Going trick-or-treating? Here's how to keep kids injury-free

The thrill of the hunt for that full-size candy bar, the dark, the masks — it's a trick-or-treat recipe for a trip to the emergency room, says a local doctor.

According to the American Academy of Orthopeadic Surgeons, ER docs often see young patients in exam rooms with busted bones on Halloween — a painful end to a young goblin's night.

"It's the masks, the costumes that are often too long," said Dr. Mark Pinto, orthopedic surgeon for Chelsea Orthopedic Specialists and AAOS member.

"The kids get tangled up … and they're trying to run and they're trying to hold onto whatever they have. Then add the dark, it adds up to falls," he said.

The culprit is often a hole or dip or obstacle in a yard that kids don't see in the dark and their excitement.

Pinto said he and his fellow surgeons have seen mostly broken or sprained wrists and ankles on Halloween night. Head injuries and lacerations also are common, according to the AAOS.

Here is some advice for a safe Halloween from the AAOS and the Pediatric Orthopaedic Society of North America:

■ Use sidewalks. Don't cut across yards or driveways.

■ Make sure costumes fit properly. A child's vision should be unobstructed by masks and hats.

■ Wear bright-colored costumes. They are easiest to see at dusk or in the dark. Add reflective tape to costumes and treat bags.

■ Wear sturdy, slip-resistant shoes

■ Approach only well-lit houses.

■ Children and parents both should carry flashlights. Aim the beam below chest level.

■ Be aware of neighborhood dogs.

■ Take a cell phone.

■ When pumpkin carving, use a pumpkin carving kit, or knives specifically designed for carving. Carve in a clean, dry and well-lit area and keep tools and hands dry.

■ In case of injury, elevate the injured body part higher than the heart and apply direct pressure to the wound with a clean cloth. If continuous pressure does not slow or stop the bleeding after 15 minutes, or if the cut is deep, see a doctor.

Contact Robin Erb at rerb@freepress.com or at 313-222-2708. Follow her on Twitter @Freephealth.