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Let’s End Fireworks Injuries for Good

Washington, DC — As the July 4^th holiday approaches, there is both good news and bad news about injuries from fireworks.  The good news: These injuries dropped by 15 percent between 2005 and 2006.  The bad news: There were still 9,200 people treated for fireworks-related injuries in emergency departments in 2006.  The American College of Emergency Physicians (ACEP) and the Alliance to Stop Consumer Fireworks is sending this safety message to July 4^th revelers: let’s reduce that number to zero in 2008!“We are pleased the rate of injuries from fireworks has dropped, but 9,200 people injured is still 9,200 too many,” said Dr. Linda Lawrence, president of the American College of Emergency Physicians.  “Nearly half of the injuries were to the head, and one-third of the injured were for children under age 15.  Emergency physicians can and do perform miracles every day, but there are some injuries we cannot undo.  We can never replace a hand or an eye or a life.”This year, the Alliance to Stop Consumer Fireworks has produced two public service announcements (PSAs) that are available at http://www.youtube.com/watch?v=ZAEzZVPsP3Q&feature=related and http://www.youtube.com/watch?v=PcFuIEwbITA.  ACEP is encouraging the public to view these PSAs and then make the smart choice: play it safe and leave fireworks displays to the professionals.Here are some facts and figures from 2006.

• Sixty percent of fireworks injuries occur in the month surrounding July 4^th. Ninety percent of fireworks injuries treated in the emergency department come from consumer fireworks. Sparklers alone, which may burn at temperatures higher than 1,200 degrees Fahrenheit, were responsible for more than 20 percent of fireworks injuries. More than half of fireworks injuries were burns.
• Males accounted for three-quarters of all fireworks injuries.
  

“A drop of 15 percent in just one year is great progress, but it would be even better if we eliminated fireworks injuries completely,” said Dr. Lawrence.  “We encourage all Americans to celebrate July 4^th safely and responsibly by attending only professional fireworks displays.”

ACEP is a national medical specialty society representing emergency medicine with more than 26,000 members. ACEP is committed to advancing emergency care through continuing education, research and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies. 

Emergency Physicians Offer Swimming Safety Tips

Washington, D.C. — With warm weather upon us, many families are spending a lot of time at the pool and the beach. But with the report of a spike in the number of drowning deaths among young children sparking a renewed public debate over the safety of cheap inflatable pools in particular, it may be time for parents to review the rules of water safety. “Drowning is one of the leading causes of death among children ages one to four, in part because it can happen so quickly,” said American College of Emergency Physicians President Dr. Linda L. Lawrence, who cited a new report from the Consumer Product and Safety Commission which found that the annual number of drowning deaths involving children under age five had increased to 283 for 2003-2005, up from 267 in 2002-2004. Most of these deaths and injuries occur in homes and yards, and involve children under age two, according to the report.“It only takes a few seconds for a child to drown, and small children can drown in just a few inches of water — in a bathtub, a toilet or a bucket,” Dr. Lawrence added. “Moreover, for every child who drowns, more than 10 children are treated in emergency departments for near drowning.”Because of these dangers, parents need to keep a close eye on their children when they are near any water sources, especially pools, streams, lakes or at the beach. In addition, parents need to know the limits of their child’s ability to swim and to set firm ground rules for play around the water, and to never leave kids unsupervised. Finally, while drowning occurs most often among small children and people who can’t swim, “even experienced swimmers may be susceptible, depending on weather conditions, water currents, their health and other circumstances,” added Dr. Lawrence.

Pool Safety Tips
Before your family ventures out into the water this summer, keep in mind the following safety measures:

• Never leave babies or young children unattended near tubs, pools or buckets of water – even for a few seconds. Teach your children to swim. Never allow children to swim alone or without adult supervision. They should only swim in places that are supervised, and preferably with a lifeguard on duty.  Install safety fences with child-proof latches around swimming pools. Remind children never to dive into unfamiliar water.
• Never drink alcohol and swim.

Beach Safety
If your family is at the beach, you should also take the following additional precautions:

• Check with lifeguards about surf and beach conditions before going in the water. Make sure children swim or surf only in designated areas. Obey warning signs regarding dangerous swimming areas. Don't overestimate you or your child’s swimming ability, especially in bodies of water that may have dangerous currents or riptides. Never depend on flotation devices for your child’s safety.
• Encourage your children to avoid cliff edges, stay behind fences and obey warning signs.
  

What to Do In Case of Drowning
If a person appears to be drowning (e.g., is flailing in the water, yelling for help, coughing or going under, or appears to be unconscious or floating in the water), check the area, alert a lifeguard if one is nearby, then call 911 or your local emergency number. In addition:

• Do not attempt to rescue a drowning person while in the water yourself unless you are trained to do so and have lifesaving equipment. People who are drowning may panic and pull you underwater with them; dangerous circumstances — such as strong currents or rip tides — may also endanger you. If possible, reach out with or throw an object that floats to the person from a secure out-of-water position, such as a boat, a swimming pool ladder or a dock.
• For a person pulled from the water, tilt the head back, lift the chin and check for breathing and other signs of life. Expel fluid or other objects from the mouth.

  —If the person is not breathing, give two slow rescue breaths. If rescue breaths go in, give cardio-pulmonary resuscitation (CPR). If rescue breaths do not go in, reposition the airway and reattempt.

  — Continue uninterrupted CPR until advanced life support is available. (For CPR instructions, click here).