+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Fireworks type, injury pattern, and permanent impairment following severe fireworks-related injuries

Fireworks type, injury pattern, and permanent impairment following severe fireworks-related injuries

American Journal of Emergency Medicine 35(10): 1469-1473

There is a paucity of clinical data on severe fireworks-related injuries, and the relationship between firework types, injury patterns, and magnitude of impairment is not well understood. Our objective was to describe the relationship between fireworks type, injury patterns, and impairment. Retrospective case series (2005-2015) of patients who sustained consumer fireworks-related injuries requiring hospital admission and/or an operation at a Level 1 Trauma/Burn Center. Fireworks types, injury patterns (body region, injury type), operation, and permanent impairment were examined. Data from 294 patients 1 to 61years of age (mean 24years) were examined. The majority (90%) were male. 119 (40%) patients were admitted who did not undergo surgery, 163 (55%) patients required both admission and surgery, and 12 (5%) patients underwent outpatient surgery. The greatest proportion of injuries was related to shells/mortars (39%). There were proportionally more rocket injuries in children (44%), more homemade firework injuries in teens (34%), and more shell/mortar injuries in adults (86%). Brain, face, and hand injuries were disproportionately represented in the shells/mortars group. Seventy percent of globe-injured patients experienced partial or complete permanent vision loss. Thirty-seven percent of hand-injured patients required at least one partial or whole finger/hand amputation. The greatest proportion of eye and hand injuries resulting in permanent impairment was in the shells/mortars group, followed by homemade fireworks. Two patients died. Severe fireworks-related injuries from homemade fireworks and shells/mortars have specific injury patterns. Shells/mortars disproportionately cause permanent impairment from eye and hand injury.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 059741130

Download citation: RISBibTeXText

PMID: 28495236

DOI: 10.1016/j.ajem.2017.04.053

Related references

Severe Hand Injuries From Fireworks: Injury Patterns, Outcomes, and Fireworks Types. Journal of Hand Surgery 42(5): 385.E1-385.E8, 2017

Fireworks Legislation and the Incidence of Severe Fireworks-Related Injuries in Washington State. Journal of the American College of Surgeons 227(4): S146-S147, 2018

Effect of Fireworks Laws on Pediatric Fireworks-Related Burn Injuries. Journal of Burn Care and Research 38(1): E79-E82, 2016

Serious fireworks-related eye injuries. Ophthalmic Epidemiology 7(2): 139-148, 2000

Fireworks-related injuries. Annals of Emergency Medicine 14(6): 617, 1985

Fireworks blindness: a cooperative study of Arkansas ophthalmologists and review of fireworks regulation in the South. Southern Medical Journal 73(6): 728-9, 731, 1980

Fireworks-related injuries to children. Pediatrics 108(1): 190-191, 2001

Fireworks-related injuries--Washington. Mmwr. Morbidity and Mortality Weekly Report 32(22): 285-286, 1983

Serious fireworks-related eye injuries in Alsace (France). Journal Francais d'Ophtalmologie 33(8): 538-543, 2011

Fireworks Algorithm with Enhanced Fireworks Interaction. Ieee/Acm Transactions on Computational Biology and Bioinformatics 14(1): 42-55, 2017

Dogs and fireworks Treatment of a dog that was afraid of fireworks. Dansk Veterinaertidsskrift 80(23): 1002, Dec 1, 1997

Can fireworks-related injuries to children during festivities be prevented?. South African Medical Journal 100(8): 525-528, 2010

Effectiveness of Educational Interventions on Fireworks-related Injuries among Schoolboys. American Journal of Health Behavior 41(3): 223-227, 2018

Ultrasound biomicroscopy findings in fireworks-related blunt eye injuries. European Journal of Ophthalmology 22(3): 342-348, 2012

Leads from the MMWR. Fireworks-related injuries--Washington State. JAMA 250(1): 25-26, 1983