As communities gather to celebrate America’s 250th birthday, fireworks will once again light up the sky. But behind the spectacle, health experts say the risks are real—and often overlooked.
Each year, trauma teams and emergency departments across the country treat patients with serious injuries linked to fireworks use, many of them occurring during backyard celebrations with family and friends.
“Fireworks can cause devastating injuries in a matter of seconds,” said Dr. Elyssa J. Feinberg, trauma and acute care surgery medical director at Sutter’s Eden Medical Center in Castro Valley, Calif. “We see burns, loss of fingers or hands, eye injuries that can result in permanent vision loss, and hearing damage. Many of these incidents involve children or bystanders who are simply nearby when something goes wrong.”
Even small or “consumer-grade” fireworks can explode with surprising force. Illegal or homemade devices are especially dangerous and can lead to life-threatening injuries.
A Safer Way to Celebrate
Health experts say the safest way to enjoy fireworks is to leave them to the professionals.
“We strongly encourage families to attend professional fireworks displays rather than using fireworks at home,” Dr. Feinberg said. “A few moments of excitement are not worth a lifelong injury.”
If you plan to celebrate with fireworks where they are legally permitted, safety precautions are critical. Starting with awareness can make all the difference.
Start With the Basics
Before using fireworks, check your local laws—many California communities prohibit them due to fire risk.
If fireworks are allowed in your area, follow these foundational safety steps:
- Use only State Fire Marshal-approved fireworks
- Read and follow all instructions carefully
- Never allow children to handle fireworks
- Use fireworks outdoors and away from dry vegetation
- Light only one firework at a time
- Keep water or a hose nearby
- Fully extinguish used fireworks in water
Reduce the Risk of Injury
Fireworks injuries often happen in an instant—and frequently to people who aren’t even lighting them.
To stay safe, experts recommend:
- Wearing eye protection and sturdy gloves
- Avoiding loose clothing
- Never leaning over a firework when lighting it
- Stepping back immediately after ignition
- Never pointing or throwing fireworks at others
- Keeping a safe distance as a spectator
“A lot of the injuries we see are completely preventable,” Dr. Feinberg said. “Simple precautions can go a long way in protecting yourself and those around you.”
Don’t Forget Fire and Mental Health Risks
Fireworks can also ignite dry brush and trigger wildfires—especially during California’s hot, dry summer months. Preparing your home and having an emergency plan in place is key.
In addition, fireworks can be stressful for people living with post-traumatic stress disorder. Sudden loud noises, flashing lights and smoke can act as triggers for veterans, wildfire survivors and others in the community.
Consider giving neighbors a heads-up if you plan to use fireworks and be mindful of how celebrations may affect those around you.
Keep the Focus on Celebration
The Fourth of July is a time to come together and celebrate, but safety should always come first. By choosing safer alternatives, following precautions and looking out for one another, you can help ensure that the holiday remains festive and injury-free.
