December 17, 2022

1400H - 1500H
Via Zoom
Welcome all!
Empowerment
MUTE yourself but always
objective - for show your video picture.
laypeople to have an Sign in your name, FB
understanding of the account, or email address in
Firecracker importance of the Chat Box! Include names
of companions attending.
and Burn prevention and first-
Injuries aid management of
Use the Chat Box to ask
questions and make
FIRECRACKER and comments while the PEP TALK
is on.
BURN INJURIES in
health management. Group pictures at start and
end of PEP TALK – show your
face in video.
 Reminder:

Empowerment Take the Online Learning

cum Evaluation Test
objective - for Exercise (OLETE) for
laypeople to have an mastery of learning and
understanding of the have a perfect score to get
Firecracker importance of
a Certificate.
Link is in Chat Box.
and Burn prevention and first-
Injuries aid management of
FIRECRACKER and
BURN INJURIES in
health management.
 Reminder:
50 OLETE Certificates = 1
Empowerment Voucher for ROJoson
objective - for Telemedical Consultation
laypeople to have an
understanding of the
Firecracker importance of
and Burn prevention and first-
Injuries aid management of
FIRECRACKER and
BURN INJURIES in
health management.
 ROJOSON’S REQUEST:
FEEDBACK TO THIS
Empowerment
PEP TALK!
objective - for
laypeople to have an Pls. type in your
understanding of the feedback in the chat
Firecracker importance of box during the open
and Burn prevention and first- forum and before we
Injuries aid management of part ways!
I NEED THE FEEDBACK
FIRECRACKER and TO DECIDE WHETHER
BURN INJURIES in TO CONTINUE OR
health management. STOP PEP TALK!
Thank you!
 Welcome all!
Empowerment Mabuhay!
objective - for
laypeople to have an LET’S NOW HAVE A
understanding of the GROUP PICTURE
Firecracker TAKING BEFORE WE
importance of START IN 2 MINUTES!
and Burn prevention and first-
Injuries aid management of Pls. turn on your
FIRECRACKER and video!
BURN INJURIES in Show your face!
health management.
 Empowerment
objective - for ROJoson PEP Talk
laypeople to have an
I have a Patient
understanding of the Empowerment
Firecracker importance of Program in which I
and Burn prevention and first- like to empower the
Injuries aid management of lay people or
FIRECRACKER and patients to take
control in the
BURN INJURIES in
management of
health management. their health.
 There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer.
 My PEP TALK today
Empowerment is entitled:
objective - for
Firecracker and
laypeople to have an
understanding of the Burn Injuries
Firecracker importance of
and Burn prevention and first-
Injuries aid management of
FIRECRACKER and
BURN INJURIES in
health management.
 Contents of PEP Talk:
• Prevention of firecracker injuries in the
Firecracker Philippines
and Burn • First-aid management of firecracker injuries
Injuries • Prevention of burn injuries
• First-aid management of burn injuries
 • Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn
Injuries
 • Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn In the Philippines, December has been declared
as Firecracker Injury Prevention Month since time
Injuries
immemorial.
Every December, there is an anti-
firecracker campaign to reduce injuries
caused by the use of firecrackers and
other pyrotechnic devices during the
holiday celebration.
 • Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn ROJoson Advocacy Against Unnecessary
Firecracker Injuries
Injuries
As a surgical resident in the Philippine
General Hospital from 1976 to 1981, I
had this gruesome experience of seeing
and treating patients with firecracker
injuries every year-end.   I always ask
myself out of frustration: when will they
ever learn?
 • Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn ROJoson Advocacy Against Unnecessary
Firecracker Injuries
Injuries
In 2004, when I was the chairperson of
the Department of Surgery in Ospital ng
Maynila Medical Center, I launched a
campaign to prevent unnecessary
firecracker injuries in the City of Manila. 
 • Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn ROJoson Advocacy Against Unnecessary
Firecracker Injuries
Injuries
I wrote a letter (dated October 22, 2004)
to then Mayor Joselito Atienza,
requesting for help to have an ordinance
promulgated by the City of Manila
Council banning the use of firecrackers
by the public in the territory of the City
of Manila during every new year
celebration starting 2004. 
 • Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn ROJoson Advocacy Against Unnecessary
Firecracker Injuries
Injuries
I thought such kind of an ordinance was
the most effective way of reducing, if not
totally eliminating, the incidence of
firecracker-related injuries in the City of
Manila.
At this time, Davao City has an ordinance ban on
firecrackers and this was effective.
Unfortunately, there was no response from the
Manila City Hall.
 • Prevention of firecracker injuries in the
Philippines
Firecracker
ROJoson Advocacy Against Unnecessary
and Burn
Firecracker Injuries
Injuries
December 2010 to first week of January 2011, I
decided to put up a website, entitled: “Unwanted
Firecracker Injuries” (
https://sites.google.com/site/unwantedfirecrack
ersinjuries
) to maintain my advocacy against unnecessary
firecrackers injuries. 
The only thing I can do is to keep on reminding
people on the risk of firecracker injuries and
 • Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn Fortunately, as years go by, more cities have
passed ordinances on firecracker ban – examples,
Injuries
aside from Davao, Zamboanga, Baguio and
Muntinlupa as of 2013 (my last tracking).
Again, fortunately, in 2017, President Rodrigo
Duterte issued Executive Order No. 28 providing
for the regulation and control for the use of
firecrackers and other pyrotechnic devices.
 • Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn EO 28 limits use of firecrackers to community
displays.
Injuries
“To minimize the risk of injuries and casualties,
the use of firecrackers shall henceforth be
confined to community fireworks displays.”
The EO has reduced significantly the number of
firecracker injuries in the Philippines. But there
are still casualties, NOT yet achieving ZERO
incidence.
 • Prevention of firecracker injuries in the
Philippines
Firecracker
ROJoson Advocacy Against Unnecessary
and Burn
Firecracker Injuries
Injuries
Firecrackers and fireworks, no doubt, will be
present in our midst because of tradition. 
They will never be completely eliminated as they
will continue to be used for celebrating
milestones and occasions.
 • Prevention of firecracker injuries in the
Philippines
Firecracker
ROJoson Advocacy Against Unnecessary
and Burn
Firecracker Injuries
Injuries
To avoid unnecessary firecracker injuries, my
recommendation is that firecrackers be sold to
and used only by people trained and authorized
to do the fireworks during special occasions and
in safe places. 

