Pediatric Firework-Related Injuries Presenting to United States Emergency Departments, 1990-2014

Billock, Rachael M; Chounthirath, Thiphalak; Smith, Gary A.

doi:10.1177/0009922816664063

Cited by 38 publications

(45 citation statements)

References 15 publications

(27 reference statements)

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“…Hand injuries caused by explosive devices are relatively common and can occur during the whole year, but in our region most often during New Yearʼs period. The main cause of these injuries are explosive devices like crackers, rockets and different home-made devices [6,7], which are used by unguarded children during celebrations and holidays [1]. These devices can cause severe injuries to the hand and other parts of the body leaving permanent consequences [19].…”

Section: Discussionmentioning

confidence: 99%

“…Explosive injuries can be seen during wartime, but are usually seen during celebrations and other festivities. Fireworks are considered an integral part of numerous holiday festivities worldwide [1]. In Croatia, firework devices are used during the New Year period and are regulated by legislation on explosive materials.…”

Section: Introductionmentioning

confidence: 99%

“…Although highly regulated, fireworks and other explosive devices still cause serious injuries and death to both users and bystanders [1 -3]. Firecracker injuries in the USA affect nearly 10 000 people [3] and almost 5000 children annually [1]. Injuries caused by fireworks are a national problem in Greece with reported incidence of 7 per 100 000 children annually.…”

Section: Introductionmentioning

confidence: 99%

“…Numerous studies report a high incidence of firework-related injuries among children. Almost 40-50 % of victims are under age of 15 [1,5]. The most affected body regions are hands, head, neck and eyes [6,7].…”

Section: Introductionmentioning

confidence: 99%

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The Importance of Primary Reconstruction in the Treatment of Blast Related Hand Injuries During Childhood

et al. 2019

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Introduction Blast injuries are common during wartime but are also related to various holiday festivals worldwide. Despite strict legislations, these devices still cause serious injuries leaving permanent disabilities. Children are affected in numerous cases with the hand being the most affected body region. The aim of our study was to profile the blast related hand injuries and to review treatment modalities that we used. Methods A retrospective study of patients treated for blast-devices related hand injuries between 2006 and 2015 was performed. Results 112 patient with blast related hand injuries were treated in our department during the 10-year period. Most of the patients were male. The dominant hand was injured in 83.9% of the patients. Associated injuries were observed in 14.3% of patients. 90 children were treated on an out-patient basis, mostly due to hand burns (86.7%) or uncomplicated blast injuries (13.3%). 22 children required hospitalization due to severe blast and crush injuries and amputations. Surgery was carried out as the urgent procedure and involved debridement with primary repair. In the case of amputations debridement and sufficient skin ensuring complete wound coverage was the procedure of choice. Conclusion Blast related injuries of the hand during childhood are frequent and can cause different and complex defects. Besides prevention of these injuries, primary reconstruction of the affected hand is of outmost importance in preventing long-term consequences.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Importance of Primary Reconstruction in the Treatment of Blast Related Hand Injuries During Childhood

et al. 2019

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“…There is limited evidence on the health effects of exposure to air pollution related to fireworks (Greven et al, 2019). Careless handling of fireworks during storage, transport and handling can have serious implications including skin burns, eye damage, and hearing loss (Billock et al, 2017;Canner et al, 2014;Maglieri and Henderson, 1973;Moore et al, 2014;Vernon, 1988). Typically, children and young adults, especially men, have been found to suffer the most injuries.…”

Section: Health Impactsmentioning

confidence: 99%

Air quality during and after festivals: Aerosol concentrations, composition and health effects

Singh

Pant

Pope

2019

Atmospheric Research

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Firework injuries are increasing in the United States: An analysis of the National Emergency Department Sample

et al. 2021

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Background Firework‐related injuries cause significant morbidity to persons in the United States and globally. Prior studies have shown that hands and eyes are frequently injured, with loss of hand function and blindness being common after serious injury. Many jurisdictions in the United States have relaxed laws governing sales of consumer fireworks in recent years. Given the increased availability of consumer fireworks, we sought to determine the incidence of firework‐related injuries compared with historical controls. Methods Firework‐related injuries were identified in the National Emergency Department Sample (NEDS) using the corresponding International Classification of Disease codes for the years 2008–2017. Demographics, timing of presentation, and hospital characteristics were analyzed. Data were weighted to approximate population estimates of injury. Statistical analyses were completed using SAS. The National Electronic Surveillance System was also queried for firework‐related visits to check for consistency in observed trends. Results There were an estimated 7699 injuries attributed to fireworks in 2017 (2.37 per 100,000 population) compared with 5727 (1.88 per 100,000 population) in 2008. The majority of victims were male (74.6%), and injuries clustered in the pediatric and young adult age groups. The Midwest and South (both 38.1%) had more firework‐related injuries compared with the West (15.6%) and Northeast (8.2%) regions. Most visits occurred in July (71.4%) with smaller peaks in June (6.9%) and January (6.0%). Patients were disproportionately seen in trauma centers (34.0%) and teaching hospitals (49.6%). Conclusion Emergency department visits for firework injuries are increasing in the United States. Pediatric patients and young adult males comprise the majority of victims. Injuries are clustered around the Fourth of July and New Year's holidays. Public health interventions targeted at high‐risk groups may reduce the burden of injury.

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Pediatric Firework-Related Injuries Presenting to United States Emergency Departments, 1990-2014

Cited by 38 publications

References 15 publications

The Importance of Primary Reconstruction in the Treatment of Blast Related Hand Injuries During Childhood

The Importance of Primary Reconstruction in the Treatment of Blast Related Hand Injuries During Childhood

Air quality during and after festivals: Aerosol concentrations, composition and health effects

Firework injuries are increasing in the United States: An analysis of the National Emergency Department Sample

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