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February 06 Day 34: Ski Patrol 2/5Today I was certified as a Basic Patroller for Wintergreen Resort. This was the certification that I was hoping to achieve when I began this journey In September of 2005. It has taken 34 days of classroom and outdoor training to acquire the skills and competence to:
The past few days of training have focused less on our skiing and riding abilities and more on sled handling. This includes handling an empty sled and loaded sled. Handling a loaded sled requires proficiency in front of the sled, or "in the handles", as well as on the tail rope. Handling proficiency means keeping the sled and patient in the sled safe while riding fast and slow, on all types of terrain, stopping on a dime, traversing slopes of various terrain, and choosing proper paths for the sled and patient. I am very appreciative of the instructors who spend so much of their personal time and energy to train us and make Wintergreen's Ski Patrol top notch. I hope to return the gift I received from them by participating or leading the training and instruction of future patrollers. January 23 Day 30 and 31: Ski Patrol 1/21 and 1/22Toboggan, toboggan, toboggan. The past few training days have been spent advancing our skills and experience riding an empty and loaded toboggan. The prior training days where we have worked on honing our riding skills have come to fruition. Riding the toboggan in and of itself isn’t terribly difficult. But the subtle difference between riding faster than the genral public and stopping is challenging. The standard to which we are being assessed to pass Basic certification is high. Very high. While I feel more than comfortable and confident to ride an un-loaded or loaded sled on any part of the mountain, I am required to demonstrate a level of proficiency above and beyond what I am personally at ease with. It’s been a huge time commitment going back to the first weekend in September. I hope that a few more days on the mountain are all that are required to pass Basic. January 08 Day 27: Ski Patrol Training 1/8After yesterday’s training session I woke up very sore. It took several runs to loosen up and get my body and mind moving and in sync. But the day turned out to be a blast!
We started out in the mogul fields which went surprisingly well. Clearly the previous day of training and learning three different methods to negotiate a mogul helped. Good snow and a confident and aggressive attitude made for a fun day in the bumps.
We also caught some air off of some steep pitches on the expert slopes. I was cautious, but still managed to catch enough air to feel cool, even though I may have looked like a chump.
The end of the day was spent getting introduced to the sled. We practiced by using to pieces of ‘boo’ to mimic the handles on the front of the sled and the tail rope on the back. We were also given the opportunity to ride an empty sled down the mountain. I volunteered to pack, ride, and unload a sled from the lift. It’s hard. The sled is heavy and you have to guess where your board is in order to ride off the lift. And with all the weight of the sled, stopping quickly off the lift is damn near impossible. So yelling ‘MOVE!’ comes in handy.
I worked a patrol shift after training, which meant I was on the slopes from 8 am until 10:30 pm. I worked a pretty interesting accident, but I am too tired to type about it now - a text book broken humerus. January 07 Day 26: Ski Patrol Training 1/7All of Wintergreen's Auxiliary Patrollers who are working towards Basic Patroller certification have begun training. The training consists of becoming a very proficient and good skier or snowboarder first. Then learning how to properly and safely transport a patient, one with potentially life threatening problems, in a sled or toboggan to either the Ski Patrol First Aid room, or to a snowmobile which would then transport the patient. The skiing and snowboard training are split for obvious reasons. I am in the snowboard training class. Today was my first day and it was hard. The drills and exercises we went through forced us to alter out normal riding stance, posture, and balance to a more appropriate stance, posture, and balance. This wasn't terribly difficult, but hard because you were forced to ride in a style that was completely foreign. We spent the afternoon riding in the mogul fields. I have ridden moguls before. I can make it down, albeit not that gracefully. Trying to apply the lessons from this morning to the riding in the mogul fiends was hard. Really hard. I took several nice diggers and am sore. And I know I will only be sorer tomorrow morning. Tomorrow we will work on riding with a sled. I think I will do fine, but then again, I have a tendency to approach things with more confidence and find that things are harder for me than I initially surmise. December 18 Day 25: Ski Patrol Training 12/18Today I passed Wintergreen’s certification standards for National Ski Patrol Auxiliary Patroller. This means I will be able to patrol at Wintergreens’ resort and provide first aid on the hill and in the resort’s first aid room and Advanced Life Support rooms.