The rest of the citizenry should just watch and

enjoy the fireworks at a safe place and be
protected from firecracker injuries.
 • Prevention of firecracker injuries in the
Philippines
Firecracker
and Burn
Injuries
 • First-aid management of firecracker injuries

Firecracker
and Burn
Injuries
 • First-aid management of firecracker injuries

Firecracker • Wash copiously with soap and water right

and Burn away. (applicable to all parts of body injured)
• Control profuse bleeding if present by applying
Injuries pressure either by a clean hand or bandages.
• If firecracker injuries are severe, seek
consultation with physicians right away.
• Take pain medications as needed such as
paracetamol or NSAIDs (sample: mefenamic
acid).
• Antibiotics may be prescribed by physicians as
indicated.
 • Prevention of burn injuries

Firecracker
and Burn
Injuries
 • Prevention of burn injuries Focus of discussion:
Burns caused by
Firecracker Four common causes of burn injuries: thermal contact:
and Burn • Fire
Injuries • Smoke inhalation • Hot liquids
• Thermal contact • Contact with hot
• Electrical equipment surfaces
• Chemicals
 • Prevention of burn injuries Focus of discussion:
Burns caused by
Firecracker Prevention is basically avoidance of thermal contact:
and Burn contact with • Fire
Injuries • Hot liquids
• Fire • Contact with hot
• Hot liquids surfaces
• Hot surfaces

Be mindful and vigilant against these risks.

