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Introduction READ THE INTRODUCTIONS CAREFULLY BEFORE PROCEEDING TO THE REST OF THE INSTRUCTIONS. The purpose of this document is to efficiently and safely show the proper way to perform an emergency medical rescue on a static belay high ropes course. This instructional document is designed to be taught to people that are in the process of being high ropes course certified to be facilitators and maintainers of a static belay high ropes course. However, the instructions are detailed enough that someone who has no climbing or high ropes course experience is able to understand them and perform the rescue. (It is not recommended that a person attempts to perform a high ropes rescue of any sort without being fully trained and experienced in climbing and working a high ropes course.) Prior knowledge needed to understand these instructions include terminology of equipment and climbing techniques and although first hand experience is not needed, it would be helpful. A list with visual examples of all the equipment used and definitions of the terminology is presented on pages two, three, and four. The rescue procedure is designed to be done quickly with only one rescuer needed. The entire procedure from start to finish should only take two to three minutes. It would be more time efficient if two rescuers were used, one on the ground belaying and the other on the high ropes element performing the rescue, but two rescuers may not always be available so it is best to learn how to perform the rescue using only one rescuer. If the procedure is followed precisely then the only error that could happen is a gear malfunction.

How to Perform an Emergency Medical Rescue on a High Ropes Course

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Page 1: How to Perform an Emergency Medical Rescue on a High Ropes Course

Introduction

READ THE INTRODUCTIONS CAREFULLY BEFORE PROCEEDING TO THE REST OF THE INSTRUCTIONS.

The purpose of this document is to efficiently and safely show the proper way to perform an emergency medical rescue on a static belay high ropes course.

This instructional document is designed to be taught to people that are in the process of being high ropes course certified to be facilitators and maintainers of a static belay high ropes course. However, the instructions are detailed enough that someone who has no climbing or high ropes course experience is able to understand them and perform the rescue. (It is not recommended that a person attempts to perform a high ropes rescue of any sort without being fully trained and experienced in climbing and working a high ropes course.)

Prior knowledge needed to understand these instructions include terminology of equipment and climbing techniques and although first hand experience is not needed, it would be helpful. A list with visual examples of all the equipment used and definitions of the terminology is presented on pages two, three, and four.

The rescue procedure is designed to be done quickly with only one rescuer needed. The entire procedure from start to finish should only take two to three minutes. It would be more time efficient if two rescuers were used, one on the ground belaying and the other on the high ropes element performing the rescue, but two rescuers may not always be available so it is best to learn how to perform the rescue using only one rescuer. If the procedure is followed precisely then the only error that could happen is a gear malfunction.

Warnings: Do not make mistakes while performing this rescue or else death or serious injury may occur to you and the person you are rescuing. All warnings will be bolded and italicized throughout text. Cautions: Sometimes a rescue situation is more complicated than it looked like at first by means of equipment trouble/failure or the climber is having a panic attack or is in shock. Be prepared with all the proper equipment before you go up and have ground supervision for a second pair of eyes on the situation for extra warnings of any unexpected obstacles. All cautions will be italicized throughout text. DANGERS: THIS RESCUE PROCEDURE IS DONE AT UNSAFE HEIGHTS. EQUIPMENT MAY FAIL UNDER EXTREME SITUATIONS AND RESULT IN INJURY OR DEATH. ALL DANGERS WILL BE TYPED IN CAPITAL LETTERS.

This method of rescue is only for seriously injured or impaired climbers who are unable to climb back down by themselves. There are other forms of simpler rescues that require less preparation and urgency that would be used for a climber who simply cut themselves or become scared and are unable to continue with the static belay high ropes course. This

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method of emergency rescue could also be used on a dynamic belay high ropes course, but would not be the most time efficient in most situations.

The rescue process can be broken into three steps from start to end. The order of operation: recognizing the emergency, reaching the climber, and making the rescue.

Terminology and Equipment for Making a Rescue on a High Ropes Course

Definitions of Terms Used on a High Ropes Course

Belay – act of securing a person by attaching one end of a rope to them and having the other end of the rope attached to a stable point such as another person (using a dynamic belay) or overhead cable (static belay)

Static Belay High Ropes Course (see fig. 1.1) – climbers travel along high ropes elements using lobster claws (see equipment section) attaching them to an overhead cable to keep them from falling off the element at all, does not allow the climber to “fall” off the element at all and they can finish the entire course without ever restarting as they would with a dynamic belay; used more often for beginners and elderly because it takes less skill and balance than a dynamic belay; meant to build a sense of self accomplishment and confidence by pulling the climber out of their comfort zone and having them defeat what might have been a personal obstacle in their life.

