Narendra Bagri, MD, Senior resident; Abhijeet Saha, MD, Associate Professor; Sudha Chandelia, MD, Assistant Professor; Nand K Dubey, MD, Consultant; Aditya Bhatt, MD, Postgraduate student; Ashish Rai, MS, Assistant Professor; Sameek Bhattacharya, MS, Assistant Professor; Lalit Kumar Makhija, MS, Associate Professor.
Paediatric Emergency Medicine
Fireworks injuries in children: A prospective study during the festival of lights
Article first published online: 12 AUG 2013
© 2013 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
Emergency Medicine Australasia
Volume 25, Issue 5, pages 452–456, October 2013
How to Cite
Bagri, N., Saha, A., Chandelia, S., Dubey, N. K., Bhatt, A., Rai, A., Bhattacharya, S. and Makhija, L. K. (2013), Fireworks injuries in children: A prospective study during the festival of lights. Emergency Medicine Australasia, 25: 452–456. doi: 10.1111/1742-6723.12114
- Issue published online: 6 OCT 2013
- Article first published online: 12 AUG 2013
- Manuscript Accepted: 1 JUL 2013
- fireworks injury;
We studied the epidemiology of paediatric firework-related injury in the urban population of Delhi during the festival of lights (Diwali).
In this prospective observational study, data were collected on the day of Diwali for two consecutive years, 2010 and 2011. All children with firework injuries coming to the emergency room were included in the study. Data were recorded in a predesigned proforma.
Of the 65 cases, 75% were males and 25% were females; most children were more than 10 years of age and majority (90%) of them were unsupervised. Half (49%) of the cases were due to misuse of the fireworks or erratic behaviour, among which the most common observed mode was igniting cracker while holding it (18 cases; 24% of total injuries), which led to injuries to the hand and palm. Device failure was the next common cause for firework injuries, including unexpected blast of the crackers and string bomb as the most common. Overall, the most commonly injured body sites were hands (62%), face (32%) and eyes (10%). Crackers and string bomb mainly caused injuries to hands; fountains and gunpowder caused injuries to the face. Sixty (94%) children were managed conservatively and 5 (6%) required skin grafting and tendon repair.
We recommend parental supervision especially for males, wearing non-synthetic and non-flowing clothes, promoting branded crackers and educational campaigns in schools to curtail the rising trend in firework-related injuries in the paediatric population.