Tips for Tackling Snow Shoveling Safely
Courtney Carter
/ Categories: WELLNESS, 2024

Tips for Tackling Snow Shoveling Safely

Essential Tips to Protect Your Back and Heart

Every year, over 11,000 people end up in the emergency department with injuries related to shoveling snow. The combination of cold temperatures and intense physical exertion is the perfect combination for injuries ranging from strained backs and shoulders to broken wrists and cardiac events.  

The key to avoiding injuries and events is preparation, knowledge, and common sense.

Preparation

Shoveling is hard work that can leave you hot and sweaty even in the coldest temperatures. The right clothes will keep you from overheating while protecting you from wind, snow, and ice. Start with a base layer (thermals), then an insulating layer (wool sweater), and finish with a waterproof coat.

As your hands will no doubt come into contact with snow, be sure to wear waterproof and insulated gloves or mittens. A snug-fitting hat will provide the same protection for your ears and head,

And because snow and ice go hand in hand, be sure to wear boots or shoes with good traction to prevent slipping.

The next step is to take 5-10 minutes to ready your body for the exertion that awaits. Take a brisk walk to raise your heart rate and warm your muscles.

Be sure to stretch the major muscle groups you’ll be using to push and lift snow. This includes your back, shoulders, hamstrings, and calves.

Knowledge

Many shoveling injuries are the result of poor technique that puts unnecessary strain on muscles. When shoveling, keep these muscle-saving pointers in mind:

Push, don’t lift snow: Snow, especially wet snow, can be deceptively heavy. Wherever possible, opt to push snow rather than lift it to put less strain on your back, shoulders, and arms. In instances where you have to lift, try to keep the load light and try to turn rather than twist your body to offload the snow. 

Lift with your legs, not your back: When lifting snow, engage your leg muscles rather than your back to hoist the load. Bending at your knees and not at your waist will help keep the weight and hard work in your legs as opposed to your back.

Work in small, manageable sections: Slow and steady is the key to reducing the risk of overexertion when shoveling. Be sure to take small breaks to catch your breath and allow your body to recover.

Know the signs of a heart attack: According to the American Heart Association, some heart attacks are sudden and intense, but others start slowly, with mild pain or discomfort. If you’re not familiar with all the ways a heart attack might be experienced, you could lose valuable time and heart muscle by not seeking care as soon as symptoms appear. Click here to familiarize yourself with common signs.

Common Sense

Talk to your doctor: If you have a history of heart disease or other risk factors, talk to your doctor to determine if shoveling is safe for you.

Remember to breathe: People often unconsciously hold their breath while lifting heavy loads of snow, further increasing heart rate and blood pressure.

Don’t eat a heavy meal immediately before or after shoveling: Eating a large meal may increase the risk of heart attack by about four times within two hours after eating. Pairing that with the exertion of shoveling snow has the potential to be a deadly combination.

Stay hydrated: Keeping hydrated in the winter is just as important as it is in the summer. Be sure to drink water before, during, and after the shoveling session, even if you're not thirsty.

Choose the right shovel:  A shovel that’s too short or too long, has a large blade, or is unnecessarily heavy can strain the muscles of your back and shoulders. Look for a shovel that’s at least chest height on you to minimize how much bending over you must do. Shovels with curved handles or adjustable lengths can also work to prevent you from taking on too much at once.

Keep your phone on you: If you injure yourself, fall, or experience the signs of a heart attack, use your phone to call for help, or, in the case of a suspected heart attack, call 9-1-1.

If you experience any signs of a heart attack, stop immediately and call 911. 

 

Sean Burns, MD, is the SVMC EMS Medical Director/District 12 Medical Advisor. 

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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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