Young street gangs and increased youth violence have impacted some children's hospitals, necessitating changes in health care delivery and affecting patients and staff.

When gunshot-injured gang members began to appear at Children's Mercy Hospital in Kansas City, Mo. in the 1980s, beefing up security was one of the issues that had to be tackled.

"Usually kids will come in looking for (injured gang members)," Laura Fitzmaurice, M.D., FAAP, Section Chief, Emergency Medicine, Children's Mercy Hospital, said, "to find out what happened or to finish them off."

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