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MUSC Health is committed to building healthy communities throughout the Lowcounty. This Fourth of July, keep yourself, your family, and your community healthy by staying safe around fireworks. Fireworks are a beautiful way to celebrate the season, but can be very dangerous. 

Did you know?

  • The hand is the most common site of injury caused by fireworks and accounts for approximately 36% of all injuries.*
  • The face and eyes each account for almost 20% of injuries.*
  • And more than 50% of all firework injuries are from burns exclusively or burns combined with blast injuries.*
  • Children under five using sparklers and other “safer” options accounted for more than 40% of the fireworks-related injuries in 2013.*
  • In 2015, U.S. hospital emergency rooms treated an estimated 11,900 people for fireworks related injuries; 51% of those injuries were to the extremities and 41% were to the head. Children younger than 15 years of age accounted for one-quarter (26%) of the estimated 2015 injuries.**

*Data attributed to The Huffington Post (July 2, 2017) https://www.huffingtonpost.com/amy-kontrick/july-fourth-holiday-is-one-of-the-deadliest-holiday-weekends----but-it-doesnt-have-to-be_b_10761002.html

**Consumer Product Safety Commission’s 2015 Fireworks Annual Report by Yongling Tu.

Tips on How to Reduce Fireworks Injury

  • Always make sure to have a bucket of water or a fire extinguisher in close proximity of fireworks.
  • If a firework does not go off or will not light, do not investigate the problem or stand close to it. Dose the firework with water immediately. Do not pick it up or stand over it. NEVER relight a dud.
  • Always stand several feet away from lit fireworks and never light fireworks indoors.
  • Avoid lighting fireworks near dry grass and always point them away from homes, other people, brush, leaves, etc.
  • Never hold a lit firework in your hand or attempt to set a firework off while holding it.
  • When handling fireworks, do not wear flammable materials or loose clothing.
  • Do not smoke or use flammable gases near fireworks.
  • Do not drink alcohol or be under the influence while lighting fireworks.
  • Wear safety glasses or goggles when shooting fireworks.
  • Children should be closely supervised around fireworks at all times. Even sparklers can pose a danger to young children if not handled properly.
  • If you do handle fireworks, make sure that you use only legal fireworks. A good deal of today’s injuries is still caused by fireworks that have been outlawed. Check the labels and make sure to store all fireworks in a cool, dry place.
  • The best way to prevent firework injuries this Fourth of July is to leave it to the professionals. Take your family to a public fireworks display and just enjoy the show!

If you receive an injury while handling fireworks this Fourth of July season, please remember the following:

  • Go immediately to the doctor or a hospital.
  • If there is an eye injury, do not rub or touch the eye area in order to minimize additional damage. Do not flush the eye out with water.
  • If there is a serious burn, call your doctor immediately and remove any clothing from the burned area.
  • For bleeding, apply pressure to control and go to your nearest emergency room or call 911.
  • For minor burns:
    • Cool the burn by running it under cool tap water or apply a cool compress
    • Remove rings or other tight jewelry from the injured extremity
    • Apply antibiotic ointment to any open wounds or ruptured blisters
    • Apply a loose nonstick sterile bandage or band aid.
    • Wash the wound with mild soap daily, and reapply antibiotic ointment and bandage
    • Take over the counter anti-inflammatory medications as directed until pain subsides, but consult with your doctor before starting any new medication
    • Seek medical attention for large burns, worsening swelling or pain, signs of inflection or any other concerns

Schedule Your Appointment at MUSC Health

For non-emergency appointments, talk with one of our many providers, including at the Musculoskeletal Institute and the Storm Eye Institute, to learn more about how to protect yourself and your family. Find a doctor near you with multiple locations throughout the Lowcountry!
 

Guest Post by:

Lindsey Clarke, MS, ATC, CMT
Athletic Trainer;  Massage Therapist Charleston Battery
MUSC Sports Medicine

It’s that time of year again…no, not yard work or taxes, but time for the 38th annual Cooper River Bridge Run.  People from all over the world flock to this event to enjoy the beautiful views of Charleston, participate in a world class distance running event, and spend the better part of the day with 40,000 of their closest friends.  There is A LOT going on for this race…many uncontrollable variables that just make shake the most seasoned runner.  Paying attention to your nutrition is the one variable that day you will have complete control of.  Running a race takes preparation, strength, and energy, and how you approach your pre-race eating plan can affect all three. Throughout training, your diet plays a significant role in helping you perform and recover. In the weeks leading up to the race and immediately before the event, a correctly balanced pre-race nutrition plan will contribute towards your best performance.  If you are a professional, world class runner, or just decided to get in on the action and signed up last week, here are a few tips on giving yourself everything your body needs to have a successful and enjoyable race.

