@article{ref1,
title="Severe fireworks-related injuries: demographic characteristics, injury patterns, and firework types in 294 consecutive patients",
journal="Pediatric emergency care",
year="2021",
author="Quistberg, D. Alex and Keys, Kari A. and Friedrich, Jeffrey Barton and Vavilala, Monica S. and Rowhani-Rahbar, Ali and Sandvall, Brinkley K. and Jacobson, Lauren",
volume="37",
number="1",
pages="e32-e36",
abstract="OBJECTIVES: The relationship between fireworks and patient characteristics is not known. Our objective was to examine how severe fireworks-related injuries in  children and teens compare to adults. <br><br>METHODS: We conducted a retrospective case  series (2005-2015) study of patients who sustained consumer fireworks-related  injuries requiring hospital admission and/or operation at a single level 1  trauma/burn center. The distribution of race, use behavior, injury type, body region  injured, and firework type was examined by age groups, 1 to 10 years, 11 to 17  years, and 18 years or older. <br><br>RESULTS: Data from 294 patients 1 to 61 years of age  (mean, 24 years) were examined. The majority (91%) were male. The proportion of  injuries from different firework types varied by age, with rockets causing the  highest proportion in children aged 1 to 10 years, homemade fireworks in those aged  11 to 17 years, and shells/mortars in adults 18 years or older. Compared with  adults, children aged 1 to 10 years were more frequently American Indian/Alaska  Native, Hispanic, or Asian than White. Compared with adults, children aged 1 to 10  years and 11 to 17 years were more frequently bystanders than active users. Compared  with adults, children aged 1 to 10 years and 11 to 17 years had a greater proportion  of burn and face injuries. Children aged 1 to 10 years had a decreased proportion of  hand injuries. Three patients, 2 adults and 1 child aged 11 to 17 years, died. <br><br>CONCLUSIONS: Children, teens, and adults experience severe fireworks-related  injuries differently, by demographic characteristics, injury patterns, and firework  types. Tailored public health interventions could target safety messaging and injury  prevention outreach efforts to reduce firework injuries among children and  adolescents.<p /> <p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0000000000002302",
url="http://dx.doi.org/10.1097/PEC.0000000000002302"
}