Brandy Tanenbaum is an Injury Prevention Coordinator at Sunnybrook Health Sciences Centre.

Were you a risk-seeking kid or teenager?

Not particularly. Growing up, I played sports like ringette and baseball and rode my bicycle around the neighbourhood until the street lights came on. Nothing too wild or dangerous. I still play hockey and baseball today, and probably take on more challenging activities that include elements of risk as an adult. I’ve been riding a motorcycle for about ten years.

Some people might find that surprising…

I like that it challenges people and makes them think about their own comfort levels. People make assumptions that if you work in a hospital, or specifically in injury prevention, that you are opposed to all aspects of risk. My dad has a motorcycle and my husband and I thought, that’s something we want to try. We did all the training and courses and started with a small bike before upgrading. It’s a wonderful recreational activity and should be a viable mode of transportation. I have met an incredible community of riders through this experience.

What’s your view on taking risks?

Life is full of risks, and that’s just part of the deal. You can get hurt getting out of bed in the morning. But safety is not something that just happens to you. You have to practice it and be actively involved in creating safety for yourself. That’s not necessarily an inherent skill for humans.

Growing up, my grandmother was overly concerned about safety. It was like every time you open the door, the world is out to get you, but that’s a hard philosophy to live by. It likely took away from her enjoyment of other things. That’s been influential for me in my work. I want to create systems and spaces where people can feel safe to enjoy life, and have the skills necessary to manage an unpredictable environment.

Some people ask me, when am I going to stop playing sports or riding a motorcycle because I can get hurt? Well, why do I have to stop? I actively work to reduce the likelihood of injury and balance that with the need to live life fully. I love it, it’s social, it’s movement, so why shouldn’t I enjoy these activities for as long as I can?

As a society, we’re pretty risk adverse.

Over the past few generations, we’ve taken away opportunities for children to develop risk management skills, which means (generally speaking) we have adolescents who don’t have risk management skills, who turn into adults without risk management skills. We have a whole society of people who are afraid to step out their front door.

I work neck deep in the statistics of preventable injuries and am abundantly aware of their impact and burden, but that said, we can’t be driven by numbers all the time. People think, “well I heard someone was hurt doing something”, so no one should ever do that. But we rarely ask, what were the conditions around that injury? Were they speeding or under the influence for example? Those are all things we can manage differently. Being too risk adverse is problematic because there is a big, beautiful world to explore. We have one life and our purpose here is to flourish, especially as we get older. In those years of retirement, you want people to enjoy the activities they love.

Have you had many injuries?

A few. I was in a car crash as a child, I fell off bikes, I broke a toe and finger once. I tore my rotator cuff playing baseball, so I now have a chronic injury to manage. Did those things change my perspective? They probably played a role in me wanting to create spaces where people can enjoy the benefits of being active in a way that minimizes the risk of injury.

I’m imagining you having a lot of safety equipment at home.

I put a lot of research into the helmet I use for riding my motorcycle! I recently got a new one and it had to have the highest safety ratings and had to be white because studies have shown that white helmets reduce the risk of collision by 24%. It’s funny because my husband picks his helmets based on colour or designs he likes. We have jackets, pants, gloves and boots that are specific for motorcycle riding. Then there is my hockey and baseball equipment. We also have a tourniquet, first aid kit, and fire escape ladder at home, as well as safety equipment for the activities our kids are involved in.

What do you tell your kids when they walk out the door every morning?

I’d love to tell them to be careful, but I’m mindful of the messages I was given as a kid. Telling someone to be careful in the absence of specific skills for safety is just not effective, and I don’t want them thinking the world is a horrible place. Instead, I tell them to have fun, enjoy, and call me if you need anything! We’ve done work in our family to encourage a balanced safety mindset. I want my children to feel prepared to manage their safety in the ever-changing world around them.

Any bold things on your bucket list?

I’m one of those people who doesn’t have a bucket list and prefers to be open to the universe. If an opportunity comes up to try something new or adventurous, I want my reaction to positive and not driven by fear.

Last year I wanted to be intentional and created a year of saying “yes” to things that came my way. It was a shift away from a more cautious approach through the pandemic and taught me to lean into things that make my Spidey senses tingle without being fearful. Maybe a little part of it is proving that Injury Prevention people can be fun and we’re not just out to ruin everybody’s party!

