 01; 4 AB - Kansas City is a microcosm for USA. Although Kansas City shows a relatively diverse population, it is one that is segregated along the lines of race and income. This is an inequity that is common to all cities across the country. With this inequity comes unequal opportunity to survive and to thrive. Firearm violence is a core component of this societal inequity. In this article, we present the proceedings of the 2019 Kansas City Firearm Violence Symposium, where distinguished experts in trauma convened to share their experience, evidence and voices of gun violence—directly and indirectly. There were discussions on topics such as the human toll of gun violence, the role of structural violence in its perpetuation, the intersectional nature of race with both violence and medical care, and guidance on measures that could be taken to advocate for the reduction and elimination of gun violence. This was a symposium that started a country-wide conversation between academia, healthcare, survivors and the community on the most pressing public health crisis facing USA today.