Dynamic Belay High Ropes Course (see fig. 1.2) – climbers travel along high ropes elements using a dynamic belay; requires more skill and balance than static belay; allows climber to fall off edge of element and then catches them immediately meant to build a sense of self accomplishment, confidence, and encouragement between group members by pulling the climber out of their comfort zone and having them defeat what might have been a personal obstacle in their life.

- Dynamic belay – belay that uses kernmantle rope which allows for stretching; facilitator is on the ground on one end of the rope with a belay device and tightens and loosens the rope that the climber is attached to the other end of up on the element. It is run through a pulley system that is attached to an overhead cable that is run above the entire element to serve as a safety device keeping the climber from falling.

Pulley System – a rolling pin pulley rolls on the overhead cable and hanging below it is a fixed pin pulley attached by a locking steel karabiner. The kernmantle rope runs through

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Fig. 1.1 Climber attaching her static belay to overhead cable

Fig. 1.2 Example of a dynamic belay in use

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fixed pin pulley and one end goes to the facilitator and the other end goes to the climber

Figure Eight Climbing Knot – the quickest to tie and safest climbing knot; this knot is tied on the climbers end of the rope and a self-locking aluminum karabiner is hooked into the loop of the knot and the loop on the climber’s harness

Emergency Medical Rescue – any situation where a climber is seriously impaired or injured to the point that they either do not respond or are physically unable to climb down from the high ropes element and a facilitator must urgently climb up and retrieve them Ex: shock, heart attack, allergic reaction, panic attack, break of major bone, etc.

Non-emergency Rescue – any situation where a climber becomes too afraid to continue with the course and refuses to move and a facilitator is unable to talk them down and is forced to climb up and retrieve them; not urgent (this happens quite often)

First Aid – emergency treatment given to an injured or sick person before professional help is available, sometimes all a person needs is first aid and professional help is not needed

Climber – the untrained person that is up in the air on the elements Facilitator – the trained person that is supervising the climbers and making sure

they are safe and doing the elements properly Element (see fig. 1.3) – a single activity that a person does such as

walk across a beam that is typically anywhere from fifteen to forty feet in the air while strapped into a safety device such as the static belay; consists of two telephone poles, trees, or metal or wood towers on each end to support the element and provide a way up to it, there is some sort of short course in between the support poles that is between ten and fifty feet long.

Overhead Cable (see fig. 1.3) – professional grade aircraft cable that runs the length above every element that either the climber connects his lobster claws to in a static belay or that the pulley system is set up on in a dynamic belay to allow the climber to be held up on the element

High Ropes Course - combination of both vertical challenges and horizontal challenges; constructed from wood, cable, and ropes installed above the ground and strung between trees, wood poles or steel framework; when individuals go up on a ropes course there is a prime opportunity for them to learn about risk taking, their own perceived limits, how they perform under pressure, and how they give and receive support from other people

Equipment Needed During Rescue and Their Uses

Static Rope (see fig. 1.4) – climbing rope used as fixed rope that does not stretch and so does not abrade easily when running over sharp edges, usually 8 or 9 mm in diameter

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Fig. 1.3 Balance Beam Element

Top line is overhead cable

Fig. 1.4 Static Rope with Figure Eight Knot tied at the end

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Kernmantle Dynamic Rope - modern climbing rope consisting of bundles of continuous nylon filaments (kern) surrounded by a braided protective sheath (mantle), stretches typically up to seven percent of its total length, usually 10 to 11 mm in diameter

Basic Harness (see fig. 1.5) – a strong belt made of nylon webbing with leg loops used to secure the climber to the rope and to provide storage space for equipment; has reinforced loop at front middle of waist belt meant for attaching karabiners.

Auto-locking Aluminum Karabiner – gated, oval shaped piece of aluminum that serves as a connecting device; gate has an automatic spring loaded lock so it locks itself when closed and won’t come open; used in all situations except when in contact with steel

Locking Steel Karabiner (see fig. 1.6) – gated, oval shaped piece of steel that serves as a connecting device; gate has a manual lock so it won’t come open; use only when connecting something that is also made of steel

Lobster Claws (see fig. 1.7) – two strips of static rope with loops on each end that have karabiners in each loop and is used as a safety device when climbing vertically and when completing elements; one end of each rope is attached to the climber’s harness while the other two free separate ends connect to the overhead cable

Climbing Knife – standard knife that is usually serrated and has a hole in it so it can be hung from the harness by a karabiner, used to cut an injured person’s rope when performing a rescue if unable to take their rope off by unhooking the karabiner

