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Trick or Treat: paediatric plastic surgery at Halloween
Irish Medical Journal
|March 23, 2026
Summary
Halloween fireworks caused 10 severe injuries in children, including hand fractures and permanent vision loss. Public awareness campaigns are crucial to prevent these devastating pediatric firework injuries.
Area of Science:
- Pediatric Burns and Trauma
- Plastic Surgery
- Public Health
Background:
- Firework-related injuries are a significant cause of pediatric trauma.
- Halloween is a period associated with an increased incidence of such injuries.
Purpose of the Study:
- To document the experience of firework-related injuries in children during a single Halloween period.
- To analyze the types of injuries, treatments, and outcomes.
Main Methods:
- Retrospective review of pediatric patients referred to a plastic surgery service.
- Data collected included injury mechanism, interventions, and patient outcomes.
- Review period was the week of Halloween 2024.
Main Results:
- Ten pediatric patients were referred for firework-related injuries.
- All patients were male, with an average age of 12.1 years.
- Three patients required hospitalization, including hand fractures and one case of permanent vision loss.
Conclusions:
- Healthcare professionals must be prepared for a surge in firework injuries during Halloween.
- Public awareness initiatives are essential to mitigate severe pediatric firework injuries.