Associated links:

• Sunnybrook Centre for Injury Prevention

The post How to live like the experts: Brandy Tanenbaum on staying safe while living life to the fullest appeared first on Your Health Matters.

Dr. Donald Redelmeier, a staff physician in general internal medicine at Sunnybrook, conducted a study on the impact of COVID-19 lockdowns on pedestrian fatalities. The findings showed that pedestrian deaths dropped significantly during April 2020, but perhaps more interesting was that the drop was short-lived.

“In April 2020, Toronto had zero pedestrian fatalities where about three would have been expected, [but] my biggest surprise was that the savings disappeared fast,” says Dr. Redelmeier. “In May, June and after, we observed continued reductions in mobility and yet no improvements in roadway safety.”

The results from the research in Toronto were similar to data in New York City during the same lockdown period. Specifically, pedestrian deaths dropped for 3 months, then rebounded immediately to typical rates afterward. All this occurred despite an ongoing 40% reduction in pedestrian activity and 15% reduction in prevailing traffic.

Dr. Redelmeier says it’s possible pedestrians were more cautious overall in the early days of the pandemic, leading to initial savings of pedestrian deaths. That caution may not have been sustained. Because pedestrian deaths account for one-quarter of deaths on Ontario’s roadways, increased vigilance for drivers and pedestrians could help save more lives.

Brandy Tanenbaum, Sunnybrook’s injury prevention program coordinator, and Dr. Redelmeier share some tips so drivers and pedestrians can stay safe, especially during the winter months.

Safe driving makes for safer roadways

Drivers can help keep the streets safer by ensuring their cars are in good working condition (e.g. brakes) and that, during the colder months, they are using winter tires.

“They’ll grip the road better than all-season tires, particularly when it’s colder than seven degrees,” says Brandy.

Drivers also need to stay within the speed limit, signal turns and lane changes, and exercise caution when entering or turning at intersections, even more so in the winter when ice can make it difficult to stop.

And, as always, no driving while under the influence of alcohol or other substances.

For pedestrians, it’s important not to rely on drivers to keep them safe.

“The only person who can keep them safe is themselves,” she says. “Always use an abundance of caution, cross the street at regulated intersections, make eye contact with drivers so you know they can see you.” She adds a reminder to be aware of slippery road conditions that could make it harder for drivers to stop at intersections.

Pay attention to your surroundings

Distracted driving can be deadly, which is why there are laws in place to prevent drivers from using cellphones while driving. But Brandy says it’s important drivers are mindful of any possible distraction.

“If you’ve got somebody in the car with you or you’re changing the radio station or you’re trying to reach down and grab something,” she says. And winter driving conditions —snow, sleet, ice—make it even more important for drivers to be focused on the road.

Brandy says pedestrians should also be aware that “texting and walking” can lead to injuries if they’re distracted from what’s happening around them.

“You want to be aware of your environment,” she says, which could include black ice, potholes or packed snow.

Be ready for night driving (and walking)

We all know it gets dark around 5 p.m. during the winter, which can make it harder for drivers to see pedestrians. Drivers should be more cautious at night, watching carefully for people out walking, and pedestrians can help make by making themselves more visible at night, say Dr. Redelmeier and Brandy.

“Don’t be a pedestrian ninja,” says Dr. Redelmeier. “Instead, try to dress a bit brightly when you’re walking, particularly at night.”

Brandy says it can also be helpful for dog owners to use a lighted collar or reflective leash when walking their dogs to help drivers see them when they’re crossing the street.

“Anything to make ourselves more visible to oncoming traffic,” she says.

The post Keeping safe on the winter roads: Expert tips and advice appeared first on Your Health Matters.

Water safety

When around water, Brandy says it’s always important to be aware of the weather and changing conditions and not to engage in activities that are beyond your skill level.

“[Ask yourself if you] have the necessary skills to be successful around water,” she says, adding swimming lessons are “critically important.”

For people who might be unfamiliar with the water conditions in Ontario, it’s important to know the risks before swimming or boating.

“Aside from swimming pools, we have so many lakes and rivers and people may not be aware of the risks associated with being in and around the water,” Brandy says.

She also emphasized the importance of wearing appropriately sized life jackets and using personal flotation devices correctly.

