Trick-or-Treat Safety
Courtney Carter
/ Categories: WELLNESS, 2024

Trick-or-Treat Safety

As you ready your little ghouls and goblins for trick-or-treating, it’s important to review basic safety rules to help ensure their holiday is scary in the best possible kind of ways.

Here’s a terrifying Halloween fact: Two times as many child pedestrians die on Halloween compared to other days. Thanks to a too-often deadly combination of being out after dark and wearing vision-limiting costumes, what should be a fun evening of mischief and merriment, Halloween can quickly become an actual nightmare.

However, by taking a few simple precautions and following practices, trick-or-treaters and their escorts can safely navigate their way home with plenty of candy in tow.

Here’s where to start:

COSTUMES

Make sure costumes, wigs and accessories are all fire-resistant.

Make sure costumes and footwear don’t create built-in tripping hazards.

Attach reflective tape to the sides, front and back of costumes and bags or use glow sticks to keep trick-or-treaters visible after dark.

If possible, use make-up instead of masks, which can limit visibility. Be sure to test make up on a small area of skin before applying to a child’s face and remove all makeup before bed to prevent skin and/or eye irritation.

TRICK-OR-TREATING

Always accompany young children around the neighborhood. Older trick-or-treaters should only venture out in the company of at least one other.

Caution children against entering homes or cars for treats.

Only cross the street at corners, using traffic signals and crosswalks.

Keep to sidewalks and designated pathways. If there aren’t sidewalks, walk facing traffic and as far off the road as possible.

Encourage children to walk and not run between houses.

Plan your route to keep road crossings to a minimum.

Only go to homes where a porch light is on.

Keep your eyes on the road and not on phones or other electronic devices.

TREAT EATING 

Do not allow children to eat treats before they get home where you can inspect candy.

Do not allow children to eat anything that is not commercially wrapped or any treats with torn or damaged wrappers, including pinholes. Any treats that appear unusual or discolored or suspicious in any way should be thrown out.

If you have young children, remove any small candies, including hard candy, peanuts, or gum, as they may present a choking hazard.

If your child has a food allergy, be sure to read all labels carefully to make sure allergens aren’t present.

DRIVING SAFETY

Drive with your headlights on, even before dusk.

Be alert for kids, especially at intersections, medians and on curbs

If you’re transporting trick-or-treaters, make sure they’re buckled up appropriately in a car seat or with a seat belt each time they get in the car.

If a costume makes it difficult to buckle a car seat or belt correctly, remove the costume or problematic portion of the costume each time they get in the car.

Try to park in spot where you do not need to back up.

Enter and exit driveways, parking spots and side streets with extreme caution.

By being cautious and mindful of safety, you can make ensure Halloween is a treat for all.

Jaclyn Lozier, MD, FAAP, is the Chair of Pediatrics, Southwestern Vermont Medical Center and the Medical Director, SVMC Pediatrics.

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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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