Quickdraw (see fig. 1.8) - short piece of webbing with karabiners on either side, used to pivot off a point on a log you are currently climbing or hang/sit in your harness when both hands are needed to complete a task

Webbing - Flat and strong strip of nylon, used to hold two karabiners together to make a quickdraw and sometimes carried as an emergency short backup rope, most harnesses are made out of webbing

Belay Device (see fig. 1.9) – device that facilitator uses to create a friction point on the rope to be able to control the speed of descent of the climber when lowering them on a dynamic belay, also enables complete braking

Polarized Sunglasses – sunglasses that take the glare off of objects and prevent ultraviolet damage to your eyes

Fixed Pin Pulley – hangs below the rolling pin pulley from a steel karabiner and the kernmantle rope glides over the non-rolling wheel creating a pivot point between the climber and facilitator that exists above the element

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Fig. 1.5 Basic Harness

Fig. 1.6 Locking Steel Karabiner

Fig. 1.7 Lobster Claws

Fig. 1.8 Quickdraw

Fig. 1.9 Belay Device

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Rolling Pin Pulley (see fig. 1.10) – steel pulley with a rolling wheel inside that rolls along the top of the overhead cable, rolling wheel reduces friction between the pulley and cable to reduce risk of breaking and injury

Recognizing the Medical Emergency on a Static Belay High Ropes Course

Purpose: In this section you will learn how to scan and recognize the signs of a medical emergency. You will also learn the steps of communicating the emergency to others in the area.

Scanning for Dangerous Situations

Many times when you are watching climbers on high ropes elements you will be responsible for watching two or three elements at a time and must keep a close eye on each climber on your elements. To help with scanning your climbers:

Talk to climbers when they are up on the element to get feedback on how they are doing. Ask them questions and be encouraging.

o If they respond with anything better than a “bad” then they are typically doing okay. It’s normal to be nervous when you’re suspended thirty feet in the air.

o If they don’t respond, begin watching them more closely because they are more than likely terrified and about to freeze up which can lead to a panic attack or heart attack if they have poor health.

Watch climbers before they get up in the air to see who is overly anxious. Watch the anxious ones closely.

o Watch elderly climbers closer than normal climbers. They’re health is generally more at risk than younger climbers.

Wear polarized sunglasses on sunny days. Always be watching the climbers. Ignore everything else around you unless you

think it might be a hazard to the ropes course and your climbers.

Signs that a Climber is in Need of an Emergency Rescue

If the climber shows any of the following signs, immediately begin the procedure of an emergency medical rescue.

Climber is not responsive verbally or physically when spoken to multiple times. Climber has gone limp and is not responsive.

o Will be hanging from lobster claws Climber begins convulsing. Climber lacks ability to move due to fracture of major bone

o Major bones - all bones excluding hands and feet unless they are compound fractures

Climber is screaming/yelling uncontrollably and can not be calmed down.

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Fig. 1.10 Rolling Pin Pulley

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o At high risk for panic attack and/or hyperventilation Climber is having an allergic reaction to something such as an insect sting.

Caution: Make sure and fully clarify that the situation is an emergency before taking action. Be cautious about possibly emergencies, but do not overanalyze a situation and create panic among other climbers because you made the decision too early to go up and perform a rescue. Always talk to the injured climber enough to know for sure that they need an emergency rescue.

Communicating the Circumstances and Directions to People around on the Ground

While performing an emergency medical rescue on a static belay high ropes course, a certain atmosphere is needed to in order for the rescue go as quickly and safely as possible. People on the ground around the scene can help you in small, but important ways. While you are gathering your gear to perform the rescue, get everyone’s attention and inform them that you are about to perform an urgent rescue. Proceed to give the following instructions:

Any climber on any other element must come down immediately. Everyone on the ground must remain quiet. Everyone on the ground needs to stay clear from underneath the element that the

rescue is taking place. Tell one person to call 911. Tell one person to get a nurse or doctor that is on the premises and bring them

back to the site of the rescue. Tell one person to continue to watch the injured or impaired climber and talk to

them, even if they are unconscious, while you climb and make the rescue up until you tell the person to stop talking to them. This person should also tell you if there are any significant changes in the injured climber’s behavior.

Tell two people to cradle the injured climber when you get close to the ground with him at the end of your descent so there is no chance that the injured climber collapses on the ground hard.

Note: Remaining calm and professional, but still hurrying, throughout the entire rescue is imperative to keep the group of people on the ground calm. Reaching the Climber for a Medical Emergency Rescue

Purpose: In this section you will learn what equipment to use, how to climb up to the element, how to set up the dynamic belay, and how to reach the injured climber when performing an emergency medical rescue.