“Always use a life jacket when canoeing, kayaking, paddle boarding,” Brandy says. “Even if you’re close to shore, it’s still good practice.”

And if you’re jumping off docks or diving boards, Brandy says it’s important to know the depth of the water before you jump or you risk spinal cord or traumatic brain injury.

“No diving in headfirst, no pushing [people] into pools or pushing people off docks.”

Motorcycle safety

Brandy, who has had her motorcycle license for more than a decade, says most people don’t understand the vulnerability of driving a motorcycle.

“You’re riding on a motorcycle with no seatbelt … no airbags; there’s nothing to keep me safe on the motorcycle other than myself,” she says.

She recommends that motorcyclists take safety courses to develop their skills, and to be cautious about alcohol or substance use as well as tiredness before driving.

Brandy also says motorcyclists should be wearing “all the gear all the time.”

“It’s particularly important to have a safety certified helmet, to wear proper body protection: proper boots, proper pants, proper jacket and gloves.”

As for other drivers, Brandy says they can contribute to road safety by being aware of motorcyclists and sharing the road with them.

“If you see a motorcycle, give it space,” she says. “Don’t quickly change into a lane and cut someone off.”

Be mindful of substance use

Brandy says when it comes to alcohol or cannabis use, what’s important to remember is that substances will affect everyone differently. So, be cautious and know your limits.

There are low-risk drinking guidelines and lower-risk cannabis use guidelines available online that Brandy says can help people understand how to manage and monitor their substance use.

“There are safer ways to consume alcohol and cannabis,” she says. “It’s part of the education approach to learn those guidelines and to apply them in each of our lives to minimize negative outcomes, including injury.”

More information about injury prevention & safety in Canada

 

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The post Tips for staying safe while enjoying your summer appeared first on Your Health Matters.

It can feel great to get outside after many months of being stuck inside, whether that means lighting a bonfire, BBQing dinner or lighting off some fireworks to celebrate Victoria Day.

The May long weekend also marks the beginning of ‘trauma season’, and our Ross Tilley Burn Centre (RTBC) has already started to see a spike in admissions of patients who have been burned in bonfires or scalded while cooking. However, there are a few simple things you can do to stay safe and injury-free.

Dr. Marc Jeschke, medical director of the RTBC at Sunnybrook, says that common sense can prevent many of the injuries they see each summer.

“In the summer, you’re more relaxed, maybe some alcohol is involved. This is when burn injuries can happen,” says Dr. Jeschke. Here are some of the most common causes of burn injuries RTBC staff see, and how to prevent them:

BBQs and fire pits

When barbecuing, Dr. Jeschke says, stick to the rules: use fireproof gear, don’t put gasoline or igniter fluid on the grill and don’t wear loose, flowing clothing while cooking.

“With loose clothing, you turn around quickly or get too close, and the fire ignites the clothes. You then have a major injury for no reason whatsoever,” says Dr. Jeschke.

He recommends waiting until after you’ve finished cooking to consume alcohol. The same principle applies to tabletop fireplaces, which have been growing in popularity as a backyard patio feature.

“These can be dangerous because they’re at the exact same height as small children and pets. Keep loose clothing away from these too, and don’t throw any accelerants on them,” he says.

Ethanol-fueled fire pots

Ethanol-fueled fire pots are often more decorative in nature, set on tabletops or in small bowls or pots, but don’t let that fool you: they are dangerous because they use highly flammable fuels, like butane and ethanol. In fact, Health Canada issued a consumer warning in 2019 and asked manufacturers to stop selling these products.

“Explosions can happen when you try to re-light the fire, because there can still be fumes or low flames that can ignite during the refuelling process,” says Anne Hayward, a social worker at the RTBC.

If you have an ethanol-fueled fire pot at home, Dr. Jeschke recommends getting rid of it.

“We’ve seen way too many people injured while refueling ethanol fire pots. It can happen to anyone. They are dangerous, and they can be deadly,” he says.

The post Tips for preventing burn injuries this summer appeared first on Your Health Matters.

“Even though people are staying close to home, physical distancing can lead to an increase in high-risk behaviours, which in turn cause the types of injuries we often end up treating here,” says Dr. Marc Jeschke, medical director of the Ross Tilley Burn Centre at Sunnybrook.