Today’s exam was similar to the practical exam for National Ski Patrol Auxiliary Patroller, but the scenarios were conducted in a real environment including snow, ice, cold, missing or broken equipment, and a toboggan for patient transportation.
There were five scenarios that we were assessed on. The first scenario was “unresponsive”, meaning the patient was not responsive and degraded to a point of requiring CPR in order to resuscitate them. The second scenario involved a skier with a broken tibia and fibula and only a bystander to help - which means you have to perform first aid while training the bystander how to perform it as well. The third scenario was a snowboarder with a closed fracture of their left humerus. The fourth scenario was probably the hardest as the patient presented with point tenderness in their upper thigh, but close to their pelvis. The patient refused to lay supine and required back-boarding in the fetal position as they we slipping into shock. The fifth and final scenario was a snowboarder with a possible fractured cervical vertebra. Stabilizing and backboarding the patient was fast and easy as we were able to use gravity to help load the patient for transport without compromising the patient’s spinal cord.
The lead instructor announced to all of the patrol staff that we were certified to patrol and welcomed us to Wintergreen’s ski patrol team. It was an extremely rewarding moment after working since September to reach this goal.
My next goal is to obtain National Ski Patrol Basic certification, which means I will be able to transport patients in a sled. I will have to spend a few weekends honing my riding skills and learning how to handle the sled. My goal is to have that complete by the end of January.
I was also very excited to be invited to be trained for snowmobile certification. A small percentage of the patrol staff is allowed to run a snow-mo, and I can’t wait to do it. I don’t suspect any problems as I have ridden snow-mos before, but never with a patient with a life-threatening trauma in tow.
So, tonight I am going relax and have several drinks. Ah… December 17 Day 24: Ski Patrol Training 12/17Today I and fellow candidates were introduced to “Certified” level scenarios. These are scenarios that involve multiple patients and patients with multiple traumas. The traumas are life-threatening. Meaning, one or more of the injuries are going to lead to death if not treated properly within 10 – 15 minutes on-the-hill. While my next goal of obtaining Wintergreen resort certification as an Auxiliary Patroller doesn’t require mastery of scenarios this complex and difficult, we are introduced to them to know what’s possible and to know when to recognize a problem that requires experienced help. I think the biggest challenge we face when going from “Basic” problems to “Senior” or “Certified” problems is the ability to delegate patient management and scene management. Our natural inclination based on our training this fall was to learn to help each other out and be able to take on different roles and responsibility. Now we are trying to unlearn, to a certain degree, to stay focused on a role when you are faced with a patient with serious and life-threatening problems. It’s hard. Your training and intuition is to try and do everything and get involved. Standing back and directing others when you have a person, or persons, that are really, really hurt takes restraint and composure. In hindsight, I don’t think the problems were impossible to manage, but then again, the “patients” weren’t real. I also gained a new view of first-aid when you have a patient that doesn’t speak English. It’s like trying to treat a pet for trauma. If you can’t communicate with your patient, your ability to care for someone is severely diminished. For example, one of our best tools is to ask a patient to “Point to where it hurts the most”. Tomorrow is our final for Wintergreen resort certification. We will be run through several scenarios out in the snow, ice, and cold. The scenarios should be familiar to us, but test anxiety and forgetting one thing can cause a failure. Keep your fingers crossed. December 10 Day 22: Ski Patrol Training 12/10Today was hard, difficult, frustrating, demanding, and hard. Oh, and it was hard. We were presented with some very obscure scenarios including patients injured on ice, hanging from trees, and stuck on and between rocks.
Fortunately the weather was cooperative, meaning it was about 28 degrees and sunny. The scenarios were further complicated by equipment that was requested in order to handle the trauma was missing vital components. This meant improvising with anything from a cravat, a shoe lace, or something a bystander may have been carrying.