Gathering the Equipment for the Rescue

You will need to have all the climbing gear needed for the rescue close by at all times when climbers are on the elements. Having the right equipment is crucial because once

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you are in the air, there is no going back down or you lose life saving time. The equipment needed is:

1 - Harness (which you should already be wearing at all times when facilitating a high ropes course)

1 - Quickdraw 1 - 120 ft. Kernmantle Rope (or longer) 1 - Rolling Pin Pulley 1 - Fixed Pin Pulley 1 - Locking Steel Karabiner 3 - Auto-locking Aluminum Karabiner 1 - Climbing Knife 1 - Lobster Claws 1 - Belay Device

When facilitating, keep all this equipment together in a bag and when it comes time to use it, take it out of the bag and hook it onto your harness using the karabiners so you won’t be sorting through a bag while you are hanging fifty feet in the air. This also ensures that you have everything you need and there wasn’t something missing in the bag. Go ahead and place the rolling pin pulley and fixed pin pulley on the steel karabiner so it will be ready to be placed onto the overhead cable quickly. Drape the kernmantle rope over your head, on top of your shoulder, and under the opposite shoulder’s arm.

Climbing Up to the Element

Climbing up to the element to reach the injured climber involves either climbing a wooden pole, tree, or steel framework. Regardless what you are climbing, you will need to use your lobster claws for this task to lock onto the pole for safety as you climb. There will be what look like large staples sticking out of the pole, as you climb up these large staples, you will snap the lobster claws into one staple above the staples your hands are occupying. Think of it as having four arms and the karabiner on each end of the two arms of the lobster claws are your other two hands. (See fig. 2.1)

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Fig. 2.1 A facilitator properly using lobster claws to climb a pole

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Setting up the Dynamic Belay on the Overhead Cable

Once you have reached the top of the wooden pole, you will have reached the overhead cable and must set up the dynamic belay on the overhead cable. You will need the following:

Quickdraw Fixed Pin Pulley Rolling Pin Pulley Locking Steel Karabiner Kernmantle Rope Belay Device 2 Auto-locking Aluminum Karabiners

Steps for Setting up the Dynamic Belay

1. Hook yourself onto the pole with your quickdraw so you don’t have to hold onto the pole.

2. Take the rolling pin pulley off of the locking steel karabiner that is on your harness, slide the sides of the rolling pin pulley apart and place the wheel over the cable with the holes below the cable. Then close the sides around the cable. Continue holding the pulley or else it will fall off the cable. (see fig. 3.1)

3. With the other hand,

take the locking steel karabiner that has the

fixed pin pulley on it

off of your harness and place the locking

steel karabiner through the

holes of the rolling pin

pulley. (see fig. 3.2 on next page)4. Lock the locking steel karabiner by screwing the bolt up tightly until the karabiner

is a securely closed oval.5. Take the kernmantle rope off your shoulder and take one end of the rope and feed

it through the fixed pin pulley. (see fig. 3.3 on next page)

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Fig. 3.1 Place the rolling pin pulley over the top of the overhead cable and swing the sides back down around the cable

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6. While holding onto the end you just fed through the pulley, drop the rest of the rope to the ground

7. With the end that you just fed

through the pulley, tie a figure eight climbing knot. (see fig. 3.4 – 3.7 for instructions on how to tie a figure eight climbing knot)

8. Once the figure eight knot is tied, place two auto-locking aluminum karabiners in the loop of the figure eight knot.

9. Hook one of the two aluminum karabiners from the loop of the figure eight knot onto the reinforced loop of your harness.

10. With the other side of the rope that is right next to you (not the other end of the rope), hook up your belay

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Fig. 3.2 Placing the locking steel karabiner through the holes of the rolling pin pulley

Fig. 3.3 Feed the kernmantle rope through the fixed pin pulley

Fig. 3.4 Step 1 of tying a figure eight knot

Fig. 3.5 Step 2 of tying a figure eight knot

Fig 3.6 Step 3 of tying a figure eight knot

Fig. 3.7 Step 4 of tying a figure eight knot

Fig. 3.8 Bend kernmantle rope and push through large hole of belay device

Fig 3.9 Push kernmantle rope all the way beyond the belay device

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device on the rope. (see fig. 3.8 - ____ for instructions on how to set up a belay device)

11. Hook the karabiner on the belay device onto the reinforced loop of your harness.

Dynamic Belaying Yourself to the Injured Climber

Now that you have set up the entire dynamic belay and have hooked yourself into it, you are ready to make your way out to the injured climber.

1.

1.

