Skiing and snowboarding injury prevention Flashcards Preview

CPS Statements > Skiing and snowboarding injury prevention > Flashcards

Flashcards in Skiing and snowboarding injury prevention Deck (19):

What percentage of Canadians over age 12yo participate in alpine skiing, cross country skiing, or snowboarding?



What percentage of nonfatal outdoor recreational injuries requiring emergency care are due to snowboarding?



What percentage of hospitalizations are due to skiing?



What percentages of hospitalizations are due to snowboarding?



What percentages of hospitalizations are due to hockey?



What are the second-leading cause of sport and recreation-related injury hospitalizations in Ontario?

Skiing and snowboarding
18% winter
10% spring


What is the risk of injury for skiers and snowboarders?

2-4 per 1000 participant days


What is the risk of injuries requiring referral to a tertiary trauma center?

0.06-0.07 per 1000 participant days


What is the most common cause of death, serious injuries, and significant disabilities sustained while skiing and snowboarding?

Head injuries


What is the most common mechanism of injury due to skiing?

Collisions with stationary object such as trees and lift poles


What is the most common mechanism of injury due to snowboarding?



What are risk factors for skiing and snowboarding injuries in children?

1. Age - children and youth
2. Male
3. Less experience
4. Increased injury severity with greater skill level
5. Deficient binding adjustment
6. Rented or borrowed equipment
7. Inadequate grooming of trials
8. Poor facility design features
9. Inappropriate policies i.e overcrowding


What are prevention strategies for skiing and snowboarding injuries in children?

1. Helmet
2. Wrist guards
3. Formal instruction (inconsistent)
4. Ski area safety programs
5. Alpine Responsibility Code


What is the Alpine Responsibility Code?

Beginners should:
1. Take lessons from a certified instructor
2. Never ski or snowboard alone
3. Maintain and check ski and snowboard equipment
4. Exercise and stretch before each day of skiing/snowboarding
5. Stay on marked trails
6. Follow the skiers/boarders responsibility code
7. Be alert to physical and environmental hazards
8. Wear appropriate gear including helmets
9. Ski and snowboard on hills that are within your ability and skill level
10. Quit before becoming too tired


What should physicians provide as office-based anticipatory guidance?

1. Wear proper protective ski equipment, including a certified helmet and goggles, plus wrist guards for snowboarding;

2. Receive formal instruction, followed by a graduated exposure to more challenging terrain and conditions under the supervision of an experienced participant;

3. Become familiar with and adhere to the Alpine Responsibility Code;

4. Ensure a safe environment, including adequate supervision, terrain/runs and equipment appropriate to the child or youth’s age and ability;

5. Ensure proper fit and adjustment of equipment, particularly bindings; and

6. Understand the high risk of severe injury that comes with alcohol and/or drug use on the slopes.


What are the CPS recommendations for governments?

Governments should develop policy/legislation making helmet use mandatory by all ages while skiing and snowboarding, with concurrent messaging to educate the public and resort operators about the indisputable importance of helmets in saving lives and preventing head injuries.


What are the safety policies ski areas/resorts/snowparks should develop and enforce?

1. Make helmet use mandatory;

2. Improve helmet access at local ski facilities;

3. Establish industry standards for ski shops and resorts on binding adjustment;

4. Promote and enforce the Alpine Responsibility Code;

5. Ensure safe design and prevention-oriented maintenance programs for ski facilities; and

6. Promote safety awareness and education programs for participants, with consistent messaging and signage.


What are the CPS recommendations regarding schools?

Schools should develop policies mandating proper equipment use, formal instruction, and appropriate supervision for school-related trips, clubs and competitions.


What research should be supported?

1. Interventions to increase helmet and wrist guard use;

2. Effective snow sport helmets and related design development and standards;

3. Improved binding design (eg, multidirectional release), standards and optimal adjustment;

4. The roles of preseason conditioning and training;

5. The risk and profile of injuries at ski area terrain parks;

6. The evaluation of existing interventions, such as promoting the Alpine Responsibility Code and “Keep your Lid On,” to determine their effectiveness and improve uptake;

7. Ongoing surveillance of snow sports participation data for children, of emergency department, hospitalization, and mortality data for skiers and snowboarders, of protective equipment use, and of injuries due to ski/snowboard environments, such as falls in terrain parks and injuries related to ski lifts.

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