Published June 27, 2024
Thousands of Americans, many of them children, are injured each year in incidents associated with fireworks, according to the National Council of Fireworks Safety. Most of these injuries occur during the Fourth of July holiday and can include loss of fingers, blindness and serious burns.
“While the area of the burn may be small, it can be quite deep since the chemicals involved in fireworks generate an enormous amount of heat. The explosive effect of a fireworks blast can also cause serious soft tissue injury requiring surgery for repair,” said Alisa Savetamal, MD, FACS, Medical Director of the Connecticut Burn Center at Bridgeport Hospital.
Though the most disabling injuries occur with illegal firecrackers, such as M-80s, most injuries are caused by bottle rockets, sparklers, and Roman candles. At Bridgeport Hospital, the majority of Fourth of July burn injuries are related to people holding on too long to fireworks or going back to adjust it when it ignites.
Viewing public displays handled by professionals is the safest way to enjoy fireworks. Even then, keep a safe distance away. If you plan to celebrate with your own fireworks, these tips can help prevent injuries:
If an accident injures someone's eyes, these actions can help protect the victim's sight:
Dr. Savetamal says in the event of a minor burn, run the injured area under cool running water for 20 minutes. If the skin is not broken, cover it with clean gauze and if the skin is broken, use gauze and an antimicrobial agent. If at any point the burn becomes painful, swollen or red, seek medical attention.
“Burns that cause blistering should be seen at a hospital. A blister means that the burn is at least second-degree, and with the high heat of fireworks, a third-degree burn is certainly possible,” said Dr. Savetamal. “Burns to the hands, face, joints, and sensitive areas should be seen at a burn center, as should a large burn or one where there is a concern for infection which may include redness, swelling, drainage, or worsening pain starting a few days after injury.”