{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:16Z","timestamp":1786649596888,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Fireworks are commonly used during holidays in the United States. Firework related injuries (FWRIs) have been rising throughout the country since 2012. Here, we describe injury trends and patterns in patients with FWRIs. The trauma registry at Desert Regional Medical Center\u2019s Level I Trauma Center was queried from July 2016 to August 2021. Injury patterns and procedures performed were reviewed. The data were reviewed, and a description of the most common injury types and the association between FWRIs and holiday celebrations, alcohol use, and toxicology results is presented. Ten patients were identified for inclusion during the study period. Fifty percent of the patients were found to be under the influence of alcohol, and 40% had other substances on board. The most common drug found was methamphetamine, accounting for 30% of patients. Ninety percent of patients suffered injuries to hands. Fifty percent of the injured patients presented around the time of either New Year\u2019s or Independence Day celebrations. Neither holiday and alcohol use nor toxicology results were associated with differences in Injury Severity Score. Patients with injuries related to fireworks are presenting to our nation\u2019s emergency rooms at an increasing rate. In this descriptive case series, we found that hand injuries are the most common, followed by face injuries. Most patients had either alcohol or drugs on board at the time of presentation. Findings from this paper will help trauma programs prepare for the presentation of these patients and design outreach programs and future research.<\/jats:p>","DOI":"10.4103\/jets.jets_18_25","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T17:00:12Z","timestamp":1766595612000},"page":"189-193","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Patterns of Firework-blast Injuries: A Descriptive Case Series"],"prefix":"10.4103","volume":"18","author":[{"given":"Israel Sanchez","family":"Neri","sequence":"first","affiliation":[{"name":"Desert Regional Medical Center, Palm Springs, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Austin","family":"Henken-Siefken","sequence":"additional","affiliation":[{"name":"Desert Regional Medical Center, Palm Springs, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"McCague","sequence":"additional","affiliation":[{"name":"Desert Regional Medical Center, Palm Springs, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,24]]},"reference":[{"key":"R1-20260107","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s40621-023-00446-5","article-title":"The epidemiology of firework-related injuries in the US, 2012-2022","volume":"10","author":"Winicki","year":"2023","journal-title":"Inj Epidemiol"},{"key":"R2-20260107","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jhsg.2020.03.003","article-title":"Epidemiology of fireworks-related injuries to the upper extremity in the United States from 2011 to 2017","volume":"2","author":"Serra L\u00f3pez","year":"2020","journal-title":"J Hand Surg Glob Online"},{"key":"R3-20260107","doi-asserted-by":"crossref","first-page":"e12600","DOI":"10.1002\/emp2.12600","article-title":"Firework injuries are increasing in the United States:An analysis of the national emergency department sample","volume":"2","author":"Bitter","year":"2021","journal-title":"J Am Coll Emerg Physicians Open"},{"key":"R4-20260107","doi-asserted-by":"crossref","first-page":"180","DOI":"10.3928\/01477447-20230104-05","article-title":"Firework injuries to the hand in the United States:An epidemiological and cost analysis","volume":"46","author":"Gordon","year":"2023","journal-title":"Orthopedics"},{"key":"R5-20260107","doi-asserted-by":"crossref","first-page":"e667","DOI":"10.5435\/JAAOS-D-20-00201","article-title":"Increases in firework-related upper extremity injuries correspond to increasing firework sales:An analysis of 41,195 injuries across 10 years","volume":"29","author":"Morrissey","year":"2021","journal-title":"J Am Acad Orthop Surg"},{"key":"R6-20260107","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1097\/CORR.0000000000001642","article-title":"How common are civilian blast injuries in the national trauma databank, and what are the most common mechanisms and characteristics of associated injuries?","volume":"479","author":"Nunziato","year":"2021","journal-title":"Clin Orthop Relat Res"},{"key":"R7-20260107","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1136\/ip-2022-044616","article-title":"Firework injuries remain high in years after legalization:Its impact on children","volume":"28","author":"Galet","year":"2022","journal-title":"Inj Prev"},{"key":"R8-20260107","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s40621-021-00358-2","article-title":"Firework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018-2019","volume":"8","author":"Maassel","year":"2021","journal-title":"Inj Epidemiol"},{"key":"R9-20260107","article-title":"New Year's Eve Illegal Fireworks Booming in L. A. 'It's a Nightmare'","year":"2023"},{"key":"R10-20260107","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1186\/s12889-020-8249-0","article-title":"The liberalization of fireworks legislation and its effects on firework-related injuries in West Virginia","volume":"20","author":"Rudisill","year":"2020","journal-title":"BMC Public Health"},{"key":"R11-20260107","doi-asserted-by":"crossref","first-page":"e79","DOI":"10.1097\/BCR.0000000000000435","article-title":"Effect of fireworks laws on pediatric fireworks-related burn injuries","volume":"38","author":"Myers","year":"2017","journal-title":"J Burn Care Res"},{"key":"R12-20260107","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1136\/injuryprev-2021-044402","article-title":"Decrease in injuries from fireworks in Hawaii:Associations with a county policy to limit access","volume":"28","author":"Galanis","year":"2022","journal-title":"Inj Prev"},{"issue":"Suppl 1","key":"R13-20260107","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s00347-019-00996-4","article-title":"National studies from the Netherlands and Finland and the impact of regulations on incidences of fireworks-related eye injuries","volume":"117","author":"De Faber","year":"2020","journal-title":"Ophthalmologe"},{"key":"R14-20260107"},{"key":"R15-20260107","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1016\/j.injury.2014.06.024","article-title":"The epidemiology of firework-related injuries in the United States: 2000-2010","volume":"45","author":"Moore","year":"2014","journal-title":"Injury"}],"container-title":["Journal of Emergencies, Trauma, and Shock"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_18_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:50Z","timestamp":1786647350000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_18_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jets.jets_18_25","relation":{},"ISSN":["0974-2700","0974-519X"],"issn-type":[{"value":"0974-2700","type":"print"},{"value":"0974-519X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-02-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}