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April 11, 2008 Occupational Health & Safety News
Blade Runners
These professionals take emergency care to new heights.
by Ronnie Rittenberry
Injury-free days on the slopes are few and far between. To
some extent, mishaps just go with the terrain when millions of skiers per
season, people of all ages and skill levels, are turned loose on snow and ice at
high altitudes with boards strapped to their feet. It doesn’t help that snow has
a tendency to shift or that trail conditions can change hourly. From a safety
professional’s perspective, the recreational mix that takes place on America’s
mountains for roughly half of every year might seem to provide the ingredients
for a good, six-month-long migraine. Yet the men and women charged with keeping
track of that shifting snow and responding with immediate care when incidents
occur say their jobs are uplifting in ways that have nothing to do with the
on-site gondolas and T-bar pulls. The National Ski Patrol, a federally
chartered nonprofit association now celebrating its 70th year, says it
represents 98 percent of the patrollers in the United States. NSP Executive
Director Tim White notes that, of the association’s 27,000 members, a full
24,000 are volunteers who, for often little remuneration, take it upon
themselves to complete extensive training and then give of their time for the
opportunity to join their local team and serve at sites across the country,
virtually anywhere there’s a chair lift. “If it’s a ski area, then it has
patrollers. And there is a shack somewhere on the hill, and they’re in it
waiting to be called,” he says.

The Hills Have Eyes Before they ever make it to that
shack on the hill, patrollers have to complete the association’s Outdoor
Emergency Care training program, essentially an 80- to 100- hour EMT education
focused on outdoor environments, followed by additional skills training at their
individual “hills” or work sites. NSP also requires the completion of refresher
courses every year. “We do a lot of training. In fact, we never stop training,”
says Craig Simson, assistant patrol director at Keystone Resort in Colorado.
“Every week we have a different focus.” One week it might be avalanche training,
detailing the finer points of skiing with the explosives necessary for
mitigating natural slides that could occur in avalanche-prone areas; other weeks
might focus on what to do in the unlikely event of a chair lift breaking, or
other rescue and recovery techniques. “Most people don’t understand the extent
of what we do,” Simson says. “Our largest priority is medical response—that is,
in fact, the beginning of the whole thing—but we’re also basically the police
out there, enforcing the Ski Safety Act and skiers’ responsibilities, and we
take care of trail maintenance. . . . We are in the game of delivering a whole
bunch of people into an element they perhaps aren’t used to, and in that we
spend a tremendous amount of time trying to make it the best and safest
experience possible for them.” Ed Strapp, a patroller at Maine’s Sugarloaf
Ski Area, describes the job as being similar to that of other emergency
medical service providers, but with additional challenges. “Our main
responsibility, just like in EMS, is we get on the scene, we establish what the
injuries are, and we stabilize the patient,” he says. “But often we’re doing
this on 45-degree icy slopes, and rather than extricating from a car, our
extrications are from trees, bushes, and things like that.” Once patrollers have
a patient safely strapped in a toboggan, they face the additional challenge of
skiing with it back down the mountain for more definitive care, without
additional injury. “It can be a 10- or 15-minute transport time off some
mountains,” Strapp says. “We don’t just lift them up and slide them in the back
of an ambulance. We have to get them off the hill, and, in effect, we are the
ambulance.”
Just Say Snow Being a human ambulance requires being
in good shape, both physically and mentally. “I would call it a job for which
you can’t let your guard down,” Simson says. “Just skiing alone has its own
inherent risks, but then on top of that we are skiing sometimes with explosives,
or we’re skiing with toboggans. . . . It’s a lot of responsibility, so we’re
very picky about who wears the uniform and who is going to be taking care of
folks out there.” Dennis McMahan, patrol director at the Freeland,
Mich.-based Apple Mountain Ski Resort, agrees that it takes a person of
special caliber to volunteer for the work. “When you’re out there in minus-10-
degree weather and you’ve got a 40-mile-per- hour wind chill, a lot of people
don’t like to do that for free,” he says. “It’s a matter of commitment. You go
out and do it because you like doing it and you enjoy the sport. You’re not
there for the pay or the good hours and the sunny weather. You’re just there
because you can make a difference.” ■
Ronnie Rittenberry
is Managing Editor of Occupational Health & Safety. 98 www.ohsonline.com ■
OCCUPATIONAL HEALTH & SAFETY POSTSCRIPT
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