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Source: https://writers.stackexchange.com/a/38884
License name: CC BY-SA 3.0
License URL: https://creativecommons.org/licenses/by-sa/3.0/

Source: https://writers.stackexchange.com/a/38884
License name: CC BY-SA 3.0
License URL: https://creativecommons.org/licenses/by-sa/3.0/

There are several reasons why acronyms, abbreviations and initials would be used. Some of those reasons have to do with the reality of the relevant professions, others _might_ be as much for the audience's benefit as they are about what would be realistic.

- Anyone can say "gunshot wound". When we hear "GSW", on the other hand, we "know" the speaker is a professional medic / policeman / etc. "GSW" is part of the professional lingo of the relevant profession, we associate use of lingo with professionalism.
- Think of the situations in which you're likely to hear "GSW" - noise, lots of people, maybe the report is being made over a creaky radio transceiver. It is critical that the information is passed correctly, and understood by everyone who needs to understand it. If "gunshot wound" might sound like something else, you don't say "gunshot wound". An extra syllable is a small price to pay for avoiding mistakes.
- While the professionals all need to understand the information being transmitted, do you really need all the civilians milling around to hear someone has a gunshot wound? "GSW" keeps the information to those who are supposed to receive it.
- If a person writes "GSW" and reads"GSW" on a daily basis, is it all that unnatural to also say "GSW"?

Using a lot of abbreviations, acronyms and initials is not strictly an American thing either. For example, George Orwell in _1984_ used a lot of abbreviations in part because they sound "structured" and "military", in part because they were ubiquitous in the USSR. (They were ubiquitous in the USSR because Russian has words that are already long, conjugations make them even longer, grammar says if you talk about something with a multi-word name, like "faculty of medicine", all parts of the name have to be conjugated depending on whether they're the subject of the sentence, the direct object, the indirect object...)

Original score: 3