{"id":6926,"date":"2014-02-18T13:39:33","date_gmt":"2014-02-18T12:39:33","guid":{"rendered":"http:\/\/test-medrazgl.aed-baza.si\/?p=6926"},"modified":"2014-02-18T13:39:33","modified_gmt":"2014-02-18T12:39:33","slug":"climbing-rope-falls-does-the-type-of-harness-influence-pattern-and-severity-of-injury","status":"publish","type":"post","link":"https:\/\/medrazgl.si\/en\/climbing-rope-falls-does-the-type-of-harness-influence-pattern-and-severity-of-injury\/","title":{"rendered":"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury?"},"content":{"rendered":"<div dir=\"ltr\">Based on experimental data, it is widely believed that any extended climbing rope fall may cause life-threatening injuries when using a sit harness alone. This is mainly due to the danger of thoraco-lumbar spinal and visceral abdominal injuries secondary to hyperextension trauma, as well as the risk of a \u00bbhead down\u00ab position during suspension. The aim of this retrospective study was to clarify whether the pattern of injury suggested by experimental data is indeed found in real life falls and whether the type of harness used contributes to mor\u00adbidity and mortality in climbing accident victims. A total of 57 climbers with a history of a fall into the climbing rope were analysed, 41 using a sit harness alone and 16 using a combina\u00adtion of sit and chest harness. Neither a disruption of the thoraco-lumbar spinal nor abdominal visceral injuries secondary to hyperextension trauma were found in any of our victims using a sit harness alone, despite long falls up to 65 meters. The pattern and sever\u00adity of injury were not different in climbers using a sit harness alone when compared to those using a combination of sit and chest harness. \u00bbHead first\u00ab position was common during the fall (33% of all cases), but without any correlation to the type of harness used. \u00bbHead down\u00ab position after the fall during suspension was less common and found only when no chest harness was used. There was a peak of life threatening injuries and multi-system-trauma cases in routes of low difficulty, the pattern of injury indicating rock contact during the fall as the underling mechanism responsible for these injuries. Taken together, we did not find any evi\u00addence that the type of harness used significantly influences the pattern or severity of injury in rock climbing accidents. Our data indicate that severe and life threatening injuries in rock climbing accidents are predominantly due to rock contact during the fall and are more com\u00admon in routes of low difficulty.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Based on experimental data, it is widely believed that any extended climbing rope fall may cause life-threatening injuries when using a sit harness alone. This is mainly due to the danger of thoraco-lumbar spinal and visceral abdominal injuries secondary to hyperextension trauma, as well as the risk of a \u00bbhead down\u00ab position during suspension. The [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[361,445,429,427],"tags":[],"class_list":["post-6926","post","type-post","status-publish","format-standard","hentry","category-3-2004-archive","category-forensic-medicine","category-occupational-medicine","category-surgery"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury? - Dru\u0161tvo Medicinski razgledi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury? - Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"og:description\" content=\"Based on experimental data, it is widely believed that any extended climbing rope fall may cause life-threatening injuries when using a sit harness alone. This is mainly due to the danger of thoraco-lumbar spinal and visceral abdominal injuries secondary to hyperextension trauma, as well as the risk of a \u00bbhead down\u00ab position during suspension. The [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/\" \/>\n<meta property=\"og:site_name\" content=\"Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"article:published_time\" content=\"2014-02-18T12:39:33+00:00\" \/>\n<meta name=\"author\" content=\"Jan \u017dmuc\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jan \u017dmuc\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\\\/\"},\"author\":{\"name\":\"Jan \u017dmuc\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/6f54ef87d31ac3030512f0bfef50cecf\"},\"headline\":\"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury?