I’ve always prepared a bit more than the average hiker for emergencies. I promote and mentor risk mitigation. In fact my most popular blog post is specific to this subject, Dear Friends and Family. I live this philosophy and as a result felt better about my situation when I found myself in need of help.
So what happened?
After hiking about five miles that morning, I found myself falling down a slope. I have absolutely no idea what caused me to fall. The trail was in good condition, flat and wide with no real obstructions. My wrist took the full force of the fall. It was obviously dislocated.
To Activate the SOS on my inReach or NOT?
My legs were fine. I hadn’t hit my head nor did I have any bleeding. The pain and discomfort was manageable. I had exit options involving less than 10 miles of hiking. I didn’t want to push the button but I knew I was in shock and shouldn’t be making decisions. Thankfully I didn’t have to. Hot Lips and Caveman became my angels. Although I was hiking solo, they were at the right place at the right time and ultimately sacrificed their day for me.
The Waiting Game
Just because a helicopter arrives doesn’t mean quick or easy extraction. In this case even though I had helicopter insurance, my condition didn’t warrant a ride. Furthermore, hot temperatures made lift challenging and as such the helicopter departed immediately leaving Jason behind to escort me to a trailhead.
Jason’s job was to evaluate and stabilize my injury. A SAR volunteer was on a backpack trip nearby so he was solicited to help with this process. Why am I smiling? It might have been the pain medications I’d been given my Hot Lips. The EMT did not carry medications. I had some in my pack but Hot Lips was able to access her supply quicker. Word to the prepared: stock something stronger than ibuprofen for these situations.
I ended up with quite a large rescue crew with some coming from the west side, Lane County, and others coming from the east side, Deschutes County. We met up with a team of 5-7 volunteers who’d hike in about 4 miles from the trailhead. The team included a doctor who evaluated my condition and who had additional pain medication available. About 2 miles from the trailhead we met another horseback team who’d brought a horse which would have been used for my evacuation had I not been able to hike.
The ambulance was waiting for me at the trailhead. I arrived at 9pm, a full 12 hours after my accident and 10.5 hours after activating my SOS. One of the most helpful items I had with me to relieve stress and expedite care was a typed page with all my emergency, medical and surgical information so those helping could take a photo, copy or transcribe what they needed. It included my name, address, allergies, medications, past medical/surgical history, emergency contacts, medical insurance, etc.
I landed at St Charles Medical Center in Bend at 10pm. They rushed me in, gathered vitals, x-rays and treated my dislocation. I was discharged at 1am. Thankfully I had my emergency contacts set up with inReach. Dispatch stayed in contact with them regularly and as a result my niece arrived at the hospital shortly after I did.
A Different Kind of Nightmare
While I was scheduled to meet with a hand surgeon the next morning in Bend, my insurance had other plans. Since I travel extensively, I knew my plan only covered emergencies out of network. Once I’d been discharged from the emergency room, my condition was no longer considered an emergency. Thus I had to find my way back to California. Had family and friends not been available to help, this would have been a true nightmare. As it was I made it back to Redding just as the Carr Fire erupted, with 38,000 homes evacuated including mine, and 1,000 lost . . . thankfully not mine. The community was in the midst of a major crisis with most businesses closed including medical and surgical facilities. After a few more days of fighting with my insurance, I finally got an out-of-area referral to Sacramento where I had surgery at UC Davis.
Shit happens. Life is full of risk whether I’m out hiking, taking a bath or driving a car. I choose to manage risk and prepare for it but I also choose not to let it rule my life. As soon as I’m able to hold a hiking pole, I’ll be back out there adding miles to my resume. Until then, I’ll be working to rebuild strength and dexterity in my arm, wrist and fingers. I was so happy the first time I could make a ponytail (the things you don’t realize takes two hands) and even more so when I could braid my hair.
- Wilderness first aid training is beneficial. A hiker who’d just taken the course made this excellent sling out of my rain jacket. He also soaked my buff so I’d have a cold compress for my wrist.
- If possible hike to water before activating SOS. We knew there was a creek and meadow a couple miles from my accident site. I immediately soaked my arm/wrist in the creek and then used my pack liner bag for soaking during the long four-hour wait. I couldn’t have found a better place to wait vs in the middle of a recent burn where I fell and where it would have been less likely I could have gotten a signal out. It’s also a good reminder of carrying sufficient water in case you’re stuck somewhere for a day or two awaiting help.
- Know your emergency device. I’ve been using mine for about five years and had it paired with phone for easier texting and access to my contacts. I’d read the FAQ’s and had spoke with a couple of hikers who’d had to activate the SOS. I knew what to expect. Take time to set up your emergency contact online. Consider getting the helicopter insurance as it’s not always provided as a free service. Carry an external battery and don’t drain in case you need it to recharge your phone or inReach in an emergency situation.
- Carry resources to help with exit options. While I was carrying Halfmile Maps which don’t show much beyond the PCT, I had also downloaded a much larger area to my Gaia app. The couple who helped with my sling also had a NatGeo map which we reviewed for exit options.
- Carry/wear a rescue color. By the time the helicopter arrived there were about 10-15 hikers around. My friend Ron’s shirt was the only one they could see. I’ve since been told that bright blue is the best as it’s not a color found in nature. Other ways to get attention are a signal mirror, a mylar emergency blanket or by taking flash photos.
- Do the work in advance to help SAR help you. This will also help in the case of a medical emergency. Dear Friends & Family, If I become a Missing Person . . .
- Make a donation to your local SAR, consider becoming a volunteer, and definitely make a donation to the ones who responded if you ever have to push the SOS button. If you want to make a donation on my behalf, here are the links: Lane County SAR and Deschutes County SAR.