Spooky Safety: Expert Tips From a Pediatric Surgeon for a Worry-Free Halloween

Halloween’s charm and thrill require heightened safety awareness, especially for families with young children. The U.S. Consumer Product Safety Commission (CPSC) estimates that about 3,200 Halloween-related injuries are treated in U.S. emergency rooms annually. Recent data indicates that common injuries include falls, costume-related mishaps like tripping, and cuts and other injuries from pumpkin carving.

Stephanie Chao, MD, pediatric surgeon and trauma medical director at Lucile Packard Children’s Hospital Stanford and assistant professor of surgery in the Division of Pediatric General Surgery at Stanford Medicine, highlights key areas of concern during this festive season.

“Halloween is a time for fun costumes that often feature dark colors, increasing pedestrian risks during nighttime trick-or-treating,” Dr. Chao warns. She emphasizes the need for visibility, recommending that parents encourage bright costumes, use reflectors, or incorporate creative solutions like string lights to enhance visibility.

Accidents extend beyond pedestrian safety. “We frequently encounter cases of food poisoning or stomachaches in the ER as well,” she says. Her advice includes sticking to factory-sealed candy and checking for allergens: “If a child has specific allergies or sensitivities, ensure that those around them are informed, and carry an epinephrine autoinjector, such as an EpiPen, just in case.”

Dr. Chao underscores the importance of moderation, as excessive sugary food consumption can lead to obesity, tooth decay, and diabetes, which are significant concerns for growing children.

Supervision needs may vary by age, according to Dr. Chao. “Younger kids need adults nearby while trick-or-treating. Choose safe areas and plan your route ahead of time. For older kids seeking more independence, knowing their start and endpoints is essential, and having a mobile or item trackers can provide an extra safety measure.”

Parents should also be aware of potential hazards in Halloween makeup and face paints, which may contain harmful ingredients. Dr. Chao advises testing products on a small skin area days in advance to identify allergic reactions.

The CPSC highlights that over 40% of Halloween-related injuries involve pumpkin carving. “Using serrated knives for pumpkin carving is safer than large kitchen knives,” Dr. Chao says, noting the importance of adult supervision and creating design lines for children to follow safely.

One lesser-known Halloween hazard is fireworks usage. “Sparklers are beautiful but incredibly dangerous. The most common emergency room visits during the Fourth of July, and now on Halloween, are burn-related. Leave them to professionals, and keep them out of children’s reach.”

Incorporating these safety tips, parents can relax and enjoy a fun-filled Halloween, knowing their little ones are having a safe, memorable, and spooky-fun adventure.