In the United States, there are more than twice as many nonfatal firearm injuries as fatal firearm injuries each year.1 For many of these individuals, their only contact with the health care system may be the emergency department (ED), where there may be an opportunity for clinicians to provide interventions to prevent recurrent injury.2 Effective interventions to address firearm injury for assault (hospital-based violence intervention programs) and unintentional injury (counseling and safe storage) exist.3,4 However violence intervention programs exist in only a fraction of trauma centers and best practices for addressing unintentional injury have not been developed for the hospital setting.5 To determine the opportunities and settings to deliver interventions to prevent recurrent injury, we describe the volume and disposition of individuals with firearm injuries presenting to EDs in the United States according to trauma center presentation and injury intent.