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Be Steady when its Slippery 


Lee Price
January 14, 2026
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Many of us in the U.S. are in the midst of the months when rain can turn to ice and snow. With this seasonal transition comes the added challenge of keeping our feet under us, and ourselves and others off of the ground due to a fall. Falls and near falls due to slippery surfaces can lead to everything from wounded pride, to long term injuries, to injuries to people we are helping and to lawsuits. Remembering that we often are out in the best and worst weather conditions, we need to be aware of how well our feet and footwear will keep us upright.  

Look for the signs of trouble. Any surface with some snow or ice collection is one we can’t trust. Also, black or hidden ice can form on surfaces, be difficult to detect and quick to cause a serious slip and fall. Stairs and ramps are particularly treacherous in ice and snow conditions. Another warning sign is the weather. When it rains near or below 32 degrees Fahrenheit, ice can form. Even rain in temperatures that are in the mid 30’s can be super-cooled and freeze to surfaces as it lands on them. Be suspicious of any wet or “shiny” surface in cold temps. 

Strategies to avoid falls when out in the slippery stuff can include the following: 

  • Slow and steady stay on their feet. Take it easy and be sure of footing at every step and maneuver.  Shorter strides, shuffling, and 100% three points of contact when climbing. 
  • Enlist more help when moving patients and victims when conditions are not ideal. Four points and extra hands when moving stretchers, extra spotters or carriers when traversing slippery ramps, stairs, and sidewalks. 
  • Stretcher tips are more likely, even in a couple inches of snow or slush. Consider more help and/or lowering the cot.  
  • Make sure your footwear has adequate tread and is not worn. Just like a car tire, no tread, means no traction.  
  • Consider keeping a container of sand, salt, or something similar to improve traction on slippery surfaces. Also, if you have the manpower, shovel the stairs and walks at the scene to make things easier for everyone.  

Slips and falls are a leading cause of injury to responders and to the people we are trying to help. Many legal problems our responders face are also the result of patient drops and stretcher tips that occur because of the slippery footing. Taking the time to prepare, plan, and proceed with caution will keep you and your people safe and healthy.