: Why are Americans obsessed with acronyms, abreviations and initials? If anybody has an answer to this question I'd love to hear it. And, yes, it is on topic because I've used the obsession

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"Quicker and easier" is not always about syllables. Mikey is easier to say than Mike even though it has more syllables.

But the acronyms used by emergency services, police, medical, and military are all jargon within those fields. They are actually communicating more information to their co-workers than just a general physical description. A "gunshot wound" is a layman's term that might be used in a general way in conversation, while a "GSW" describes certain protocols and procedures. A specialist might need to be contacted, or there may be specific paperwork involved to complete the job. For instance, all gunshot wounds have to be reported to the police, but it probably requires a ranking specialist to officially declare a GSW, but with protocols in place for reporting a potential GSW to the proper channels.

Crime and medical dramas are attempting to sound more authentic by putting jargon in the mouths of the characters. Ask an ER nurse how realistic a medical TV show's dialog sounds and you might get a belly laugh. Ask any scientist about the technobabble in Star Trek, which is an affectation of the same idea.

An NYPD sergeant once told me the most "realistic" cop show he'd ever seen was Car 54, Where Are You? (a farcical comedy from the 1950s), mostly because they had all the ranks and protocols correct. The show is set in a made-up precinct and the plots are ridiculous, but the jargon they used is still mostly correct 50 years later. He said all the modern crime dramas are just layers of soap opera/Hollywood; no one ever really discusses dramatic or poignant personal issues at work. His biggest peeve is that recurring actors who are paid to speak lines give information far outside the scope of their job for the convenience of exposition. No amount of authoritative jargon is convincing when it is spoken by the wrong person.

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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...)

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