The Medical Minute: Let the Experts Handle the Independence Day Fireworks

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HERSHEY, Pa. — The annual tradition of pops, bangs and light shows that celebrate the July 4 holiday often result in an altogether different holiday tradition nobody wants — fireworks-related injuries.

However, fireworks related injuries continue to rise. A report from the Consumer Product Safety Commission notes that between 2006 and 2021, the number of people hurt annually by pyrotechnic displays rose 25%. An estimated 11,500 were injured in 2021 alone, according to the most recent data available.

Dr. Chris DeFlitch, 25-year emergency medicine physician at Penn State Health Milton S. Hershey Medical Center and chief medical information officer at Penn State Health, said local hospital emergency departments see the results of Independence Day entertainment mishaps of all kinds. Burns continue to be the most common, along with eye injuries and those resulting from explosions.

That doesn’t mean DeFlitch is against fireworks, he said.

“I enjoy fireworks as much as the next person,” he said. To DeFlitch, the key safety tip for Independence Day is to leave fireworks to the experts.

“The ideal situation is to not shoot them off yourself,” he said.

In most cases they’re trained to understand all the safety concerns, said DeFlitch. Also, a number of communities have enacted burn bans during the recent dry weather to prevent wild fires; those temporary constraints include fireworks.

Fireworks can be triggers

Also, leaving the explosive patriotic displays to the experts reduces the possibilities of disturbing people for whom fireworks are especially harmful, since the fireworks are publicly advertised in advance and usually not in the center of residential neighborhoods. The holiday’s loud, unexpected noises can be particular harmful to people living with post-traumatic stress disorder, or PTSD — a group that includes combat veterans.

“The impact to those who have served and to those experiencing traumatic experiences is significant,” DeFlitch said.

The U.S. Department of Veterans Affairs makes five recommendations for veterans for whom July 4 fireworks are problematic:

“It’s very real,” DeFlitch said. “You don’t know how it’s affecting other people in your neighborhood.”

Don’t forget your four-legged patriots

The displays also can be hard on pets. For animals with sensitivity to loud noises and flashes, the American Society for the Prevention of Cruelty to Animals recommends:

“Of my nine pets, the three dogs are most affected, but the four cats and two rabbits are not fond of those blasts and bangs either,” DeFlitch said.

Safety tips for going it alone

If you’re still set on shooting off your own fireworks, DeFlitch has a few recommendations for making it as safe as possible.

The Medical Minute is a weekly health news feature produced by Penn State Health. Articles feature the expertise of faculty, physicians and staff, and are designed to offer timely, relevant health information of interest to a broad audience.

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