Dataset Information

Rock Climbing Emergencies in the Austrian Alps: Injury Patterns, Risk Analysis and Preventive Measures.

ABSTRACT: To elucidate patterns of and risk factors for acute traumatic injuries in climbers in need of professional rescue, a retrospective evaluation was performed of the Austrian National Registry of Mountain Accidents regarding rock climbing incidents over a 13-year timeframe from 2005 to 2018. From 2992 recorded incidents, 1469 were uninjured but in need of recovery, mainly when alpine climbing. Acute traumatic injuries (n = 1217) were often classified as severe (UIAA ? 3; n = 709), and commonly involved fractures (n = 566). Main injury causes were falls (n = 894) frequently preceded by rockfall (n = 229), a stumble (n = 146), a grip or foothold break-out (n = 143), or a belaying error (n = 138). In fatal cases (n = 140), multiple trauma (n = 105) or head injuries (n = 56) were most common, whereas lower extremity injuries (n = 357) were most common in severely injured patients. The risk for severe or fatal injuries increased with age and fall height when ascending or bouldering, during the morning hours, and when climbing without a helmet or rope. The case fatality rate was 4.7%, and the estimated total mortality rate was 0.003-0.007 per 1000 h of rock climbing. Acute traumatic injuries requiring professional rescue when rock climbing are often severe or fatal. Consequent use of a helmet when sport climbing, consistent use of a rope (particularly when ascending), proper spotting when bouldering, and proper training, as well as high vigilance when belaying are likely to help prevent such injuries.

SUBMITTER: Rugg C

PROVIDER: S-EPMC7589766 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Rock Climbing Emergencies in the Austrian Alps: Injury Patterns, Risk Analysis and Preventive Measures.

Rugg Christopher C Tiefenthaler Laura L Rauch Simon S Gatterer Hannes H Paal Peter P Ströhle Mathias M

International journal of environmental research and public health 20201019 20

To elucidate patterns of and risk factors for acute traumatic injuries in climbers in need of professional rescue, a retrospective evaluation was performed of the Austrian National Registry of Mountain Accidents regarding rock climbing incidents over a 13-year timeframe from 2005 to 2018. From 2992 recorded incidents, 1469 were uninjured but in need of recovery, mainly when alpine climbing. Acute traumatic injuries (<i>n</i> = 1217) were often classified as severe (UIAA ≥ 3; <i>n</i> = 709), and ...[more]

PMID: 33086551

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Project description:Rock climbing is among the outdoor activities that have undergone the highest growth since the second half of the 20th century. As a result, cliff habitats, historically one of the least disturbed by human colonization worldwide, are facing more intense human pressure than ever before. However, there is little data on the impact of this activity in plant-communities, and such information is indispensable for adequate manager decision-making. The goal of this study was to determine the impact of rock climbing on plant communities in terms of cover, richness, and composition in relation to climbing intensity on typical Mediterranean limestone cliffs. Three rock-climbing sites were selected in the Baetic range (SE Spain), corresponding to qualitative categories of climbing frequentation: i)"low" (low frequentation with intermittent climbing), ii)"medium" (high frequentation without overcrowding), and iii) "high" (high frequentation with overcrowding). Within each site, we selected climbing routes and adjacent areas free of climbing, then we carried out a photoplot-based sampling by rappelling. We analysed the images to calculate: richness, species cover, and total cover. This study shows that rock climbing negatively affected the cliff plant community at all three study sites. A significant decrease in plant cover, species richness and a shift in the community composition were recorded for climbed areas, the cover being the variable most sensitive to rock climbing. Impact observed proved to be related to the frequentation level. Low-frequentation sites, with usually more specialized climbers, underwent relatively mild damages, whereas at high frequentation sites the impact was severe and the conservation of the species, especially rare ones, became jeopardized. Our study is the first one available to investigate climbing impact on plant communities in Mediterranean areas, but more research on the impact of rock climbing is needed to assess the regulation of this activity. Regarding management guidelines, we propose a management guideline protocol to evaluate climbing routes and design: i) "Sites free of climbing", ii) "Strictly regulated climbing routes", iii) "Mildly regulated climbing routes", or iv) "Free climbing routes".

Project description:BackgroundLightning strikes are a risk during mountain-sport activities. Yet little is known about the prevalence of injuries related to lightning strikes during mountain hiking, backcountry skiing, or high-altitude mountaineering. This study therefore examined the occurrence and characteristics of lightning-strike-related emergencies during mountain-sport activities in the Swiss Alps.MethodsWe analyzed 11,221 alpine emergencies during mountain hiking, 4687 during high-altitude mountaineering, and 3044 during backcountry skiing in the observational period from 2009 to 2020. Identified cases were analyzed in detail regarding age, sex, the time of occurrence, altitude, location, the severity of the injury as quantified by its NACA Score (National Advisory Committee for Aeronautics Score), and injury pattern.ResultsWe found no cases related to backcountry skiing. Eight cases of lightning strikes during mountain hiking (four female and four male) were identified. The mean age was 32.5 ± 17.5 years, the mean NACA Score was 2.5 ± 1.9, and the mean altitude was 1883.8 ± 425.7 m. None of these cases were fatal, and only one victim was seriously injured. Fifteen cases were identified during high-altitude mountaineering (four female and 11 male). The mean age was 38.7 ± 5.2 years, the mean NACA Score was 3.1 ± 2.5, and the mean altitude was 3486.4 ± 614.3 m. Two lightning strikes were fatal. In these two cases, rope partners were injured by a lightning strike (NACA Score = 4). Most cases were on relatively exposed terrain, such as the Matterhorn Hörnligrat or the Eiger Mittellegigrat.DiscussionThe typical victims were 30-40-year-old men. It is possible that the lightning strikes are a consequence of a lower risk aversion among these alpinists, which is be supported by the fact that most of the events occurred on famous mountains such as the Matterhorn or Eiger. Furthermore, since most of the locations were on relatively exposed terrain where one could not quickly find shelter, we recommend careful tour planning with serious consultation of the weather forecast and the likelihood of thunderstorms before climbing exposed sections to prevent emergencies related to lightning strikes.

Dataset Information

Rock Climbing Emergencies in the Austrian Alps: Injury Patterns, Risk Analysis and Preventive Measures.

Publications

Rock Climbing Emergencies in the Austrian Alps: Injury Patterns, Risk Analysis and Preventive Measures.

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