RT Journal Article SR Electronic T1 Firearm violence in the USA: a frank discussion on an American public health crisis—The Kansas City Firearm Violence Symposium JF Trauma Surgery & Acute Care Open JO Trauma Surg Acute Care Open FD BMJ Publishing Group Ltd SP e000359 DO 10.1136/tsaco-2019-000359 VO 4 IS 1 A1 Robert D Winfield A1 Marie Crandall A1 Brian H Williams A1 Joseph Victor Sakran A1 Kathy Shorr A1 Tanya L Zakrison YR 2019 UL http://tsaco.bmj.com/content/4/1/e000359.abstract 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.