In Case of an Emergency

selkirks

Active member
Given all of the injuries that have been happening lately and the sheer multitude of “Doctor NS” threads popping up on all topics from concussions to ACL tears, I think it’s necessary to offer a bit of direction on what to do in case of an emergency on the slopes.

There are three categories I’m going to cover. I’m not going to tell you what to do if your friend inflicts a spinal injury upon himself. I’m not going to give you instructions on CPR or First Aid. But I will tell you how to prevent injuries, take precautions, and receive training on the aforementioned. This thread will simply be a collection of things to know in case of an emergency on the mountain.

Preventing Injuries

I cannot stress enough the fact that prevention is the number one way to guard against injuries and to protect yourself. Progression is key in any sport, but pushing yourself too hard is also an issue. As you are no doubt aware, the NSAA produces a preventative program for ski resorts to use in and around terrain parks called “Smart Style.” I think many seasoned veterans either ignore or simply don’t pay attention to signage and rules, as if they don’t apply to them. Don’t make this mistake; anyone can get injured in a park or anywhere else on the mountain—at any time, under any circumstances. Period. They may sound stupid, but they’ll keep you skiing uninjured.

Stuff to Know

1. Know your Limits and ability level and select the appropriate Freestyle Terrain for you.

2. Your condition, speed, balance, body movements, alignment, trajectory and maneuver difficulty will DIRECTLY AFFECT YOUR DESIRED OUTCOME.

3. Know the intended use of the Freestyle Terrain you have chosen.

4. BE AWARE that features change constantly due to snow conditions, weather, usage, grooming and time of day.

5. Read and obey all posted signs, instructions and warnings before using Freestyle Terrain.

Smart Style

1. MAKE A PLAN

2. LOOK BEFORE YOU LEAP

3. EASY STYLE IT

4. RESPECT GETS RESPECT

Again, these things sound second-nature and obvious, but keep them in mind; they might just help you prevent an injury and keep you on the hill.

General Tips

Know the Responsibility Code. Again, it might sound second-nature and stupid, but it will help prevent injuries, problems, etc. If nothing else it will help you to avoid getting stopped by patrol.

•Always stay in control, and be able to stop or avoid other people or objects.

•People ahead of you have the right of way. It is your responsibility to avoid them.

•You must not stop where you obstruct a trail, or are not visible from above.

•Whenever starting downhill or merging into a trail, look uphill and yield to others.

•Always use devices to help prevent runaway equipment.

•Observe all posted signs and warnings. Keep off closed trails and out of closed areas.

•Prior to using any lift, you must have the knowledge and ability to load, ride and unload safely.

Wear A Helmet. Millions of skiers worldwide choose to go without a helmet. The resounding question: Why? Why put yourself at risk? Wear a helmet—don’t risk it.

That’s really all there is to know in terms of preventing injuries. The main thing is to know your limits. Progression is good. Injuries are bad.

Taking Precautions

1. Use an ICE Contact. One of the systems that’s really growing in popularity right now is ICE functionality in cell phones. The idea is that you put a contact in your phone labeled “ICE.” In it, you put pertinent medical information, emergency contacts, and other info. Many cell phones have this function built-in. If you have an iPhone, there are numerous apps available to serve this function on the App Store.

2. Carry Pertinent Medical Information. Keep pertinent medical information such as emergency contacts, allergies, your name, and other info with you at all times. And I don’t mean just in your phone; you want to have two copies with you whenever you’re skiing.

3. Know Your Ski Patrol. Program your ski patrol’s dispatch line into your phone. Put it on speed dial or favorites for easy access. If you visit a new resort, put that patrol dispatch number in your phone. Many resorts also have a dispatch line on Motorola’s line of TalkAbout radios.

4. Communication is Key. Carry a cell phone. Keep it fully charged. If you don’t carry a cell phone (who doesn’t?), consider a Motorola TalkAbout radio. Even for resort skiing, these offer an impressive range (32+ miles) and excellent feature set.

Train/Prepare Yourself

One of the best ways to prevent injury is to learn about them and what to do in the event of an emergency. You can do this through cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) training. You can do this through first aid training and outdoor emergency care (OEC) classes. One of the most important things to learn about is tree well and deep snow safety.