\",\"datePublished\":\"2014-02-18T12:39:33+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\\\/\"},\"wordCount\":337,\"commentCount\":0,\"articleSection\":[\"3\",\"Forensic Medicine\",\"Occupational Medicine\",\"Surgery\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/medrazgl.si\\\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\\\/\",\"url\":\"https:\\\/\\\/medrazgl.si\\\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\\\/\",\"name\":\"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury? - Dru\u0161tvo Medicinski razgledi\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#website\"},\"datePublished\":\"2014-02-18T12:39:33+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/6f54ef87d31ac3030512f0bfef50cecf\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/medrazgl.si\\\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/medrazgl.si\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#website\",\"url\":\"https:\\\/\\\/medrazgl.si\\\/\",\"name\":\"Dru\u0161tvo Medicinski razgledi\",\"description\":\"Dru\u0161tvo Medicinski razgledi\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/medrazgl.si\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/6f54ef87d31ac3030512f0bfef50cecf\",\"name\":\"Jan \u017dmuc\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d9bc843c3611d9ad774bdd54f1cd40d21f7a109b2098b54a4f078c68e146a902?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d9bc843c3611d9ad774bdd54f1cd40d21f7a109b2098b54a4f078c68e146a902?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d9bc843c3611d9ad774bdd54f1cd40d21f7a109b2098b54a4f078c68e146a902?s=96&d=mm&r=g\",\"caption\":\"Jan \u017dmuc\"},\"url\":\"https:\\\/\\\/medrazgl.si\\\/en\\\/author\\\/jan-zmuc\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury? - Dru\u0161tvo Medicinski razgledi","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/","og_locale":"en_US","og_type":"article","og_title":"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury? - Dru\u0161tvo Medicinski razgledi","og_description":"Based on experimental data, it is widely believed that any extended climbing rope fall may cause life-threatening injuries when using a sit harness alone. This is mainly due to the danger of thoraco-lumbar spinal and visceral abdominal injuries secondary to hyperextension trauma, as well as the risk of a \u00bbhead down\u00ab position during suspension. The [&hellip;]","og_url":"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/","og_site_name":"Dru\u0161tvo Medicinski razgledi","article_published_time":"2014-02-18T12:39:33+00:00","author":"Jan \u017dmuc","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Jan \u017dmuc","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/#article","isPartOf":{"@id":"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/"},"author":{"name":"Jan \u017dmuc","@id":"https:\/\/medrazgl.si\/#\/schema\/person\/6f54ef87d31ac3030512f0bfef50cecf"},"headline":"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury?","datePublished":"2014-02-18T12:39:33+00:00","mainEntityOfPage":{"@id":"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/"},"wordCount":337,"commentCount":0,"articleSection":["3","Forensic Medicine","Occupational Medicine","Surgery"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/","url":"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/","name":"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury? - Dru\u0161tvo Medicinski razgledi","isPartOf":{"@id":"https:\/\/medrazgl.si\/#website"},"datePublished":"2014-02-18T12:39:33+00:00","author":{"@id":"https:\/\/medrazgl.si\/#\/schema\/person\/6f54ef87d31ac3030512f0bfef50cecf"},"breadcrumb":{"@id":"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/medrazgl.si\/padec-pri-varovanju-s-plezalno-vrvjo-ali-tip-varnostnega-pasu-vpliva-na-vzorec-in-resnost-poskodbe\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/medrazgl.si\/en\/"},{"@type":"ListItem","position":2,"name":"Climbing Rope Falls: Does the Type of Harness Influence Pattern and Severity of Injury?"}]},{"@type":"WebSite","@id":"https:\/\/medrazgl.si\/#website","url":"https:\/\/medrazgl.si\/","name":"Dru\u0161tvo Medicinski razgledi","description":"Dru\u0161tvo Medicinski razgledi","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medrazgl.si\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/medrazgl.si\/#\/schema\/person\/6f54ef87d31ac3030512f0bfef50cecf","name":"Jan \u017dmuc","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/d9bc843c3611d9ad774bdd54f1cd40d21f7a109b2098b54a4f078c68e146a902?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/d9bc843c3611d9ad774bdd54f1cd40d21f7a109b2098b54a4f078c68e146a902?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d9bc843c3611d9ad774bdd54f1cd40d21f7a109b2098b54a4f078c68e146a902?s=96&d=mm&r=g","caption":"Jan \u017dmuc"},"url":"https:\/\/medrazgl.si\/en\/author\/jan-zmuc\/"}]}},"_links":{"self":[{"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/posts\/6926","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/comments?post=6926"}],"version-history":[{"count":0,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/posts\/6926\/revisions"}],"wp:attachment":[{"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/media?parent=6926"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/categories?post=6926"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medrazgl.si\/en\/wp-json\/wp\/v2\/tags?post=6926"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}