It won’t be long before it’s the Fourth of July and we hear the whistling and thunderous booms of fireworks streaking through the sky.

And while “consumer” fireworks such as bottle rockets, skyrockets and roman candles are illegal in Illinois, according to the state’s Pyrotechnic Use Act, others are considered non-consumer fireworks including sparklers, smoke bombs and party poppers.

But that doesn’t make them completely safe.

In 2023, the United States Consumer Product Safety Commission (CPSC) received approximately 9,700 reports of injuries and eight deaths because of fireworks. And it’s not just injuries that happen on July 4. According to CPSC, 66% of injuries happened before and after the holiday.

Stathis Poulakidas, MD, the burn center medical director at OSF HealthCare Saint Anthony Medical Center in Rockford, says the number of injuries reported is probably low, given the number of people who don’t immediately seek treatment.

“The simplest of fireworks, which anybody would think is a sparkler, can burn up to 1,800 degrees,” says Dr. Poulakidas. “The first thing everybody wants to do is hand the baby the sparkler and say, ‘go ahead. Run around and have a good time.’ But then it falls to their shoes, they burn horrifically. So not even the simplest of fireworks is safe.”

Another problem is the combination of adults drinking alcohol while handling fireworks. Dr. Poulakidas says this lethal mix puts you and those around you at your gathering in danger. “I see more adults than I see children with firework injuries,” he says. “The only children we see are the ones that are too close to the actual fireworks, as the adults are manipulating them while intoxicated. Then the fireworks injure the child.”

According to the CPSC, 41% of the injuries were to the head, eyes, face and ears. Another 35% are hands and fingers; 42% of injuries were burns.

That’s where Dr. Poulakidas comes in. In the burn center, he sees some of the worst injuries because of fireworks mishaps. He calls it the blast effect, which can severely injure intestines, eyes and rupture eardrums, given the proximity of the fireworks and the loud explosion. “We'll see minor burns to the hands, to the face. We'll see digits or fingers get blown off,” he says. “We've seen whole hands blown off and people lose arms.” (2:25-2:36)

And if clothing catches on fire, Dr. Poulakidas says there’s a greater likelihood of second degree burns to your chest, arms and legs, which could lead to treatment options that include skin grafting.  

Bottom line: Dr. Poulakidas encourages people of all ages to have fun this year. But sit back, watch the spectacle and let the experts handle the fireworks. “We want everybody to use good judgment and safe measures to prevent injury,” he says. “Because I think prevention is the key, instead of dealing with an injury after something has occurred.” 

Fireworks Safety Tips (courtesy of CPSC)

·         Never allow children to play with or ignite fireworks, including sparklers.

·         Make sure fireworks are legal in your area before buying or using them.

·         Keep a bucket of water or garden hose handy in case of fire.

·         Never try to re-light or pick up fireworks that haven’t fully ignited.

·         Never use fireworks while impaired by drugs or alcohol. 

 

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Warm weather means more outdoor activities involving alcohol.

The dangers

How quickly can binge drinking turn problematic?

“Very easily,” says Andrew Zasada, MD, an internal medicine physician who sees patients at OSF HealthCare.

Dr. Zasada says for women, binge drinking is defined as five or more drinks on one occasion, like a night out on the town that lasts three to four hours. For men, it’s 15 drinks. That takes into account the differences in how men’s and women’s bodies metabolize alcohol.

Dr. Zasada says the internal issues linked with excessive alcohol use can be devastating.

“It can cause brain dysfunction. It can cause liver disease and stomach ulcers,” Dr. Zasada says. “It’s just not a good thing. It can cause a wide variety of problems.”

Not to mention the outward symptoms like: acne, redness on your nose and palms and dry, wrinkled skin that makes you look older. And drinking during pregnancy can lead to a host of problems for the child, like facial abnormalities and developmental deficits.

“A lifetime of misery” for the little one, as Dr. Zasada puts it.

Safety, recovery

Just like there’s no magic way to prevent or cure a hangover, there’s no magic number of drinks to have on a night out that will make you immune to alcohol problems. But for spring and summer revelers, Dr. Zasada has this advice: take it slow.

“If you’re an average size gentleman, probably a beer an hour is just about the max you can drink,” he says.

Dr. Zasada says are there many ways to help people who are drinking in excess. In the short term, such as during a party, call 911 if the person needs immediate medical attention. If they just need a break, take the person away from the clatter to rest. Take their car keys, and give them some water. A painkiller like Tylenol in appropriate doses can help with that hangover headache the next day.

Long term, a patient’s primary care provider can link them with resources to curb drinking, such as Alcoholics Anonymous or treatment centers. The National Institute on Alcohol Abuse and Alcoholism also has resources. And within OSF HealthCare’s footprint, Illinois and Michigan have phone numbers to call for behavioral health issues.

