|Year : 2014 | Volume
| Issue : 1 | Page : 109-111
Trouser pocket burns in firecracker injury: A case series
Gursimrat Paul Singh, Bhushan Patil, Gautam Gangurde, Sohil Shah, Devesh Mehta, Nilesh Ghelani
Department of Plastic and Burns Surgery, Smt. S.C.L Hospital, Ahmedabad, Gujarat, India
|Date of Web Publication||15-Dec-2014|
Gursimrat Paul Singh
Department of Burns and Plastic Surgery, Smt. S.C.L. Hospital, Saraspur, Ahmedabad, Gujarat - 380 018
Source of Support: None, Conflict of Interest: None
We report a series of trouser pocket burns caused by firecrackers. This study is a single center, prospective case series in which the records of seven patients with trouser pocket burn injuries were analyzed. The main cause was keeping failed firecrackers in the trouser pocket. Involvement of genitalia makes these burns serious.
Keywords: Diwali burns, firecracker injuries, trouser pocket burns
|How to cite this article:|
Singh GP, Patil B, Gangurde G, Shah S, Mehta D, Ghelani N. Trouser pocket burns in firecracker injury: A case series. Indian J Burns 2014;22:109-11
|How to cite this URL:|
Singh GP, Patil B, Gangurde G, Shah S, Mehta D, Ghelani N. Trouser pocket burns in firecracker injury: A case series. Indian J Burns [serial online] 2014 [cited 2019 Aug 24];22:109-11. Available from: http://www.ijburns.com/text.asp?2014/22/1/109/147020
| Introduction|| |
Firecrackers are commonly used during celebrations because of their sound, sparkle and sudden burst of colors, expressing the festive mood. Firework injury is a common injury faced during diwali, especially the flame burns and blast injuries sustained by kids while bursting crackers.
Persons who are actively participating in fireworks related activities are more frequently injured and sustain more severe injuries, than bystanders. Firecrackers, rockets, and fountains are the usual culprits.  The parts of the body most often injured are hands, face, and thighs. Most of the involved patients are children as they are often excited and curious, playing around fireworks, , which can increase their chances of being injured through careless and dangerous behavior. Common mistake is to carry the firecrackers in their trouser pocket, which makes males more susceptible to such trouser pocket burns unlike females who usually do not have pockets in their traditional attire.
| Materials and methods|| |
In this prospective case series, all patients with trouser pocket firecracker burn injuries who attended the emergency services of Burn and Plastic Surgery Department in Smt. S.C.L Hospital, during the "deepavali" festival (2012 and 2013) were included. Evaluation and assessment of burn surface area was done using Lund and Browder's chart. Due to the involvement of genitalia, all such patients were hospitalized.
| Results|| |
In all, 49 patients were attended at our hospital with firecracker injuries during October and November 2012 and 2013 [Table 1]. Of which seven patients presented with trouser pocket burn injuries. All these patients were male. The age range was 3-15 years (mean of 8 years) . The most common cause of burn injuries were bombs (67%), followed by sparklers (29%). In six patients bilateral groin region with genitalia was involved, while one had unilateral groin and genitalia involved. Bombs were responsible for the most serious burn injuries observed in our patients. Four patients had kept failed fireworks in their pockets while in others, it was a result of mischief played by friends.
At the time of presentation, five had the majority of superficial partial thickness burns [Figure 1]. Central (although small) area appeared deep thickness. Only two patients had deep partial thickness burns [Figure 2]. Of which four patients were managed with silver sulfadiazine (1%) daily dressing initially and then with Neosporin ointment and three were managed with wet collagen dressings. The range of total body surface area burns ranged from 5% to 12% in hospitalized patients. Outcome in all these cases was good and the burns healed with minimal scarring. The average hospital stay of admitted patients was 10 days.
|Figure 1: Case 1 — 12-year-old male child with superficial partial thickness firecracker burns on (a) admission, and (b) discharge|
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|Figure 2: Case 2 — 15-year-old male child with deep partial thickness firecracker burns on (a) admission, and (b) discharge|
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| Discussion|| |
Diwali is one of the most important Indian festivals and is celebrated on a mass scale by Indians not only in India, but also all over the world. Incidence of burn cases rises during these days. Although we do not have sufficient data on diwali related burns in India, a published study from Delhi has shown that the numbers of people reporting with firecracker injuries during a period of 9 years from 2002 to 2010 have doubled from 0.81 to 1.51/100,000 population. Burns of the hands, face, and eyes are the most common injuries during diwali. The firecrackers, which should only emanate light and sparkles on ignition, often burst thus causing burn injuries. Some of the severely injured patients reported firecracker malfunction as the cause of their injury. Unfortunately, majority of the victims are children. They get injured while playing with the crackers unsupervised by the adults. They also have tendency to put the firecrackers to be ignited in their trousers' pockets and pick up the failed firecrackers. In four cases, patients kept failed fireworks in pockets. The most common firecracker causing injury in our study were bombs followed by sparklers. Although most of the cases reported are minor burns due to firecracker injuries, involvement of the vital parts like genitalia makes these injuries serious. As majority of these burns are superficial, treatment with collagen sheet dressing has given promising results. We used wet collagen sheet dressing in cases of superficial burns.
There is an apparent increasing trend in the incidence of diwali related trouser pockets burns involving young children and adults.
In order to bring down the incidence of trouser pocket burns, public education in schools, strict standardization of firecrackers, supervision by adults, promotion of public display of firecrackers are the means suggested. 
| Conclusion|| |
To conclude, the hospital is receiving an increasing number of firecracker-related injuries over the past 2 years. The number of patients is persistent. If the suggested methods fail to bring down the incidence of such injuries, then the only way to prevent this will be by making firecrackers unavailable to the general public for individual use, but this is not possible in our country.
| References|| |
Ruiz B, Navarro M, Montana V. A study of burns in children. Ann Mediterranean Burns Club 1991;4:79-83.
Sheller JP, Muchardt O, Jønsson B, Mikkelsen MB. Burn injuries caused by fireworks: Effect of prophylaxis. Burns 1995;21:50-3.
Smith GA, Knapp JF, Barnett TM, Shields BJ. The rockets' red glare, the bombs bursting in air: Fireworks-related injuries to children. Pediatrics 1996;98:1-9.
Patel CK, Suri MP, Raibagkar SC, Mehta DR. Unusual presentation of firework injury causing intraoral burns. Indian J Plast Surg 2005;38:54-5.
[Figure 1], [Figure 2]