Winter Travel Reminders
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/ Categories: WELLNESS, 2021

Winter Travel Reminders

Winter weather is upon us, and with it increased risks involved in daily travel as well as long-distance road trips for holiday getaways. Many are not prepared to properly prevent and handle travel accidents. Now is an excellent time to review the steps that can prevent travel mishaps and the appropriate measures to take, should an untimely accident arise.

Keep your car equipped and in good repair. As winter approaches, equip your car with an ice scraper, a snowbrush, jumper cables, and snow tires. Abide by regular maintenance recommendations, and have a mechanic check the car before long trips for any mechanical issues. Also, ensure that the tires are properly inflated, that wipers thoroughly clear the windshield, that fluids are topped off, and that you have plenty of gas.  

Equip your car with a winter first aid kit.  Gathering an emergency kit of items you would need is well worth the time and expense. It would even make a great gift for those people in your life who are tough to buy for. Ensure your car is equipped with a jack and lug wrench to change a tire. Older vehicles do not always have their originally supplied equipment. For emergencies at any time of year, you would likely want to have several other items on hand. Pack a cell phone charger or rechargeable battery pack; a flashlight, hand-cranked or with extra batteries; a first aid kit, including band-aides, adhesive tape, antiseptic wipes, gauze pads, antiseptic ointment, and medical wrap; bottled water; and road flares or reflective triangles.

For winter travel emergencies, include windshield washing fluid, a bag of sand to be used for extra traction, a collapsible snow shovel, emergency blanket, work gloves, safety whistle, and hand warmers. Those who are traveling outside cell reception, could also include a car fire extinguisher; tire gauge; a multi-tool; baby wipes; duct tape; blankets; non-perishable, high-energy foods, like energy bars or trail mix; a battery-powered radio; matches in a water-proof container; cord and scissors; and a compass.

Know your route. Plan your route in advance. Be sure to prepare with both electronic means of navigation and paper directions, and let a friend or family member know which way you intend to go and when you expect to arrive. Check in with them once you get there.   

Check the conditions. Pay attention to the weather forecast for the time you will be traveling. Also, ensure that you, yourself, are in good health. Viral illnesses, like the flu or COVID-19, can slow response times significantly. If you are feeling unwell or the weather looks treacherous, cancel the trip.

Dress for the worst. Be sure to have clothes that would protect you from the cold, if your car could no longer be used as a source of heat or if you had to be outside for a while. Also have an extra pair of clothes to change into, should the ones you are wearing become wet. Wear or carry boots, a hat, warm gloves, scarf, and coat.

Leave extra time. Give yourself more time for travel. You may need to slow your speed and increase following distance. Do not be in a rush. Budget time to brush off car entirely, including the roof, bumpers, and all of the lights. Snow can slide off the roof of the car and impair visibility for you and other drivers. Clean the windshield and wipers of all snow and ice.

In case of an accident, leave your car only to place flares or reflective triangles at the front and rear. Don’t try to push your vehicle out of the snow. Make sure the exhaust pipe is free of snow, mud, or other objects, and keep the car running with the heat on, if possible. Call for help.

While we can’t prevent every instance of trouble, we can be prudent and prepare in ways that will improve our ability to keep ourselves and our passengers safe.

Crystal Labbe-Hasty, PA-C, is a physician assistant at SVMC ExpressCare in Bennington. It is part of Southwestern Vermont Medical Center and Southwestern Vermont Health Care.  

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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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