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Bounce castle fun can break little bones

They may be a big hit at kids' birthday parties, but inflatable bounce castles and houses can be dangerous, with the number of injuries soaring in recent years, a U.S. study found.

They may be a big hit at kids' birthday parties, but inflatable bounce castles and houses can be dangerous, with the number of injuries soaring in recent years, a U.S. study found.

Kids often crowd into bounce houses, and jumping up and down can send other children flying into the air, too.

The numbers suggest 30 U.S. children a day are treated in emergency rooms for broken bones, sprains, cuts and concussions from bounce-house accidents. Most involve children falling inside or out of the inflated playthings, and many children get hurt when they collide with other bouncing kids.

The number of children aged 17 and younger who got emergency-room treatment for bounce-house injuries has climbed along with the popularity of bounce houses - from fewer than 1,000 in 1995 to nearly 11,000 in 2010. That's a 15-fold increase, and a doubling just since 2008.

"I was surprised by the number, especially by the rapid increase in the number of injuries," said lead author Dr. Gary Smith, director of the Center for Injury Research and Policy at Nationwide Children's Hospital in Columbus, Ohio.

Amusement parks and fairs have bounce-houses, and the playthings can also be rented or purchased for home use.

Smith and colleagues analyzed national surveillance data on ER treatment for nonfatal injuries linked with bounce houses, maintained by the U.S. Consumer Product Safety Commission. Their study was published online Monday in the journal Pediatrics.

Only about three per cent of children were hospitalized, mostly for broken bones.

More than one-third of the injuries were in children aged five and younger. The safety commission recommends against letting children younger than six use full-size trampolines, and Smith said barring kids that young from even smaller, home-use bounce houses would make sense. "There is no evidence that the size or location of an inflatable bouncer affects the injury risk," he said.

Other recommendations, often listed in manufacturers' instruction pamphlets, include not overloading bounce houses with too many kids and not allowing young children to bounce with older, heavier kids.

Online: pediatrics.org; naarso.com