MHP News

Health Focus | Sparking a Conversation About Fireworks Safety

Americans look forward to Fourth of July celebrations every year. With delicious food, time with family and friends, and the splendor of fireworks to cap off the night, what’s not to like? Unfortunately, too many Americans are injured on or around the 4th of July due to accidents surrounding fireworks use, both illegally and legally. Here’s what you can do to keep you and your loved ones safe while maintaining the joys of celebrating Independence Day:


The Facts

  • On average, 250 people go to the emergency room every day with fireworks-related injuries in the month around July 4
  • Hands and fingers (33%), faces (28%), eyes (9%), torsos (12%), arms (8%), and legs (18%) are among the most injured body parts from accidents related to fireworks
  • 69% of fireworks-related injuries are burns
  • According to the National Fire Protection Associate, fireworks start an average of 18,500 fires per year resulting in an average of three deaths and 40 civilian injuries
  • Fireworks burn at a temperature greater than 1,000 degrees Fahrenheit


The Tips

  • Never shoot fireworks in the direction of another person
  • Remember to only use fireworks outdoors and away from other buildings
  • Always keep a bucket of water on hand in case of an emergency. Submerge used fireworks into water to reduce risk of fire
  • Never try to re-light fireworks that did not ignite fully
  • Light fireworks one at a time and stand back quickly
  • Keep small children and pets away from fireworks
  • Do not light fireworks when under the influence of alcohol or drugs
  • Do not use professional-grade fireworks at home. Look for professional fireworks displays in your area instead
  • Never hold a firework that is not meant to be held



  • Smith GA, Knapp JF, Barnett TM, Shields BJ (1996) The rockets' red glare, the bombs bursting in air: fireworks-related injuries to children. Pediatrics 98:1–9
  • Billock, R. M., et al. (2017). "Pediatric Firework-Related Injuries Presenting to United States Emergency Departments, 1990-2014." Clin Pediatr (Phila) 56(6): 535-544.
  • Fogarty, B. J. and D. J. Gordon (1999). "Firework related injury and legislation: the epidemiology of firework injuries and the effect of legislation in Northern Ireland." Burns 25(1): 53-56.
  • Fireworks: National Fire Protection Association Website: Accessed June 18, 2018
  • Fireworks information center: United States Consumer Product Safety Commission Website. Published 2013. Accessed June 18, 2018
  • Fireworks Safety:  American Society for Surgery of the Hand Website: Accessed June 18,2018
  • McCauley, R. L., et al. (1991). "Class C firework injuries in a pediatric population." J Trauma 31(3): 389-391. Moore, J. X., et al. (2014). "The epidemiology of firework-related injuries in the United States: 2000-2010."
  • Injury 45(11): 1704-1709.
    Philipson, M. R. and S. J. Southern (2004). "The blast component of firework injuries--not to
  • be underestimated." Injury 35(10):1042-1043.
    Puri, V., et al. (2009). "Firework injuries: a ten-year study." J Plast Reconstr Aesthet Surg 62(9): 1103-1111.
  • Saadat, S., et al. (2012). "Higher education does not protect against firework-related injuries: a review of the economic burden and the risk factors of firework-related injuries in the capital of Iran." Public Health 126(1): 40-46.
  • Saadat, S., et al. (2010). "Perceived risk and risk-taking behavior during the festival firework." Am J Health Behav 34(5): 525-531.
  • Saucedo, J. M. and N. B. Vedder (2015). "Firework-related injuries of the hand." J Hand Surg Am 40(2): 383- 387; quiz 387.
  • Wang, C., et al. (2014). "Firework injuries at a major trauma and burn center: A five-year prospective study." Burns 40(2): 305-310.
  • Yasmeh, S., et al. (2017). "Firework-related hand injuries: A novel classification system." Am J Emerg Med.
  • Zohdi, T. I. (2016). "On firework blasts and qualitative parameter dependency." Proc Math Phys Eng Sci 472(2185): 20150720

Published Jun 28, 2018

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