Adding to the story, did penetrating trauma really increase? changes in trauma patterns during the COVID-19 pandemic: A multi-institutional, multi-region investigation

•Blunt traumatic injury volumes decreased secondary to decreased MVCs during the initial four months of the COVID-19 pandemic.•Penetrating injury increased during the first four months of the COVID-19 pandemic, along with a significant increase in GSW volume.•Stay at home orders (SAHOs) were associated with the observed decrease in blunt injuries, specifically decreased MVCs.•4. Stay at home orders did not account for observed volume changes in non-MVC related blunt injuries or penetrating injuries.