Tree Well/Deep Snow Safety

(courtesy: treewelldeepsnowsafety.com)

A tree well is the hole or depression that forms around the base of a tree. Evergreen trees (fir, hemlock, etc) can have large, deep tree wells that form when low hanging branches prohibit snow from filling in and consolidating around the base of the tree. These holes are hidden from view by the tree's low hanging branches.

ALWAYS SKI WITH A PARTNER

Always stay in visual contact so that they can see you if you fall. Visual contact (See photos # 1-3) means stopping and watching your partner descend at all times, then proceeding downhill while he or she watches you at all times. It does NO GOOD if your partner is waiting for you in lift line while you are riding down.

Stay close enough to either pull or dig you out. If you have any question about what "close enough" to assist someone in a tree well is, hold your breath while you are reading this. The amount of time before you need air may be how much time your partner has to pull or dig you out of danger. Other factors such as creating an air pocket or the position you fall in, may affect this critical timeframe.

Remember, if you lose visual contact with your partner you could lose your friend. It is important to know that most people who have died in deep snow or tree well accidents had been skiing or riding with "partners" at the time of their accident. Unfortunately, none of these partners were in visual contact so they were not able to be of help in a timely manner.

There have also been many cases WHERE PARTNERS HAVE RESCUED SOMEONE in a tree well or deep snow accident and SAVED THEIR LIFE!

First Aid/CPR/AED

I am not going to give instructions on CPR/AED/First Aid. That would be idiocy. I will, however, give you information on where to take the class, prerequisites, etc.

The national standard for CPR/AED/First Aid education is Red Cross CPR/AED for the Professional Rescuer. CPR/AED for the Professional Rescuer teaches students to respond to breathing and cardiac emergencies in adults, children and infants, use an AED on an adult or child victim of cardiac arrest and use personal protective equipment to stop bloodborne pathogens and other diseases from spreading.

For more information on this course, visit the Red Cross’ website at:

http://www.redcross.org/portal/site/en/menuitem.53fabf6cc033f17a2b1ecfbf43181aa0/?vgnextoid=42eebd7df52bb110VgnVCM10000089f0870aRCRD&currPage=ae14bd7df52bb110VgnVCM10000089f0870aRCRD

Outdoor Emergency Care (OEC)/Outdoor First Care

Outdoor Emergency Care® is the NSP’s award-winning training program for patrollers and others in the recreation community who deal with emergency situations. This nationally recognized program is designed to help you manage the toughest emergencies, in all seasons. Developed in the late 1980s for the 26,000 members of the National Ski Patrol, Outdoor Emergency Care is a training program that is tailored to the nonurban rescuer.

More information: http://www.nsp.org/EduPrograms/emergencycare.aspx

Outdoor First Care is a first aid training program designed for ski area personnel and other outdoor recreation groups who may encounter medical emergencies before the ski patrol or other response team arrives. Based on Outdoor Emergency Care concepts, this course introduces basic assessment skills to help the non-patroller determine appropriate support for patients with a life-threatening illness or injury.

More information: http://www.nsp.org/EduPrograms/firstcare.aspx

That’s basically what you need to know. I’d like to see this thread turn into a conglomeration of safety tips, but I don’t want to see instructions on CPR/AED/First Aid, etc. It’s a legal issue and it’s a moral issue. There’s simply no substitute to taking a class. So that’s what I expect to come out of this thread: safety tips and increased knowledge on what you need to do to take a First Aid/CPR/AED or OEC class.

 
good stuff. i got my cpr card thats about it. not much in the way of oec other than a few classes. no avy either but i dont ski out of bounds really.
 
No Spark Notes... that's really the problem. Although the main thing in terms of preventing an injury is always knowing your limits. Progression is good. Injuries are bad.

Also, everyone can feel free to toss in any additional safety information here.
 
I think someone should find some of the threads for the types of injuries and either link the thread with the info of post the info up in this thread for each type, that might get rid of all the "Dr. NS what should I do" threads.
 
That should have been on there. Thanks for mentioning this.

