ImageTrend Collaborate™ Short Report: 2018-2020 National Trends in Firearm-related Incidents in the Prehospital Setting

Volume 1: Issue 1
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The Collaborate Short Reports are designed to provide a snapshot of data insights on relevant topics that relate to patient care, crew safety, operational management, and public health. They highlight and summarize key analysis and findings to drive industry awareness, validation, and more in-depth research.

The Centers for Disease Control (CDC) has identified firearm-related incidents as the top five leading causes of death for individuals under the age of 65.1 While intentionality of firearm-related incidents is not always known in the prehospital setting, U.S. trauma centers have seen an increase in patients with violent injuries, including firearm-related, over the past 12 months.2 Firearm-related incidents are a public health concern and can utilize valuable and often strained Emergency Medical Services (EMS).

This Collaborate report is a large sample of data from across the nation where firearm-related incidents are seen in the prehospital setting. This report looks at how these incidents have changed across age groups and different regions from 2018 to 2020. The goal is to add valuable data to not only the prehospital industry but also bridge the gap with public health programs and initiatives.

  1. Centers for Disease Control and Prevention. Violence Prevention: Firearm Violence Prevention. Retrieved Aug 23, 2021. violenceprevention/firearms/fastfact.html
  2. R. Fojut, How trauma centers are responding to the increase of violence in the U.S. Trauma System News. (2021) https://www.trauma-news. com/2021/08/how-trauma-centers-are-responding-to-the-increase-of-violence-in-the-u-s/

Explore Key Insights


ImageTrend Collaborate™ is a research and analysis program developed by ImageTrend that is dedicated to the enhancement of healthcare and public safety industries. Collaborate provides insights and a higher-level awareness through industry-leading research. Collaborate utilizes a vast set of de-identified data sources including clinical, operational, licensing/credentialing, system of care registries and patient outcomes.


ImageTrend enhanced its data analysis solutions by establishing a Clinical and Research Services Team to better serve customers in emergency response, public health and public safety industries. Not only does this team provide insight into ImageTrend’s solutions, but also bridges the gap between data collection and a need for industry-wide research.

Morgan K. Anderson, Epidemiologist

Morgan K. Anderson joined the ImageTrend team in 2017. She graduated from the Medical College of Wisconsin in 2011 with a Master’s degree in Public Health with an emphasis in epidemiology. Prior to coming to ImageTrend, Morgan spent five (5) years with the Army Public Health Center as an Injury Prevention Epidemiologist. Morgan has been published in The Journal of Emergency Medical Services, The American Journal of Preventative Medicine, The American Journal of Sports Medicine, Public Health, Military Medicine, and others.

Douglas G. Butler Jr, Director of Clinical Services

Douglas Butler Jr. joined the ImageTrend team in 2018 and is currently the Director of
Clinical Services. Prior to coming to ImageTrend, he began his EMS career in 2003 gaining experience in roles such as EMT, Paramedic, FTO/Paramedic Preceptor, EMD/EFD Certified 911 Dispatcher, EMS Educator, Regional Faculty (AHA) and Clinical Manager. As a Clinical
Manager for AMR, Doug discovered his passion for data and quality improvement, which led to his position as Data Systems Manager for a multi-county EMS regulatory entity.

To Our Contributors

We want to thank our clients who have opted to provide their data to better the industry. Without you, our efforts to advance prehospital research to improve patient care, agency efficiencies, and industry knowledge would be limited.


Video message from CEO, Mike McBrady.

How are the patient’s healthcare record, EMS incident and the fire incident connected?

Client Testimonials Video.


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