Read David J, Bradbury Richard, Yeboah Edward
National Critical Care and Trauma Response Centre, Darwin, Northern Territory, Australia.
Department of Surgery, Royal Darwin Hospital, Darwin, Northern Territory, Australia.
ANZ J Surg. 2017 Dec;87(12):1030-1034. doi: 10.1111/ans.14182. Epub 2017 Oct 18.
On July 1st on 'Territory Day', the public in the Northern Territory are permitted to purchase and operate consumer fireworks without a licence. Serious permanent injuries from fireworks are well described, leading to their banning in many other jurisdictions. This study describes those seriously injured by fireworks in the Top End of the Northern Territory, with the aim of identifying opportunities for prevention and harm minimization.
This is a retrospective audit of all admitted patients with an injury from fireworks at the Royal Darwin Hospital between 2000 and 2015. The variables collected included demographic data and the circumstances around injury (operator versus bystander, alcohol involvement and day of device operation). The consequences such as injuries, operating theatre visits, length of stay and outpatient visits are described.
Fifty-five patients (including 17 children) suffered 67 injuries over the study period, resulting in 68 operating theatre visits, 322 hospital days and 380 outpatient appointments. Burns, hand and eye injuries predominate. Females (P = 0.000) and children (P = 0.029) were more likely to be injured as bystanders. Injuries on a day other than Territory Day were more likely to have alcohol involvement (P = 0.01), and occur in the operator (P = 0.017).
Consumer firework usage results in a small number of life altering injuries annually. Previous prevention campaigns focusing on device user safety should be expanded to include the safety of bystanders and children and reduce firework usage outside of the Territory Day.
在“领地日”（7月1日），北领地的公众被允许无需许可证购买和燃放消费类烟花。烟花造成的严重永久性伤害已有详细记载，这导致在许多其他司法管辖区烟花被禁止。本研究描述了北领地顶端地区因烟花而受重伤的情况，旨在确定预防和将伤害降至最低的机会。
这是一项对2000年至2015年间在皇家达尔文医院因烟花受伤而入院的所有患者的回顾性审计。收集的变量包括人口统计学数据以及受伤时的情况（操作者与旁观者、是否饮酒以及燃放烟花的日期）。描述了诸如受伤情况、手术室就诊次数、住院时间和门诊就诊次数等后果。
在研究期间，55名患者（包括17名儿童）共遭受67次伤害，导致68次手术室就诊、322个住院日和380次门诊预约。烧伤、手部和眼部受伤最为常见。女性（P = 0.000）和儿童（P = 0.029）作为旁观者受伤的可能性更大。在领地日以外的日子受伤更有可能与饮酒有关（P = 0.01），且受伤者更有可能是操作者（P = 0.017）。
消费类烟花的使用每年导致少数改变生活的伤害。以往侧重于设备使用者安全的预防活动应扩大到包括旁观者和儿童的安全，并减少领地日以外的烟花使用。
