Exercising Safely in the Dark
Courtney Carter
/ Categories: WELLNESS, 2024

Exercising Safely in the Dark

Exercising outdoors is great for your mental and physical health. But as the number of daylight hours wanes, it pays to take extra precautions to keep yourself safe.

As exhilarating as exercising in the dark can be, it’s also a safety hazard. According to the National Highway Traffic Safety Administration, over 80% of pedestrian traffic fatalities occur at night or in low-light  conditions. 

However, with the right precautions, there’s no need to give up the joys of good workout when daylight hours are short.

1. Choose a well-lit route

Always opt for the well-lit route when exercising in the dark. While it may not be your preferred route, lighting makes you visible and increases your chance of noticing potential hazards like cracks on sidewalks or loose stones on the road. For added visibility, consider sporting a headlamp or flashlight.

2. Be seen

Reflective, brightly colored clothing makes you more visible to others when you’re out and about.  Today, runners have reflective gear options to cover them from head to toe. If you’re on a bike, invest in flashing bike lights, reflective tape, and gear to make sure you’ll be seen coming and going.

3. Head in the right direction

If you’re biking, always ride with traffic. If you’re running on walking, always go against traffic. No matter your choice of exercise, always cross at corners and crosswalks with traffic.

4. Know your route

Don’t venture on a new path for the first time in the dark. Scout out new routes in daylight so you can observe sharp turns, uneven sidewalks, hidden drives, etc.

5. Let others know your plan

If you’re heading out to exercise alone, let someone know your planned route and when you expect to be back. Always carry your ID, cellphone, and insurance card with you in case you do run into trouble.

 Alternatively, try to exercise with others. Look for local walking, running and cycling groups.

6. Know yourself and your limits

Consider shortening your outdoor workout or skipping it altogether during extreme weather conditions. Just as seasons change, workouts can too. Know that it’s okay to head home and that there are lots of options to consider from there.

7. Stay aware of your surroundings

Staying alert and aware of your surroundings is key to safety. If you exercise with headphones, keep the volume at a level at which you can hear approaching traffic, people, or barking dogs.

Finally,

8. Trust your intuition.

If something feels amiss, don’t hesitate to take proper precautions. There’s no shame in cutting your workout short or calling a friend (or even the police) if you’re feeling unsafe.

 

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Emergency Department: Open, Ready, Safe. 

The last 3 months have been a uniquely challenging experience in the SVMC Emergency Department (ED) and emergency departments and hospitals all over the country and the world. I am very proud of all our staff has done and continues to do to ensure safe care for patients during this era of COVID-19. We are grateful that cases of COVID-19 in our area have been the lowest in the U.S. and have decreased even further over the past several weeks. We are also heartened to see that patients who had been avoiding the ED are now confident to return to get the care they need.

It may be surprising to hear that over the past few months, the sickest patients we have seen in the ER have not had COVID-19. Many people have refrained from seeking care for serious medical problems due to the fear of being exposed to the virus, assuming that the hospital was not a safe place to be and not recognizing the seriousness of their symptoms. The most challenging moments of the past several months have involved critically ill patients who tried to stay away for far too long due to fear of being exposed to COVID-19. We have had many sad moments trying to care for those who waited until it was too late for us to help with conditions that could have been easily treated if presented sooner.

One might expect that the greatest challenges related to the pandemic were those needed to adapt our facilities and procedures and the work of caring for sick COVID-19 patients. SVMC is fortunate to have built a strong foundation of safety and infection-prevention methods over many years, which made this transition much easier. Still, when it became apparent that we were going to see COVID-19 cases coming through our doors, we implemented many COVID-specific changes very quickly.

From day one our staff have all been fully trained to use protective equipment effectively, to focus on cleaning and disinfecting, and to move patients safely through the new areas created to keep them safe. We also spaced the waiting room chairs to allow for plenty of distance and initiated drive-by testing to keep potentially contagious people outside and away from other patients.

We immediately increased our standard of protective equipment we use. For example, all staff who relate with patients now wear both a mask and protective shield, which is a proven and effective strategy to prevent transmission. Those staff who work with patients with respiratory or other contagious symptoms also wear a gown and advanced respirators developed in cooperation with Mack Molding in Arlington. They look strange, but they help us deliver care safely.

We also quickly built special spaces and units in the hospital to treat and segregate patients with respiratory symptoms who might be contagious from those with other routine medical problems. Outpatients with symptoms that could be related to COVID-19 are directed to a spacious area called the Respiratory Evaluation Center. There they can be taken to a safe treatment space called a negative-pressure room without encountering any patients who are using the ED for other reasons or any staff who are not fully equipped with protective gear. There are similar, safe, negative-pressure units for those who require treatment in the ED or hospital.

Our hard work paid off. We have treated a number of COVID-19 patients in our ED and, as far as we know, not a single staff member was sickened in relation to their work here, and no patients have contracted COVID-19 while under our care. With our current procedures and drastically declining COVID numbers, we are confident that we can continue that trend. Furthermore, SVMC recently received a perfect score on a rigorous survey specifically designed to judge our ability to prevent transmission of COVID-19. At this time our ED is safer than just about any other public place you could go.

My goal in writing today is to communicate that SVMC’s Emergency Department is open, ready, and safe. If you need emergency care, we are here and we can care for you safely. Please do not defer emergency care until it is too late for us to help. While many symptoms can represent a serious medical problem, the most concerning are chest pain, difficulty breathing, fast heart rate, confusion, high fever, intense headache, drooping face, dehydration, or weakness. Of course, with any other symptom you feel indicates a serious problem, come in right away or call 9-1-1.

For us, spending time with patients and connecting on a personal level is the best part of our jobs. We take pride in our life-saving role in our communities and the work we have been able to do during the pandemic, but we cannot help if you do not come in. Please don’t hesitate to get the care you need when you need it.

Adam Cohen, MD, is a board-certified emergency medicine physician at Southwestern Vermont Medical Center. He also serves as the chair of the Department of Emergency Medicine and the medical director of SVMC’s Emergency Department.

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