A serious fall when you’re miles from a medical facility is one of the biggest dangers of back country sports. The worst injury, the one that’s impossible to treat where the fall occurs, is a spinal cord injury. As recently as 50 years ago, spinal injuries were almost always fatal, and in the back country they still can be.
Symptoms of spinal cord injuries include pain or a stinging feeling somewhere along the spine; loss of movement of extremities; numbness and/or loss of the ability to feel heat, cold, or touch on a body part; muscle or limb spasms; and difficulty in breathing or coughing. The uninjured individuals may see that the head or another part of the spine is at an unnatural angle.
The first thing you can do is the “ABCD” of emergency medicine: check that the airway is open and the injured person is breathing; check the pulse (circulation), and check for disability (ask if the injured person can move, if he can feel his legs, what hurts, if he knows where he is and who you are, etc.).
If you suspect an injury to any part of the spinal cord, it’s absolutely critical that you do not move the injured person at all. Keep his head and spine where they are, and use T-shirts or towels or whatever you have in your packs, or even rocks, to ensure his head and spine can’t and don’t move. If the individual is conscious, keep talking to him and keep him talking. Put a sleeping bag over him to keep him warm and prevent shock.
If you’re able to call out on a cell phone or satellite phone, call for an emergency medical helicopter to fly in for the injured person. If not, then send someone in your group to where the cell phone works, or the nearest medical facility, as quickly as possible, and have them send the chopper. Someone else should stay with him. Don’t try to move him; at best, he could be paralyzed for life; at worst, you’ll kill him. Stay safe out there.
