Safety Prevent Trauma and Emergency Accidents Over the Winter Months By Trauma & Emergency Medicine, January 22, 2014 Winter in Pennsylvania can be treacherous. The bitterly cold weather mixed with snow storms, ice, wind, rain, sleet, and whatever else Mother Nature throws our way, can often cause serious, life-threatening injuries, no matter how careful we are. Charissa Pacella, MD, Chief of Emergency Services at UPMC Presbyterian, explains some of the common injuries around the winter months and offers some helpful tips for staying safe. Slips and Falls We spend a lot of time walking around outside, and sometimes not in the best condition. “A lot of times we see people who slip and fell on ice who just weren’t paying attention, so it’s always best to make sure you carefully watch were you step and avoid any terrain that looks like it might be unsafe,” says Dr. Pacella. Make sure you also: Ensure your walkways and driveway are properly cleared of snow and ice. Wear appropriate shoes or boots, selecting items that will provide good traction and stable footing. Tread carefully, particularly at night, when you may not be able to see ice on the ground. Winter Sports Injuries As fun as winter sports are, fun on the snow and ice can come to a sudden stop with an injury or accident. Whether you’re skiing, snowboarding, ice skating or sledding, there is always a risk for fractures and ligament damage as well as head and spine injuries. Warming up properly, wearing protective gear and using the right equipment will help minimize and prevent injuries on the slopes, hills or ice rinks. Shoveling Induced Heart Attacks Heavy, wet snow can cause strain on the heart, especially for those who aren’t normally physically active, are smokers, or who have heart disease or other health risks. It’s best to stretch out your body before even picking up the shovel. While shoveling snow, be sure to dress warm, stay hydrated and take frequent breaks if you need. “Most importantly, don’t ignore heart attack symptoms that include chest pain, dizziness, or shortness of breath,” says Dr. Pacella. “Make sure to call 911 if you think you’re having a heart attack.” Exposure to the cold Being out in the elements unexpectedly, or underdressed and underprepared can put you at a greater risk for developing hypothermia or frostbite. But even when under cover, hypothermia can still develop. “You should make sure your home is kept warm by keeping the thermostat set at least 68 to 70 degrees. If the home is kept mildly cool at temperatures between 60 to 65 degrees this can lead to mild hypothermia, especially in the elderly,” says Dr. Pacella. When outside in the elements, hypothermia and frostbite can be avoided by wearing loose fitting, light-weight layers of clothing, a hat, gloves, insulated socks and water-repellant shoes.