Prevalence and patterns of cracker blast injuries of the hand

Gopalakrishnan, Ravikumar; Shivakami, T; Gr, Sugapradha

doi:10.18203/2349-2902.isj20161157

Cited by 6 publications

(12 citation statements)

References 11 publications

(18 reference statements)

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“…1 Nowadays, blast injuries still occur, mostly caused by low explosion such as firecrackers, with hands as the most frequently affected body part. 2 The incidence of the injury is seasonal, with a peak during holiday seasons and cultural events, such as during Eid Al-Fitr, Christmas, New Year, or during wedding ceremonies. 3 Fireworks and firecrackers are often used during festivities due to their spectacular display of colors and loud sounds, reflecting the festive atmosphere in these events.…”

Section: Introductionmentioning

confidence: 99%

“…1 They are frequently used globally in many kinds of festival, such asTihar in Nepal, Hari Raya in Malaysia and Indonesia, Ashura Day in Morocco, Guy Fawkes Night (Bonfire Night) in United Kingdom, Independence Day and Halloween in United States, Bastille Day in France, Fallas Day in Spain, New Year's Eve in Guatemala, Chinese New Year in China. 1,2 Blast injuries from fireworks mainly affect children, with reported incidence of 7/100,000 children annually, in which 70% of them are between 10-14 years old. 4,5 Explosives are categorized into high explosives and low explosives according to their detonation velocity.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Hand Blast Injury Profile in Emergency Room of Dr. Hasan Sadikin General Hospital Bandung

Ismiarto

Arif

2019

mkb

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In the past, blast injuries were mainly caused by war-related incidents. However, despite the current lack of warrelated activities, blast injuries are still seen due to unintentional low explosive material blasts which are mostly seen on children's hand. However, the classification for the severity of this type of injury is still unclear. The aim of this study was to assess the incident, patterns, and severity of hand blast injuries among pediatric patients treated in Dr. Hasan Sadikin General Hospital. Twenty two pediatric patients in Dr. Hasan Sadikin General Hospital Bandung from 2013-2017 were included in this study. All data were extracted retrospectively from patient medical records and the degree of injury severity was assessed using Hand Injury Severity Score (HISS). There were 22 hand injuries caused by explosion identified in 18 boys with the age range of 5 to 15 years. Hand injuries from explosions have a specific pattern with the hand radial side experiencing the most severe damage including the thumb (16 cases), index finger (16 cases), and middle finger (14 cases). The severity of the injuries varied from mild (3 cases) to moderate (4 cases), severe (7 cases), and major (8 cases). A high incidence of major hand blast injuries is found among pediatric patients with the hand radial side tends to suffer the most severe damage.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pediatric Hand Blast Injury Profile in Emergency Room of Dr. Hasan Sadikin General Hospital Bandung

Ismiarto

Arif

2019

mkb

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“…The most affected body regions are hands, head, neck and eyes [6,7]. Hand injuries occur due to accidental blast during cracker handling or when a person tries to shield him/herself from a blast with hands [8,9]. The injuries caused by fireworks can have a devastating effect on the hand function.…”

Section: Introductionmentioning

confidence: 99%

“…The impact of the blast is most noticeable in the radial aspect of the hand as it is evident in numerous injuries involving thumb, index finger, thenar eminence, first web space and mid-palm [11]. The dominant hand is affected in 65 % of cases [8]. Thus, the preservation of hand function is of utmost importance in the general management of the firework-injured hand [10].…”

Section: Introductionmentioning

confidence: 99%

“…Urgent surgical intervention is undertaken depending on the severity of the injury and is, in most of the cases, completed within a few hours [10,12]. Completion amputations, primary or delayed primary closure and local wound care are the mainstay of the initial treatment [8,13]. When adequate debridement and repair are feasible, many wounds can be closed primarily without postoperative complications and good postoperative hand function [14].…”

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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Gefahr oder Spass? Verletzungen durch Feuerwerkskörper – Studie am Universitären Notfallzentrum Inselspital Bern (2013–2019)

Brockhus

Hämmerli

Boviatsis

et al. 2021

Praxis

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Zusammenfassung. Feuerwerkskörper werden häufig zum Feiern von nationalen, kulturellen oder religiösen Anlässen verwendet. Trotz strenger gesetzlicher Regelungen geschehen immer wieder Unfälle im Zusammenhang mit Feuerwerk. Besonders die unvorsichtige Handhabung von Sprengkörpern stellt ein grosses Verletzungsrisiko dar. Methode: Dies ist eine retrospektive Studie basierend auf Daten des UNZ Inselspital Bern im Zeitraum 1. Januar 2013 bis 31. Dezember 2019. Es wurden unter anderem folgende Parameter analysiert: Geschlecht, Alter, Verletzungsmuster und Therapie. Resultate: Es konnten 59 Patientinnen und Patienten in die Studie eingeschlossen werden. Davon waren 81,4 % männlich, das Durchschnittsalter betrug 31 Jahre (Range 16–73; SD = 11,3). Ein Grossteil der Fälle (83,6 %) betraf den Kopf mit Beeinträchtigung der Ohren/des Gehörs sowie Verletzungen der Augen und des Gesichts. Die meisten Verletzungen waren Monotraumata, nur 6,8 % der Verletzungen betrafen mehrere Körperregionen. Insgesamt mussten neun Patienten aufgrund schwerwiegender Verletzungen hospitalisiert werden. Hiervon betraf eine Verletzung die Augen, die restlichen acht Verletzungen betrafen die Hände. Ausschliesslich bei diesen acht Patienten war eine operative Versorgung der Verletzungen nötig. Schlussfolgerung: Feuerwerkskörper sind mit einem beträchtlichen Verletzungsrisiko verbunden, vor allem bei unsicherer Handhabung. Unsere Studie zeigte, dass schwere Verletzungen vor allem die Hände betreffen. Zur Vermeidung solcher Verletzungen wäre eine systematische Datenerhebung von Verletzungen mit Feuerwerkskörpern nötig, da viele Verletzte in kleineren, peripheren Krankenhäusern oder gar nicht vorstellig werden. Anhand dieser Daten liessen sich umfassendere und detaillierte Präventionsstrategien entwickeln, die Verletzungen durch Feuerwerkskörper vorbeugen könnten.

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Prevalence and patterns of cracker blast injuries of the hand

Cited by 6 publications

References 11 publications

Pediatric Hand Blast Injury Profile in Emergency Room of Dr. Hasan Sadikin General Hospital Bandung

Pediatric Hand Blast Injury Profile in Emergency Room of Dr. Hasan Sadikin General Hospital Bandung

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

Gefahr oder Spass? Verletzungen durch Feuerwerkskörper – Studie am Universitären Notfallzentrum Inselspital Bern (2013–2019)

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