Christina Propst MD

Gun violence continues to pose a serious threat to the health and safety of children across the United States. Whether through unintentional shootings, assaults, or self-inflicted injuries, firearms have become one of the leading causes of death among young people. This troubling reality underscores the importance of collective action and evidence-based strategies. Preventing pediatric firearm injuries requires focusing not only on the immediate causes of violence but also on the larger social structures that place children at risk. The Rising Impact of Firearms on Children Over the past decade, pediatric firearm injuries have increased at an alarming rate. Hospitals report more young patients requiring emergency treatment for gunshot wounds, many of which lead to lifelong disabilities. Unfortunately, even children who survive these injuries often face significant medical, emotional, and psychological challenges. Their families, too, experience trauma that can disrupt work, schooling,...

Every child deserves to grow, learn, and explore in an environment that nurtures curiosity without unnecessary risk. Yet across the United States, preventable injuries remain one of the leading causes of death and disability among children. Falls, drowning, burns, poisonings, and motor vehicle accidents claim thousands of young lives each year—and leave countless others with lasting trauma. In this context, anticipatory guidance stands as a cornerstone of pediatric care. It empowers families through education, helping them foresee potential dangers and make informed decisions that protect children’s health and safety. Defining Anticipatory Guidance and Its Purpose Anticipatory guidance refers to the proactive counseling that healthcare providers give to parents and caregivers during routine visits. Its goal is to prepare families for the physical, emotional, and behavioral changes that come with each developmental stage—and to prevent injuries before they occur. Rather than reacting t...