1. Unhook your quickdraw from the pole. 2. Tighten any slack out the kernmantle rope so that it becomes your main point of

balance and support. (see fig. 4.1 – 4.3 for instructions on how to change the slack in your rope, how to brake using your rope, and how to descend on the rope)

Your right hand is your brake hand To tighten your rope, put the brake hand in free fall position and pull the

rope through the belay device with your left hand and then put the brake hand into brake position

3. Unhook the lobster claws from the pole and then step onto the element.4. While adjusting your slack with your belay device, walk across the element to the

injured climber.

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Fig. 3.10 Bring loop of kernmantle rope back over the smaller circular region of belay device

Fig. 3.11 Snap an auto-locking aluminum karabiner through the smaller hold of the belay device

Fig. 4.1 Fast Descent Position – brake hand goes on bottom portion of rope

Fig. 4.2 Slow Descent Position – use this position under most circumstances

Fig. 4.3 Brake Position – used to completely stop or hold your current position

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Warning: Double check all of your karabiners, pulley system, and belay set up before unhooking your quick draw and lobster claws from the pole. Auto-locking karabiners are convenient, but you can’t always trust equipment that does the work for you. You must always double check karabiners.

Making the Medical Emergency Rescue

Purpose: In this section you will learn the process of making the actual rescue of the injured climber. This will entail connecting the climber to the dynamic belay, descending to the ground, disconnecting yourself and the climber from the dynamic belay, and administering first aid.

Connecting the Climber to the Dynamic Belay

You will be connecting the injured climber to the same dynamic belay that you are hooked into and disconnecting the climber’s old static belay. Everything is ready for this step to go extremely quick. All you will need is the extra aluminum karabiner already on the dynamic belay and your climbing knife.

1. With your free hand, because one hand will be holding the brake this entire time, connect the unused auto-locking aluminum karabiner (that is on the end of the kernmantle rope) to the injured climber’s reinforced loop on their harness. (see fig. 5.1)

2. Tighten your rope to take pressure off of the injured climber’s lobster claws that are still attached to the overhead cable.

3. a. If possible, with your free hand, unhook the injured climber’s lobster claws from their harness. If their weight is still primarily on their lobster claws, then you won’t be able to unhook their lobster claws and instead refer to 3.b.

b. With your free hand, take your climber’s knife off your harness and cut through the injured climber’s lobster claws so that their only support is the dynamic belay.

DANGER: YOU NOW HAVE THE INJURED CLIMBER INDIRECTLY ATTACHED TO YOU THROUGH THE DYNAMIC BELAY AND ARE VERY CLOSE TO EACH OTHER. THE INJURED CLIMBER COULD HINDER YOUR BELAYING ABILITY. AT ALL TIMES YOU MUST TRY TO KEEP YOUR BRAKE ARM TO THE OPPOSITE SIDEOF THE INJURED CLIMBER.

Descending to the Ground with the Injured Climber

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Fig. 5.1 Example of karabiner hook up between the climber (right) and facilitator (left)

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Now that the climber is securely hooked into the dynamic belay, you are ready to belay the inured climber and yourself down to the ground.

1. Use your free arm to hold the injured climber’s head against your chest.2. Slowly raise up on the brake position of your belay device until you begin to

slowly lower.3. Lean to the side of the element after you begin lowering so you “fall” off the side

of it, avoiding an awkward and possibly painful descent around the element.4. Continue to slowly lower the injured climber and yourself to the ground. Hold the

same position with your brake arm to keep from slowing down or speeding up.5. When you are about to reach the ground, tell a bystander on the ground to come

grab the injured climber to help keep them from just collapsing on the ground.6. Once the injured climber is being held by a bystander, disconnect their karabiner

that is connecting them to the dynamic belay7. Lay the injured climber down.8. Disconnect yourself entirely from the dynamic belay and take off all excess gear

(lobster claws, quickdraw).

Warning: If at any time during the descent the injured climber begins jerking or causes you to feel like you are not in control of the situation, immediately put on the brake and make sure you will be safe before continuing the descent. If the situation only seems as if it will become worse, begin to descend quickly.

Administering First Aid

If you are first aid and CPR trained, then begin administering first aid now. If you have not been first aid and CPR trained, do not begin administering first aid. By now hopefully there is a medical professional nearby or someone who is trained in first aid and CPR to help.

Conclusion

Having completed these instructions on how to perform an emergency medical rescue on a static belay high ropes course, you should just need practice on a static belay high ropes course to be fully confident in performing this rescue. After you get the hang of performing the rescue properly, try timing yourself to see if you can get your time down to between two and three minutes. When you are saving people’s lives, you can never been too fast.

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