The good news is that often, a little common sense can go a long way. Below are some tips from our Ross Tilley Burn Centre (RTBC) team:

Be careful when burning brush and debris

It’s understandable that many people want to make use of their time at home to get a head start with spring maintenance around their properties. Those who live on larger properties outside of the city, however, should think twice before burning large piles of brush and debris.

“Do not pour gasoline or another igniter fluid onto a fire that’s already burning, like a bonfire. The fire can come right back up into the container you’re holding, which will then explode,” he says. The person holding the container may also react by throwing it, inadvertently spraying other people nearby with burning fuel.

There is also the risk of a sudden shift in the direction of the wind, or the potential for unknown substances to be added to barrel fires. Have a safety plan in place, which includes having a container of water nearby or a garden hose on standby before starting the fire, and make sure someone else who knows what you’re doing (and where).

“With fires, you should always remember safety, and know where the closest water supply is,” says Dr. Jeschke.

Try not to use alcohol as a coping mechanism

Tolerating isolation is difficult for many people, particularly as the pandemic drags on, but Dr. Jeschke warns against drinking more alcohol as a coping mechanism.

“People are staying at home and drinking and smoking more, putting themselves at risk,” says Dr. Jeschke.

He says many of the injuries they see in the RTBC are the result of poor judgment. Simple activities like smoking and cooking can become deadly if a person falls asleep. Dropping a lit cigarette onto the carpet or leaving a stove unattended can ignite a fire very quickly.

If you do decide to consume alcohol, enjoy responsibly.

Take care of your mental health

The past year has brought huge changes to our daily routines, significantly impacting the mental health of many people. Anne Hayward, RTBC’s social worker, says it’s important to remember that physical distancing does not equal emotional or psychological distancing.

“For many people, physical distancing increases feelings of isolation, anxiety and depression, especially in at-risk populations. This, in turn, can lead to an increase in substance misuse and self-harm,” says Hayward.

“It’s more important now than ever to keep engaged, which can include staying in contact with people by phone, text, e-mail and using virtual technology.”

Hayward also recommends limiting the amount of time spent reading, watching and listening to the news, and only using reliable sources when you do.

“There’s a balance between being informed, but not overwhelmed,” she says.

If you are feeling anxious or overwhelmed, one strategy Hayward recommends is Expressions of Gratitude.

“By asking yourself what you are grateful for, it shifts the focus away from some of the negativity and worry and helps you to focus on something positive. This could include something simple like an act of kindness, spending time with people you love, or realizing what’s important,” she says.

Take care when cooking

With stay-at-home orders in place once again, more people are preparing and cooking meals at home. Keep some simple safety tips in mind, such as not wearing loose, flowing clothing while cooking.

“With loose clothing, you turn around quickly or get too close, and the fire ignites the clothes. You then have a major injury for no reason whatsoever,” says Dr. Jeschke.

Make sure your smoke alarms are working, stay in the kitchen at all times when you’re cooking, move anything that can catch fire away from your stovetop, and keep kids away from areas where hot foods or liquids are being prepared, like stoves and microwaves.

If you do suffer a burn:

If it’s a significant burn, call 911. While waiting for help to arrive, don’t put butter, vinegar, oil or lemons on the burn.

“The best initial treatment for all burns is cool running water. Don’t soak the injured area, just let the water run over it,” says Dr. Jeschke.

Help is available

Hayward says there are many reasons for people to feel anxious or overwhelmed right now.

“People may be struggling with financial, housing, food and job insecurity concerns, new or pre-existing mental health issues. They may also have immune-compromised or senior loved ones who are at risk, or loved ones who are living in other cities, provinces or countries that they can’t get to right now,” she says.

Others may be self-isolating in abusive or volatile living situations, which can lead to scalding, contact or chemical injuries, she adds.

Help is available through a variety of organizations, including 211 Ontario, Kids Help Phone and Connex Ontario, among others. A complete listing of crisis support hotlines is available at ontario.ca/coronavirus. If you are experiencing an emergency crisis situation, please contact 911 immediately or present to your nearest emergency department. 

If you’re a former RTBC patient and feel as though you need support during this challenging time, Dr. Jeschke encourages you to get in touch with the burn centre.

“Please reach out. You are not alone, and we will assess how we can best help you,” he says.

Note: this article was originally published in April 2020 and has since been updated.