The snow pack was hard enough that several of us slid down the face of a very steep pitch in the middle of administering first-aid about 50 yards. And there is really nothing you can do. My hands got cut up pretty bad while simply trying to grab the hard-pack in order to stop. I filled up and entire non-latex size large glovewith blood from a few cuts from the ice when it happened to me.
These scenarios are purposefully mind-bending. Which are great to experience because we get to see and practice very extreme scenarios and are forced to improvise which let us and our fellow patrollers know what we are capable of.
Tomorrow is supposed to be harder, which I am having a hard time imagining. December 03 Day 20: Ski Patrol Training 12/3After a few week hiatus from National Ski Patrol training, I was back at it today. After 3 months of training and education in cool weather, today began the official start of ‘On-The-Hill’ training in cold, snowy, and icy weather. The transition is extremely significant and presents an entirely new set of challenges.
The weather has cooperated so Wintergreen Resort had several slopes open today which allowed us to take months of training into a ‘real world’ environment. Meaning, our training and education is now being applied, and re-learned, in the conditions in which we will be required to apply them.
Aside from adjusting to freezing cold hands, a barrage of skiers and snowboarders making near misses with our accident scenes, and working with a lot of new equipment, today was difficult and rewarding. I have an acute appreciation for the method by which information has been presented to us. It was very rewarding to see myself and my fellow candidates knowing what to do. While we still have a ways to go, the progress is pretty amazing. November 23 Day 18 and 19: Ski Patrol Training 11/12 and 11/13This weekend marked a milestone in my training and certification for National Ski Patrol. The weekend involved a 100 question written test, 3 focused skill stations, and 6 complete trauma scenarios.
I spent the majority of my waking, non-working hours including all day Thursday and Friday studying the written material in the Outdoor Emergency Care manual and on the http://www.oeczone.com site cramming hundreds of pages of material. I also ‘practiced’ the skill stations and scenarios by treating patients that were made of pillows from our sofa.
Saturday started off with a 100 question written exam. The exam took about 2 hours to take and then another hour of review and discussion of each question. I did well by answering 95 of the questions correctly. The 5 questions I missed were disappointing, but I was satisfied with my final score.
Up next were the 3 skill stations. The day took a turn for the worse when I confidently decided to go first on a ski, boot, and helmet removal station. I was thrown off when the evaluators directed me to run through a complete scenario instead of moving right to the ski, boot, and removal.
Whenever you assess a patient for trauma of any type you are required to practice Body Substance Isolation (BSI). Meaning, you put on non-latex gloves and protective eye-wear. Well, I forgot to glove up and cut my hand on the ski of my patient. Then when I went to perform the helmet removal I got blood on my patient’s cheek. So, not only did I fail to follow a very basic procedure, but I actually got blood on my patient. Not good.
From that point on I had the wind knocked out of my sails and was very upset with myself. I made it through the rest of the day and immediately went home and made detailed scripts of every step and communication required for all of the scenarios I could think of. That took about 6 hours which left me with very little time to review for Sunday.
Sunday was tough. Evaluators from Wintergreen and other resorts were on-hand to assess our ability to work 6 different accidents. For the most part I was very pleased with my performance, particularly with splinting, backboarding, and CPR.
I passed and am now a certified National Ski Patrol Auxiliary Patroller - http://www.nsp.org/1/nsp/About_NSP/MembershipTypes.asp. The next milestone is to pass Wintergreen Resort’s own set of standards above and beyond NSP and the local protocols for patrolling at the resort. Stay tuned. Day 16 and 17: Ski Patrol Training 11/5 and 11/6This weekend was spent preparing for the written and practical exams that will determine whether or not we pass the certification requirements to be a National Ski Patrol Auxiliary Patroller.
The weekend was comprised of focused skill stations, such as the application of oxygen, and ski, boot, and helmet removal, to name a few. We also ran through complete scenarios of varying degrees of difficulty ranging from simple traumas like dislocated shoulders to more complex scenarios like an unresponsive patient that required CPR.
The instructors were extremely helpful and flexible in working with each candidate to hone the skills for specific treatments required to pass the final, practical scenarios. |
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