When
• Gun shot wound = 3 syllables, and
• GSW = 5 syllables
We abbreviate to shorten, not lengthen.
Wait until you learn about abbreviating the World Wide Web
Just pulling this out of my ass, but perhaps it’s an artifact from handwritten medical charts. GSW is shorter to write.
Easier to write. We spend 5 minutes talking about you at handoff (and I need to write down everything AS the other person is talking) then I have to write a mini essay about each person by morning. Abbreviations are highly specific to specialty (ROM = “range of motion” in most specialties but “rupture of membranes” in obstetrics), but much easier than writing things out. An example from my specialty might be:
SI / attempt r/o. BIBA GSW LA + lig marks neck (suspect DV but pt denies). WC placed, CT (-). Hx DM2 diet managed.
Which is to say
Ruling out a suicide attempt. The ambulance brought them to the ED for a gunshot wound to the left arm and strangulation marks on the neck. We’re pretty sure the spouse did it but the patient is refusing to talk about how it happened. The wound consult is in and they did a CT of their neck already, no severe injury noted. History of diabetes, but it’s type 2 and managed by diet (as opposed to insulin).
…which is like 3 times as long.
Hospitals and ambulances do a lot of handwritten reports. In a conversation, the nurse/doctor/paramedic will say ‘gunshot wound’ but write it GSW.
Worked in public health and never heard anyone say ‘GSW.’
Could be that it’s a TV only thing. Been binging a lot of medical dramas lately.
You can yell GSW across a crowded room and not cause a panic like yelling “GUN SHOT wound” might.
I’d think that in an emergency room, it wouldn’t be that out of place to cause panic.
Then you’d think wrong.
So, what you’re saying is that the word “gun shot wound” would cause a panic…… in an ER.
There are humans in an ER and humans are fucking stupid, so yes it could. The US is a silly place so people just instantly react to the word “gun” with thoughts of mass shootings.
How are you pronouncing those words? I get 6 and 3 syllables respectively.
Gun ¹ Shot ¹ Wound ¹ = 3
G ¹ S ¹ W ³ = 5
The letter “w” is three syllables.
Double ² and U ¹




