Originally Posted by
tgapp
Genuine question: why do you think we didn't?
It's pretty easy to be an armchair quarterback when reading an accident report you weren't party to. Lord knows I've done the same thing plenty of times (including with your own avalanche partial burial), and for good reason - it helps separate us (the well prepared, the smart ones, the ones who will do everything right) from those losers who get their asses kicked because they weren't prepared enough or they didn't do the right things.
Took about 45 minutes to an hour to get out of the slide path. Every step was head-spinning, blackout -inducing pain where my vision would narrow and I would fight to stay conscious. Vomitted a few times. Spent the next hour and a half trying to reset, two wilderness first responders and an NP. We tried two different reset protocols (one that the NP knew and the one taught by NOLS that one of the WFRs knew) and could not get it back in - my shoulder was too seized up. Took all the pain meds I safely could (oxycodone, hydrocodone, and tramadol and a ton of weed, while rationing others for a potential overnight stay), and even then I was still experiencing breakthru pain. By the time I made it to our tent I was hypothermic and in mild shock. Drank a liter of hot tea, got in a sleeping bag and did my best to disassociate, but was still barely hanging on.
At the UofU ER they had to give me three rounds of intravenous fentanyl to get my shoulder reset. On the last and final round they told me if it didn't work then I would need to be sedated and admitted overnight for supervision. That was enough motivation for me to bite into a belt and let them do whatever it took to get my shoulder back in.
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I've talked about this before in the TRGz but before that accident I thought I was prepared and I always thumbed my nose at folks who couldn't self-rescue or who didn't take backcountry preparedness seriously. I thought that I had done everything right, I had pain meds and a trauma kit and we even had a tent and a stove and all sorts of shit. We were both WFRs for crying out loud, and even after all of our preparations, we still needed to get our asses rescued. Humbling, to say the least - brutally humbling. Shit's not serious until it is, and when it gets serious, it gets real serious real quick.
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TFW spent some time teaching me a new way to reset a shoulder that they teach the trollers at Snowbird, and I sure hope I never have to use it....but I'm glad to know it.
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Sorry for the rambling post. Hope that's helpful. I think that folks who haven't dealt with a serious accident (either in the capacity of victim or responder) can treat emergency preparedness as a checklist; once all the boxes have check marks, you're good to send it! Anyone who gets fucked up, it's obviously because they didn't check all the boxes.
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