“If the person is trying to deny that they drink at all; if they are drinking alone when there is nobody else around; if they're trying to hide or cover up their drinking, those are all fairly serious warning signs that this person needs help,” Dr. Zasada says.

Dr. Zasada says it’s never too late to kick the habit of excessive drinking, but sooner is better.

“It's easier to mitigate any problems that have already occurred earlier, rather than wait for the problem to get very, very serious, very bad, and then quit,” he says. “Yeah, you'll get better. But you won't go back to what you were.”

That “getting better” looks like a lot of things.

“You might lose weight. You might lower your blood pressure. It may increase heart health,” Dr. Zasada says. “You'll think clearer. You'll sleep better.”

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Summer has arrived, and that means grilling season has come back after its winter hibernation.

But as Americans enjoy grilling their burgers, chicken, vegetables and more, there’s one ingredient you want to steer clear of.

“These short, metal brushes that you clean your grill with,” Brian Curtis, M.D., vice president of the Clinical Specialty Services at OSF HealthCare says. “There are about 150-200 cases a year that occur in the United States. They may be underreported, but those are the ones that we know about.”

While barbecues over an outdoor grill are a great way for people to come together and enjoy a meal, Dr. Curtis says it could be an extremely painful experience if you end up swallowing a bristle from a wire brush.

“The bristles can become embedded in your tongue. They can be embedded in the back of your throat, esophagus, stomach, and small intestine,” Dr. Curtis says. “They can cause perforations, because it’s like swallowing a small needle. There are people every year that have surgeries trying to find these small objects because they are very tiny.

So how can you keep your food on the grill from getting an unwanted extra ingredient? Dr. Curtis says it’s all about preparation.

“You can use aluminum foil. Some people use nylon (scrapers),” Dr. Curtis says. “I just use a wool brush on mine. If you don’t want to go away from the wire brush, then you really have to inspect your grill very closely to make sure there’s nothing stuck on it.”

Dr. Curtis says if you believe you’ve swallowed a wire brush bristle, you need to be evaluated immediately.

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The Fourth of July holiday usually brings plenty of opportunities for the 3 Fs: fun, food and fireworks. That’s why it’s even more important to remember your ABCs: always be careful.

According to the Consumer Product Safety Commission, on average, 250 people go to the emergency room every day with fireworks-related injuries around the July 4th holiday. Most fireworks are illegal in the state of Illinois, but even the legal ones are risky.

“About a quarter of all ER visits are due to legal fireworks in the state of Illinois,” said Dr. Ben Kemp, OSF HealthCare emergency room physician. “Sparklers, for instance, can be relatively dangerous if used inappropriately: given to children who are too young to handle them, or lit in a way that they shouldn’t be, which we see occasionally where people wrap a lot of fireworks together or light them in a way where they cause a larger fire and can be potentially harmful.”

Dr. Kemp continued, “Never light a firework in your hand, obviously that can explode unexpectedly, quickly and you can get blast injuries to the hand or burn injuries to the hand and be very harmful. And also burns to clothing – clothing lights on fire and you can get burns to other areas. Facial injuries too – so a firework goes off in somebody’s face and you get injuries to the eye, the face and can be rather harmful and something we have to deal with.”

Dr. Kemp reminds everyone when using sparklers or other legal fireworks to always have a hose or bucket of water nearby, do so in a wide, open area and to make sure young children are kept at a safe distance. He also says be careful when it comes to alcohol use during festivities.

“Anytime somebody is drinking too much in the heat there is the risk of heat illness,” he warned. “Obviously drinking and driving is a terrible thing that we don’t want to see on a holiday, something us and law enforcement are very concerned about. And certainly mixing alcohol is a recipe for injury as well.”

The July 4th holiday is also a time for picnics. The Illinois Department of Public Health says each year about 1 in 6 Americans get sick from food poisoning, so you want to make sure you prepare, cook and store any food properly.

“You want to make sure things are cooked appropriately. Food sitting out for hours at a time, so something that’s got mayonnaise on it that’s sitting out for 2 or 3 hours, those sort of things can be at risk to cause gastroenteritis or food borne illness,” said Dr. Kemp.

And what would a summer holiday be without water activities, whether in a pool, lake or river? Again, safety is key. Drowning is the third leading cause of unintentional injury death, with children most at risk. Water-related injuries are something emergency department physicians don’t like to see come through the door, because an ounce of prevention can go a long way.

“Always ensure that you’re in a safe environment to dive into the water or jump into the water. Making sure little ones are well supervised when they are swimming or have appropriate floatation gear on,” advised Dr. Kemp. “The tragic things are when a little one is unsupervised and gets into a pool or a young, healthy person dives into a shallow pool of water and injures their neck. Those are things we don’t want to see.”

Check out more tips on fireworks safety, water safety and food safety for a safe and happy 4^th of July.

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