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Freedom, Fireworks, and First Aid: Staying Safe on the Fourth of July

Fredrick Echols, MD by Fredrick Echols, MD
July 7, 2025
in NewsWatch
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Smart and simple ways to celebrate Independence Day while keeping your loved ones safe and sound.

Dr. Frederick discusses safety during the fun with fireworks on the 4th

Independence Day is a treasured American tradition, marked by barbecues, parades, family gatherings, and dazzling firework displays. Yet, beneath the celebration lies a surge in emergency room visits, house fires, and traumatic injuries. As millions prepare for the festivities, it’s crucial to understand how to celebrate safely—especially when fireworks are involved.

Public health data consistently shows a spike in preventable injuries and accidents during the July 4th holiday. With thoughtful preparation and community awareness, we can protect our families, neighbors, and ourselves while still honoring the spirit of freedom.

The Fireworks Risk

According to the U.S. Consumer Product Safety Commission (CPSC, 2023), there were an estimated 10,200 fireworks-related injuries treated in emergency departments in 2022. Over 70% occurred within the two weeks surrounding July 4th, and nearly half involved people under the age of 20.

Common firework-related injuries include:

  • Burns (particularly hands and fingers)
  • Eye trauma, including permanent vision loss
  • Lacerations and amputations
  • Hearing damage
  • House and wildfires, often resulting from improper firework disposal or use near dry brush

Illegal fireworks and misuse of legal ones are the leading causes. Notably, even seemingly harmless fireworks—like sparklers—can burn at temperatures of up to 2,000°F, hot enough to melt some metals and cause third-degree burns.

Key Safety Tips on Fireworks

If you choose to use consumer fireworks in a jurisdiction where they are legal, follow these best practices recommended by the National Safety Council and CPSC:

1. Purchase from Licensed Vendors

Only buy fireworks that are approved for consumer use. Avoid illegal or homemade devices.

2. Read and Follow Instructions

Each firework is different. Improper use—such as lighting in your hand or modifying the device—can lead to serious injury.

3. Keep Water Nearby

Always have a hose, bucket, or fire extinguisher on hand. Soak used fireworks in water before discarding.

4. Designate a “Shooter”

Only sober adults should handle fireworks. Designate one person to light each firework and ensure others maintain a safe distance.

5. Never Relight Duds

If a firework doesn’t go off, do not approach it. Wait 20 minutes, then soak it in water and discard safely.

Safer Alternatives to Fireworks

Many communities offer professional firework shows, which are safer, better regulated, and visually superior to backyard displays. Attending a public display eliminates the risk of personal injury and property damage while still allowing everyone to enjoy the tradition.

For households with small children, individuals with PTSD, pets, or elderly adults who may be sensitive to loud noises, consider alternatives such as:

  • Glow sticks
  • Laser light shows
  • Confetti cannons
  • Patriotic-themed music events

Broader July 4th Safety Tips

Fireworks aren’t the only concern during Independence Day. The following are additional safety risks to keep in mind:

1. Grilling and Food Safety

  • Clean grills properly and never leave them unattended.
  • Keep raw meats separate and use food thermometers to ensure safe cooking temperatures (USDA, 2022).
  • Avoid leaving perishable food out for more than two hours (or one hour in heat above 90°F).

2. Alcohol Use

  • Designate sober drivers in advance.
  • Avoid mixing fireworks with alcohol or other substances.

3. Heat Illness and Hydration

  • July 4th is often one of the hottest days of the year. Drink plenty of water, wear sunscreen, and seek shade when needed.
  • Watch for signs of heat exhaustion or heat stroke—especially among children and older adults.

4. Water and Boating Safety

  • Use life jackets while boating or swimming.
  • Supervise children closely around pools and lakes.
  • Never operate boats under the influence of alcohol.

A Role for Communities and Local Officials

Local governments and public health agencies can protect their communities through:

  • Firework safety education campaigns
  • Distribution of fire extinguishers and smoke detectors
  • Cooling centers and hydration stations in high-heat areas
  • Increased public transportation options on the holiday

First responders should also be briefed on trends in firework-related emergencies and high-traffic areas to ensure readiness.

Enjoy the Holiday Safely

The Fourth of July is more than a celebration of independence—it’s a reflection of the values that bind us together: freedom, family, and community. But freedom doesn’t mean neglecting responsibility.

By choosing safer alternatives, following evidence-based guidance, and encouraging community awareness, we can prevent injury, protect vulnerable individuals, and ensure that July 4th is remembered for its joy—not its tragedies.

References

  • U.S. Consumer Product Safety Commission. (2023). Fireworks Annual Report: Fireworks-Related Deaths, Emergency Department-Treated Injuries, and Enforcement Activities During 2022. https://www.cpsc.gov
  • U.S. Department of Agriculture. (2022). Food Safety During Summer Events. https://www.fsis.usda.gov
  • National Safety Council. (2023). Fireworks Safety Tips. https://www.nsc.org/home-safety/tools-resources/seasonal-safety/summer/fireworks

Dr. Frederick Echols, MD, is available as a subject matter expert on public health for press interviews and speaking engagements. 

### 

About Dr. Fredrick Echols, MD 

Dr. Fredrick L. Echols, MD is the founder and Chief Executive Officer of Population Health and Social Justice Consulting, LLC, an Obama Foundation Global Leader,  sought-after public speaker, black men’s health advocate, and accomplished physician  with over 15 years of experience in public health. He has worked extensively with public  and private sectors to address complex health issues through evidence-informed  approaches. Dr. Echols is a graduate of the Centers for Disease Control and Prevention  Population Health Training in Place program and the ASTHO-Morehouse School of  Medicine’s Diverse Executives Leading in Public Health program.  

Passionate about health and justice, Dr . Echols’ notable roles include serving as Chief  Executive Officer for Cure Violence Global, Health Commissioner for the City of St.  Louis, and Director of Communicable Disease and Emergency Preparedness for the St.  Louis County Department of Public Health. In these roles, he oversaw public health  regulations, led COVID-19 response efforts, managed daily operations, and developed  strategic partnerships. Dr. Echols also served as Chief of Communicable Diseases for  the Illinois Department of Public Health and as a physician in the U.S. Navy. He  continues to contribute to public health research and guides health organizations  globally. 

For more health tips follow Dr. Fredrick Echols @ Fredrick.Echols@gmail.com

Follow Dr. Echols on socials:

LinkedIn: @FredrickEcholsMD ( www.linkedin.com/in/fredrick-echols-m-d-5a2063225)

Facebook: @FredrickEchols  

Instagram: @F.EcholsMD

#FourthofJuly #FireworksSafety #FirstAid

Post Views: 62
Tags: Fireworks SafetyFirst AidFourth of JulyHoliday Safety

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