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15 votes
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How do I self-assess my physical condition after a fall in the backcountry?

Self-assessment is difficult because your level of consciousness (LOC) may be impaired. Unfortunately, one's own state of mind is also very difficult to self-assess. I'll list here a brief overview of ...
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  • 8,620
14 votes

What is this knee pain when going downhill?

In addition to the suggestions above, regular use of walking or trekking poles are a great help in alleviating knee and hip problems.
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11 votes
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What to do if someone gets impaled in the stomach?

To quote from the Wilderness First Responder manual, Large objects found impaled in a wound should be left in place if you can get to a medical facility with relative ease. Yanking on an object can ...
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8 votes
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If injured and lost, what are your biggest priorities for survival?

Obviously, this is a scenario that could be avoided with proper planning and better practices. The best solutions would have been preemptive. Regardless, this scenario is where my question is to be ...
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  • 8,620
7 votes

What is this knee pain when going downhill?

You are experiencing a strain of the LCL, the Lateral Collateral Ligament that connects your femur to your fibula with IT Band syndrome. The mechanics of going downhill when hiking are significantly ...
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7 votes

How to prevent chafing in my lower regions

Having suffered similar on a marathon I had to run in freezing rain once (ending up with not just large areas with the skin chafed off entirely, but also deep cuts into my thigh muscles from the ...
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  • 24.4k
7 votes
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What should I do when I find a dying dog?

If I had a 22lr and if it was legal, I would consider putting it out of its misery with that, otherwise you did the correct thing. When there is no practical way to save it, and you only risk injury ...
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6 votes
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How to tape torn skin to continue climbing?

Been there done that, I would just wrap a smaller width piece of climber's tape around the finger and then take extra care to smooth the end down as usually, that's where it starts to come unraveled. ...
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6 votes

If injured and lost, what are your biggest priorities for survival?

Orient yourself to the situation. Admit that you're injured and lost, but stay calm. Don't fool yourself into feeling invincible, but recognize that you are in fact strong enough to survive. If your ...
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  • 1,325
6 votes
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How can I care for a wound that will be immersed in water?

Water tight is subject to lots of variable. As you mention just staying out of the water is the least risk. There are Waterproof Transparent Dressings, a good example is Nexcare™ Tegaderm™ Waterproof ...
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6 votes

Where should a band be tied to stop bleeding from wound?

Small addendum to the excellent answers already present: Never release a tourniquet unless you have received expert instruction on doing so. If the patient who received a tourniquet does not receive ...
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  • 7,471
5 votes

Where should a band be tied to stop bleeding from wound?

To the direct question, as indicated in other answers, tourniquets are placed towards the torso from the site of injury. There's been a major initiative in the US known as "Stop the Bleed." You'll ...
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5 votes

How to overcome mental hurdles of adventure trauma?

I think there have to be two parts to the answer: If you are in an immediately life-threatening situation where you have to act in order to survive, then the only thing that can save you when you are ...
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5 votes

If injured and lost, what are your biggest priorities for survival?

It's next to impossible to answer your question in a classic "if this/then this" kind of format. There are so many variables and factors that would contribute to choosing what a priority is in any ...
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5 votes

What is this knee pain when going downhill?

I just got back from hiking Inyo county Bishop Ca. area call Sage flat and when coming down my outside knees began to hurt and by the time we got down it was hard to take steps. I hoped over night it ...
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  • 51
5 votes

Internal (unseen) damage from a 40ft climbing fall

Doctors are not omniscient. They miss things. Some are sedentary, and they don't understand how important a full recovery is to an athletic person. Everyone, when going to a doc, needs to think ...
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  • 22.4k
5 votes

Internal (unseen) damage from a 40ft climbing fall

A mostly non-medical answer. If you live in the United States (US) and you have health insurance. You can be relatively sure that the medical and legal communities both agree there there is very ...
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4 votes

How to tape torn skin to continue climbing?

I have found that the best way to handle calluses ripping off is prevention. Once one rips off, it is often painful to climb on even if you tape it properly. If you do need to tape, wrap tightly ...
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  • 1,280
4 votes

How to safely train for and grip pockets?

Important disclaimer: I am not a medical doctor, all of the following is based on knowledge acquired from climbing courses and experience. Therefore I will keep it general, but take anything with a ...
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  • 21.5k
4 votes

How do I self-assess my physical condition after a fall in the backcountry?

Due to the nature of many injuries your awareness and ability to treat yourself may be impaired. Therefore, extra care should be taken. Don't do anything rash or hastily as that will probably just ...
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  • 7,069
4 votes

What can I do to help relieve joint pain in fingers after climbing?

Yes, stop climbing. Your connective tissues are not ready for it. Active rest (easy climbing/easy training) and rehab/prehab for your fingers, wrists, forearms, and upper body in general will help. ...
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  • 41
4 votes

What can I do to help relieve joint pain in fingers after climbing?

Find yourself a good deep tissue massage therapist who specializes in things like carpal tunnel, tennis elbow, and thoracic outlet syndrome; someone who knows the muscles well enough to address these ...
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4 votes
Accepted

How to prevent chafing in my lower regions

I suffered from chaffing for years and tried a whole range of options. What I found that worked best is the Under Armour Original Boxer Jocks, the 9" version. They cover most of the thigh and holds ...
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3 votes

How to prevent chafing in my lower regions

As a runner, I use Body Glide to prevent chafing. It works like a charm. Even if I put it on early (say, before driving to a race) it stays well enough to protect me. It is a little on the pricey ...
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  • 131
3 votes

If injured and lost, what are your biggest priorities for survival?

Two things come to mind above all else Keep your mind & wits about you Water With these two you can survive a ton of scenarios. Stay alert, don't let panic set-in, maintain a positive mindset ...
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3 votes

What is this knee pain when going downhill?

There's a strap called Cho Pat that my dr. told me about -- it helps immensely.
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3 votes

What is this knee pain when going downhill?

When walking uphill, your hips, knee and ankle flex, which reduces the effective stiffness of the articulated leg (i.e increases the 'springiness' of the gait). When going downhill, we tend to use ...
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  • 189
3 votes

What is this knee pain when going downhill?

Change shoes. Visit a physiotherapist, and take your current shoes -- both the ones you use on trips, and the ones you wear every day. A good physio can learn a lot from reading the wear patterns ...
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2 votes

How can I care for a wound that will be immersed in water?

I've had this happen on trips a lot. (You take 20 teenage males into the bush...) There aren't that many pathogens that thrive on people. Your biggest problem is not the lake, but the sleeping bag. ...
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