[Hazard or Harmless Fun? Injuries Caused by Fireworks -Study at the University Emergency Department (2013-2019)]

Hazard or Harmless Fun? Injuries Caused by Fireworks -Study at the University Emergency Department (2013-2019) Abstract. Fireworks are often used to celebrate national, cultural or religious events. Despite strict regulations, fireworks are repeatedly causing accidents. The risk for injuries increases with the incautious use of pyrotechnic articles. This study analyzed injuries caused by fireworks with admittance to the Emergency Department of the University Hospital in Bern between 2013 and 2019. The results were compared with existing literature.

We conducted a retrospective study based on data from the Emergency Department of the University Hospital in Bern between January 1st 2013 and December 31st 2019. Among others, the following parameters were analyzed: gender, age, type of injury and therapy.

We were able to include 59 patients in our study. 81.4 % were men, the mean age was 31 years (range 16-73; SD = 11.3). In a majority of all cases (83.6 %) the ears, eyes and face were affected. Most injuries were monotraumatic, only 6.8 % of all patients suffered from injuries on multiple body regions. A total of nine patients had to be hospitalised due to serious injuries. Of these, one injury concerned the eyes, the remaining eight injuries concerned the hands. Only these eight patients required surgical treatment of their injuries.

Fireworks are associated with a substantial risk for injuries, especially when used uncautiously. Our study showed that serious injuries mainly affect the hands. To prevent such injuries, systematic data collection on injuries caused by fireworks would be necessary, as many injured patients are hospitalised in smaller, peripheral hospitals or not at all. These data would allow for the development of more comprehensive and detailed prevention strategies that could prevent fireworks injuries.