WEEK PRIOR: Moderate quantities of carbohydrate-rich foods will fill your glycogen stores throughout the week leading up to the race. Depending on the length of your race, shoot for about 3-5 grams of carbohydrates per pound of body weight per day, with foods like oatmeal, potatoes, carrots, and other vegetables. For example, a 150-pound adult would need at least 450 grams of carbohydrates per day. Many runners focus so much on getting enough carbohydrates that they don't pay enough attention to their protein consumption. Protein is used for some energy, but mostly in repair of tissue damaged during training. Again, depending on your training/length of race, you should consume .5 to .75 grams of protein per pound of body weight.  Good sources of protein are fish, lean meat, poultry, beans, nuts, whole grains, egg whites, low-fat milk, low-fat cheese and some vegetables.  Being a long distance race, you’ll want to aim for the higher amount of carbohydrate and protein per pound body weight.  This is the time to experiment with discovering which foods work best for you, and which foods you want to avoid…experimenting on race day is never a good idea!

DAY BEFORE: Many beginning runners hear that “carbo-loading” before a race is a good idea and mistakenly overindulge on enormous portions of carbohydrate-rich foods. Gone are the days of indulging in stacks of pancakes or sitting down to an all-you-can-eat pasta bowl.  Instead, continue eating as you have in the week leading up to the race, increasing your intake of up to 5.5 grams of carbohydrates per pound of body weight; a 150-pound adult would need up to 825 grams of carbohydrates. Foods with a moderate to high glycemic index are your best choices before a race. Eat foods like whole-wheat pastas, which contain 40 to 50 grams of carbohydrates per dry cup serving, and vegetables.

MORNING OF:   As a 10K(6.2m), this race is considered a long distance race.  For longer races, your body will require more fuel.  With an 8am start, a more substantial meal is warranted approximately 2 hours prior to start, so set that alarm just a little extra early.  In addition to your meal, it is good practice to have a light snack 1 hour prior to the race. While it may be tempting to run into the Duncan Donuts on Coleman Avenue while waiting for your heat’s start time, bring a granola bar, energy chews, GU, etc. as a option for more sustained energy release and a lower possibility for GI distress.

In making food choices, it’s always best to stick with what you know works. No one wants any surprises waiting in cue or during your run!  A well-rounded diet of lean meats, legumes, dairy, fruits, and vegetables is a great way to set your self up for success come race day. Some foods to include in race preparation are:

*Whole grain pastas, brown rice     *Lean proteins; salmon, chicken

*Fresh fruit          *Fruit/Vegetable juice                   *Oatmeal

*Bagels                  *Yoghurt drizzled with honey       *Toast with nut butter

Some foods to avoid in race preparation are:

*Cruciferous vegetables; broccoli, cauliflower     *Sugar-free items/artificial sweeteners

*Bran; cereals, muffins     *Caffeine(unless you regularly consume)

*Fried foods     *fatty meats/high fat cheeses     *alcohol

Another extremely important and often forgotten about component of pre-race preparation is proper hydration practices. Many runners underestimate how much fluid they actually lose during their runs and don't drink enough while they're running as well as post workout/race. The result? Dehydration. This is detrimental to performance and dangerous for your health. In the days leading up to your race, you’ll know you’re properly hydrated if you void a fairly large volume of pale urine at least six times a day. On the day of, drink 8-16oz. of water one to two hours before the race, and then another 4-8oz just before. Consumption will vary depending on the length of your race.

LENGTH OF RACE:

ONE HOUR OR LESS
Three to six ounces every 15 to 20 minutes. Water is usually fine. For a tougher runs over 30 minutes, consider a sports drink to replace electrolytes and glycogen.

ONE TO FOUR HOURS
Three to six ounces every 15 to 20 minutes. A sports drink with carbohydrates and electrolytes will replenish sodium.

OVER FOUR HOURS
Three to six ounces of sports drink every 15 minutes, after which use thirst as your main guide (drinking more if you're thirsty and less if you're not).

POSTRUN
Replace fluids, drinking enough so you have to use the bathroom within 60 to 90 minutes after your run(approximately 8-24oz).

Whether you cruised effortlessly across or stumbled through and promptly found a nice patch of grass to flop down on in Marion Square, you’ve finally made it across the finish line!  So what comes next? Post race practices are very important in regards to recovery. Replacing fluids lost and replenishing glycogen stores are crucial and the window of opportunity is small.  It is best to consume a recovery ‘meal’ within the first 30 minutes after completion of the run. The optimum ratio is 3:1 carbohydrates to protein.  Depending on your preference, this meal can take the form of nutrition bars, recovery sports drinks, or even chocolate milk.   There are numerous sponsors that provide fantastic goodies such as yoghurt, peanut butter crackers, bananas, oranges, and more for all runners, so there is certainly no excuse in consuming your post-race snack and replenishing fluids lost.  For longer runs, you should also take in a full meal within 2 hours of completing your race that contains lean proteins, carbohydrates, and maybe even a post-race treat…you deserve it!  This attention to detail in your meals leading up to your race will definitely take a bit of planning, but getting the proper nutrition for pre and post race will not only help your performance and recovery, but will make the experience over all much more enjoyable and successful!

 

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