The post Staying safe during COVID-19 lockdown: tips from our burn centre appeared first on Your Health Matters.

Whether you’re staying in the city, heading to a cottage or taking your chances with the weather and going camping, there are a few simple things you can do to stay safe and injury-free.

Dr. Marc Jeschke, medical director of Sunnybrook’s Ross Tilley Burn Centre (RTBC), says that common sense can prevent many of the injuries his centre sees each summer.

“In the summer, you’re more relaxed, maybe some alcohol is involved. This is when burn injuries can happen,” says Dr. Jeschke. Here are some of the most common causes of burn injuries RTBC staff see, and how to prevent them:

BBQs

When barbecuing, Dr. Jeschke says, stick to the rules: use fireproof gear, don’t put gasoline or igniter fluid on the grill and don’t wear loose, flowing clothing while cooking.

“With loose clothing, you turn around quickly or get too close, and the fire ignites the clothes. You then have a major injury for no reason whatsoever,” says Dr. Jeschke.

He recommends waiting until after you’ve finished cooking to consume alcohol. The same principle applies to tabletop fireplaces, which have been growing in popularity as a backyard patio feature.

“These can be dangerous because they’re at the exact same height as small children and pets. Keep loose clothing away from these too, and don’t throw any accelerants on them,” he says.

Camping

When camping, there can be a lack of familiarity with the tools you’re using. For example, while you use your stove at home every day, you don’t use your camp stove every day. The same goes for cooking over an open fire or refilling lamps with kerosene or gasoline.

“Do not pour gasoline or another igniter fluid onto a fire that’s already burning, whether it’s a bonfire or a camping lamp. The fire can come right back up into the container you’re holding, which will then explode,” he says.

Always have a container of water nearby or a garden hose on standby before starting the fire.

Fireworks

“Fireworks can be dangerous because if a large number of fireworks blow up, you get explosive burns,” says Dr. Jeschke.

Read safety instructions for fireworks before using them, and don’t let children be around them unattended. Don’t use fireworks inappropriately, like letting them explode in your hands or holding them while igniting them.

If you do suffer a burn:

If it’s a significant burn, call 911. While waiting for help to arrive, don’t put butter, vinegar, oil or lemons on the burn.

“The best initial treatment for all burns is cool running water. Don’t soak the injured area, just let the water run over it,” says Dr. Jeschke.

The post How to fireproof your summertime plans appeared first on Your Health Matters.

While people might think they’ll see or hear if their child is struggling in the water, a child or adult who’s struggling in the water doesn’t often scream for help. Drowning is silent, says Brandy Tanenbaum, Injury Prevention Program Coordinator at Sunnybrook. And it’s important to remember it can happen even in shallow water.

Here are six ways you can minimize your family’s risks around water this summer:

Learn to swim

Swimming is a skill, and it’s important to feel safe around water. Brandy says swimming lessons are “critically important,” so if financially possible, put your child (and yourself) in Learn to Swim classes. In the City of Toronto, there are subsidies available (check the City’s website). If you cannot swim, don’t go into the water where there is no lifeguard on duty.

Aside from swimming pools, Ontario has many lakes and rivers that are popular for swimming and boating in the summer. Anyone who is unfamiliar with the water conditions in the province may not be aware of the risks associated with being in and around the water.

“You need to be aware of the weather, changing conditions, and you shouldn’t engage in activities beyond your skill level,” Brandy says. “Know the risks before swimming or boating.”

Don’t swim alone

Even if you are a comfortable swimmer, no one should swim alone. It’s important you are not alone in the event you get hurt or into distress in the water.

Watch your kids around water

Please: Watch. Your. Kids. Around. Water. Even when there’s a lifeguard. Even if the water is shallow. Even if other parents are around. Watch your kids around water. You should be within arms’ reach of your kids at all times when they are in the water. Not engrossed in your phone. Not making dinner and watching through the kitchen window. Not up in the cottage or back at the car grabbing the towels while they are in the lake. Drowning can take mere seconds. If you can’t swim, reconsider where and when you let your kids go into the water.

And if your kids are jumping off docks or diving boards, Brandy says it’s important to know the depth of the water before they jump or they risk spinal cord or traumatic brain injury.

“No diving in headfirst, no pushing [people] into pools or pushing people off docks.”