Stretching + Warm-ups are key. Stretching can literally save you a knee injury. But stretching alone is not enough. There should be a logical progression of activities, ideally following this order:

Warm-Up

Pre-Stretch

Activity

Cool-Down

Post-Stretch

A warm-up is usually a light activity. In skiing, it could be difficult to follow that order of activity. A pre-stretch, followed by a warm-up, is equally sufficient.
 
Excellent thread.

Some other things to note: If you are skiing out of bounds, simply having a beacon will do you no good unless you know how to use it. Take an avalanche safety course and learn how to use your beacon.

Ski with a shovel on days with a potential for avalanches. You might not look cool skiing in bounds with a shovel on your back, but when your buddy (who you have of course been watching) gets caught in a slide, you can dig him out. It does you no good to maintain visual contact with your buddy if you can not help him when he falls.

Wrap a few feet of duct tape around your pole, under the grip. I cannot stress how useful the stuff is- tear in your jacket? duct tape from inside and out. Tear in something more important? Duct tape is often a good immediate, TEMPORARY solution.

Carry an ace bandage at all times, too. Even if only to wrap a tweaked knee, you will be thankful that you carry one when the time comes that you need it.
 
This is very true. I know several people who even carry beacons in-bounds when the avalanche danger is high. We could add a lot on avalanche safety. The best thing I would advise would be to contact your local Forest Service office. Many cities' Parks & Recreation Departments also offer classes through resorts and backcountry specialists.

Forest Service: http://www.fs.fed.us/

Forest Service Avalanche Info: http://www.fsavalanche.com/

US Avalanche Center: http://www.avalanche.org/

Also, another major thing to add: NEVER DUCK A ROPE! Closures exist for your safety. That's really all there is to say. By ducking a rope, you're putting yourself and others (possible rescuers and anyone else that you're skiing with) at serious risk of injury or death. Just don't do it.

 
It may sound stupid, but simple common sense is one of the best ways in preventing an accident.

great thread and i hope it grows with good information overtime
 
IF THERE IS A POTENTIAL FOR A BACK OR HEAD INJURY DO NOT MOVE THE INJURED PERSON

One of the best bets is to not move them which could worsen the damage. if possible, remove their jacket and place snow around their spinal cord, again, ONLY IF YOU DO NOT DISRUPT THE INJURED PERSON. One of my friend's brother hit a pole and broke his back, but the kid he was skiing with knew that cooling down the nerves preserves them and increases the potential for recovery. If that wasn't done safely, my friend's bro would be paralyzed.
 
This is really important. I know of several people at local high schools who have been paralyzed from spinal injuries.
 
No. I just figured that with all the injuries that have been happening lately, some safety info was necessary. I'd probably turn it down if this thread won. It's just about educating people on the risks. I'm just tired of seeing so many injuries that could have easily been prevented. And I just got a pair of Spy Zeds, which are better anyway. Haha. More tips people!
 
i'd say this is a really important thread. I had a similar talk today with my little bro about the safety precautions of skiing because I know I want the kid thats first to the scene of my crash to know their shit and not fuck my life up.
 
Yeah, for for suspected spinal injuries it's really important to not even attempt to move the victim unless you have applicable experience (i.e. OEC classes, you are a patroller, etc.). And even then I'd probably wait for patrol to arrive. I'm Red Cross-certified for lifeguarding and I couldn't imagine what it would be like to in-line stabilize someone on snow--it's a completely different dynamic than water. And considering what's involved with freeskiing, I'd imagine a relatively high percentage of injuries in the park are spinal.
 
Also, make no mistake people; when I'm saying throw out tips, I'm saying suggest ways to prevent injury. I don't want to see people telling people what to do in the event of an emergency other than to call patrol.
 
Def a good thread. The biggest thing you can do while waiting for patrol is NOT move the person, and simply put an extra jacket over their core. shock will set in fast, hypothermia wont be far behind. and simply talk to the person, conscious or not. talking to the person is going to keep them calm, and help put family/friends at ease. A bunch of yelling and screaming isnt going to help anyone. I have been an EMT for a while and have seen my fair share on the hill and people always insist on taking the persons helmet, or skis off as they are laying there. Leave it alone, the simple jolt of popping a binding could be all it takes to touch a nerve with a broken neck, wait till patrol gets there, they are trained to do it. I think of more to add later.
 
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