Burn injuries caused by fireworks: effect of prophylaxis

Sheller, J. P.; Muchardt, O.; Jonsson, Bengt Gunnar; Mikkelsen, Mette

doi:10.1016/0305-4179(95)90782-u

Cited by 37 publications

(21 citation statements)

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“…They also mentioned that affected girls were mainly innocent bystanders (13). On the other hand, whistles were the main type of firework causing injury in Sheller’s research in Denmark (14). In our study, bystanders (38/164) who suffered injuries were mostly boys (17/164), and most of the injuries occurred across the streets.…”

Section: Discussionmentioning

confidence: 99%

Mortality and Morbidity of Fireworks-Related Burns on the Annual Last Wednesday of the Year Festival (Charshanbeh Soori) in Iran: An 11-Year Study

et al. 2013

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BackgroundManagement of firework-related injuries is costly for the patient, society, and government.ObjectivesEvaluating effective factors yielding to such injuries may lead to better management of patients and decreased costs and morbidities.Patients and MaterialsThis retrospective cross-sectional study was performed on burn patients referred to Shahid Motahari Burns Hospital on Charshanbeh Soori day festival during the period extending from March 2000 to March 2011 (11 days in an 11-year period). Demographic data, causes of burn injury, severity, and affected body parts were recorded. Data were analyzed using SPSS version 16.ResultsThere were164 patients in the study with a mean age of 18.34 ± 9.31 years; 87% (145/164) were male. Homemade grenades were the most frequent cause of injury. Hand injury was reported in 56% (92/164) of the cases. Amputation was executed in 7 (4.3%) cases, and 6 (3.7%) patients died due to severe burn injuries and facial damage.ConclusionsFireworks- related injuries during Charshanbeh Soori ceremony causes significant morbidities and damage to different body parts (especially upper limbs and face), and some of these injuries will lead to life time disabilities, amputations, and even death. As most of the injured patients are young teenagers and children, special consideration must be taken into account to prevent long term morbidities.

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Section: Discussionmentioning

confidence: 99%

Mortality and Morbidity of Fireworks-Related Burns on the Annual Last Wednesday of the Year Festival (Charshanbeh Soori) in Iran: An 11-Year Study

et al. 2013

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“…7,8,21-23,24 According to our data, about 82% of injured patients were treated as outpatients and approximately 18% were hospitalized, which is in line with the results of similar studies. 20,21 Witsaman et al (2006) found that in the USA, 91.6% of children referred to hospitals for fireworks-related injuries were treated in the emergency department and discharged without inpatient hospitalization, whereas 5.3% were hospitalized and 2.3% were transferred to another institution. For the remaining 0.8% the disposition was other or unknown.…”

Section: Discussionmentioning

confidence: 99%

Extent, nature and hospital costs of fireworks-related injuries during the Wednesday Eve Festival in Iran

et al. 2013

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Abstract:Background:Fireworks are commonly used in local and national celebrations. The aim of this study is to explore the extent, nature and hospital costs of injuries related to the Persian Wednesday Eve festival in Iran. Methods:Data for injuries caused by fireworks during the 2009 Persian Wednesday Eve festival were collected from the national Ministry of Health database. Injuries were divided into nine groups and the average and total hospital costs were estimated for each group. The cost of care for patients with burns was estimated by reviewing a sample of 100 patients randomly selected from a large burn center in Tehran. Other costs were estimated by conducting semi structured interviews with expert managers at two large government hospitals.Results:1817 people were injured by fireworks during the 2009 Wednesday Eve festival. The most frequently injured sites were the hand (43.3%), eye (24.5%) and face (13.2%), and the most common types of injury were burns (39.9%), contusions/abrasions (24.6%) and lacerations (12.7%). The mean length of hospital stay was 8.15 days for patients with burns, 10.7 days for those with amputations, and 3 days for those with other types of injury. The total hospital cost of injuries was US$ 284 000 and the average cost per injury was US$ 156. The total hospital cost of patients with amputations was US$ 48 598. Most of the costs were related to burns (56.6%) followed by amputations (12.2%). Conclusions:Injuries related to the Persian Wednesday Eve festival are common and lead to extensive morbidity and medical costs.

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“…There should also be greater control of retailers, the public be encouraged to use pre-approved firework sites, and school education initiatives be supported. 15 Proposed amendments to by-laws include that fireworks can only be used by the permit holder, for a certain time duration, and in the 'premises for which it was issued'. As children cannot obtain permits, they would be prevented from handling fireworks.…”

Section: Discussionmentioning

confidence: 99%

“…Fireworks/firecrackers injuries were selected for the New Year period (3 December -14 January) and the Guy Fawkes and Diwali period (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). Diwali usually falls in October/November and includes Guy Fawkes Day.…”

Section: Methodsmentioning

confidence: 99%