 • First-aid management of burn injuries

Firecracker
and Burn
Injuries
 • First-aid management of burn injuries

Firecracker Burn Classification

and Burn
Injuries
 • First-aid management of burn injuries

Firecracker Burn Classification

and Burn
Injuries
 • First-aid management of burn injuries

Firecracker Burn Classification

and Burn
Injuries
 • First-aid management of burn injuries

Firecracker
and Burn
Injuries
 • First-aid management of burn injuries

Firecracker Burn Percentage (Rule of Nine)

Total body surface areas Any patient
and Burn
(2nd degree burns and deeper) with greater than 15
Injuries
percent total body
surface area (TBSA)
nonsuperficial
burns should receive
formal fluid
resuscitation.
 • First-aid management of burn injuries

Firecracker Burn Percentage (Palmar Method)

and Burn Total body surface areas Any patient
(2nd degree burns and deeper) with greater than 15
Injuries
percent total body
surface area (TBSA)
nonsuperficial
burns should receive
formal fluid
resuscitation.
 • First-aid management of burn injuries

Firecracker
and Burn
Injuries
 • First-aid management of burn injuries

Firecracker
and Burn
Injuries
 • First-aid management of burn injuries Antibiotics -Topical
OTC
Firecracker Use and non-use of antibiotics in burns • Bacitracin
and Burn • Polysporin
For 1st degree burns – antibiotics are not
Injuries • Neosporin
indicated.
Prescription
For 2 degree burns (superficial) – no antibiotics.
nd

Give antibiotics only when there are signs of • Mupirocin

infection.
• Silver Sulfadiazine
For 2 degree burns (deep) and 3 degree burns -
nd rd

antibiotics are indicated.

 • First-aid management of burn injuries

Firecracker
and Burn
Injuries
 • First-aid management of burn injuries

Firecracker Use and non-use of analgesics in burns

and Burn
As needed.
Injuries
Tolerable pain – no need.
Intolerable pain – take oral analgesics

Options (depending on degree of pain)

Mild to stronger analgesics
Paracetamol / NSAIDs / narcotics
 • First-aid management of burn injuries

Firecracker
and Burn
Injuries
 Contents of PEP Talk: Summary
• Prevention of firecracker injuries in the Take Away
Firecracker Philippines
and Burn • First-aid management of firecracker injuries
Injuries • Prevention of burn injuries
• First-aid management of burn injuries
 Be always in touch with reliable medical Take Away in
information on FIRECRACKER and BURN relation to
Firecracker INJURIES. Patient
and Burn Empowerment
Injuries Knowledge is power; it gives power.

Use the 4Ks of Patient Empowerment:

Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
prevention and first-aid management of
FIRECRACKER and BURN INJURIES.
 My PEP TALK today
Empowerment is entitled:
objective - for
Firecracker and
laypeople to have an
understanding of the Burn Injuries
Firecracker importance of
and Burn prevention and first-
Injuries aid management of
FIRECRACKER and
BURN INJURIES in
health management.
 Reminder:

Empowerment Take the Online Learning

cum Evaluation Test
objective - for Exercise (OLETE) for
laypeople to have an mastery of learning and
understanding of the have a perfect score to get
Firecracker importance of
a Certificate.
Link is in Chat Box.
and Burn prevention and first-
Injuries aid management of
FIRECRACKER and
BURN INJURIES in
health management.
 Reminder:
50 OLETE Certificates = 1
Empowerment Voucher for ROJoson
objective - for Telemedical Consultation
laypeople to have an
understanding of the
Firecracker importance of
and Burn prevention and first-
Injuries aid management of
FIRECRACKER and
BURN INJURIES in
health management.
 ROJOSON’S REQUEST:
FEEDBACK TO THIS
Empowerment
PEP TALK!
objective - for
laypeople to have an Pls. type in your
understanding of the feedback in the chat
Firecracker importance of box during the open
and Burn prevention and first- forum and before we
Injuries aid management of part ways!
I NEED THE FEEDBACK
FIRECRACKER and TO DECIDE WHETHER
BURN INJURIES in TO CONTINUE OR
health management. STOP PEP TALK!
Thank you!
 Welcome all!
Empowerment Mabuhay!
objective - for
laypeople to have an LET’S NOW HAVE A
understanding of the GROUP PICTURE
Firecracker TAKING BEFORE WE
importance of START Q&A AND
and Burn prevention and first- INTERACTIONS!
Injuries aid management of
FIRECRACKER and Pls. turn on your
BURN INJURIES in video!
health management. Show your face!