Wear a lifejacket when on a boat

Everyone should wear an appropriately sized lifejacket when on watercraft of any kind (paddle board, canoe, motorboat, kayak) and know how to use personal flotation devices correctly. If you fall into the water and bonk your head on a rock, an approved lifejacket will keep you afloat.

“Even if you’re close to shore, it’s still good practice,” says Brandy.

Put down the alcohol

Booze and swimming or boating don’t mix. Alcohol inhibits our decision-making and can lead to riskier behaviour. Don’t drink and swim. And do not drink and boat.

Be a responsible pool owner

If you’ve got a pool, be sure to keep the fence gate locked. And, one interesting thing I learned recently – don’t leave your pool toys in the pool. Toys are tempting for curious kids and they will sometimes stop at nothing to reach that floaty swan or pool noodle. Put toys away to reduce their temptation to get at them.

The post Be water safe this summer appeared first on Your Health Matters.

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Keep older adults safe from burns

Is there an older adult living with you? They are at higher risk for burn injuries. Keep them safe with these tips:

Wear short sleeves or tight-fitting clothes when cooking. Loose clothing can catch fire. Don’t cook or be close to flames when feeling ill.

Don’t smoke or have open flames near medical oxygen. Keep all candles, lighters, cigarettes etc. away from medical oxygen.

Test the water before bathing or showering. Older adults’ skin becomes thinner with aging, making them at higher risk for burn injuries. Install anti-scald devices in the bathroom.

Make accommodations for disabilities. Install smoke alarms and alert devices (strobe lights or bed/pillow shakers) for those who are deaf or hard of hearing. Ensure anyone with a disability is included in your fire escape planning.

Remember, older adults are at a higher risk for burn injuries for many reasons, including slower reaction times and reduced mobility, balance, vision and hearing.

Learn more at ameriburn.org or health.sunnybrook.ca

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The post How to keep older adults safe from burns appeared first on Your Health Matters.

“We know that every year fire kills 400 people in Canada, and the majority of these deaths occur in the home,” says Joanne Banfield, Manager of Trauma Injury Prevention at Sunnybrook.

With National Fire Prevention Week happening this week, the National Fire Protection Association is reminding everyone that smoke alarms don’t last forever. In fact, they need to be replaced every 10 years.

Not sure how old your alarms are? Simply remove the alarm from the wall or ceiling, and look at the date of manufacture on the back of the alarm. If the alarm is more than 10 years old, replace it with a new one. If it’s less than 10 years old, you can put it back – just be sure to replace the batteries before you do.

Having working smoke alarms in your home is the best way to alert you to a fire, and will help get you and your family safely out of the home (and keep you out of the hospital!). Test your alarms monthly by pressing the test button to ensure they are functioning properly. Remember, it’s the law to have working smoke alarms on every story of your home and outside of sleeping areas.

The post When should you replace your smoke alarms? appeared first on Your Health Matters.

Combine these higher risk factors for seniors with dangerous winter conditions, and you can see why it’s so important for elderly pedestrians to take some precautions. Sarah Gallsworthy, Program Coordinator at Sunnybrook’s RBC First Office for Injury Prevention, has eight simple tips to keep pedestrians, particularly elderly ones, safe this winter:

1) Stay off your phone while walking– distracted walking is dangerous!

2) Be visible to drivers day and night by wearing bright, reflective items. Add a reflective sticker or patch to your jacket and bag

3) Wear proper and well-maintained footwear to reduce your risk of falling on slippery surfaces

4) Plan your outings– try to schedule outings during daylight hours and good weather conditions. Give yourself more time when traveling during the winter, so you don’t have to dart through traffic to catch the bus!

5) Be as light as possible– avoid carrying things that could make you lose your balance while walking

6) Don’t jaywalk– only cross at intersections with traffic signals, marked crosswalks or stop signs

7) Make eye contact with drivers before stepping off the curb- slippery road conditions means it may take drivers longer than usual to stop. Wait until vehicles have come to a complete stop before starting to cross the street

8) Keep your head up! Avoid looking at something other than the direction you’re traveling in

Do you have an elderly family member or friend who could benefit from these tips? Please pass them along, and help keep pedestrians safe this winter.

The post 8 winter safety tips for pedestrians appeared first on Your Health Matters.