cragginshred

I am fairly certain she is riding the pink Strada by Radar. Great video for several reasons. One is it shows the finish of an excellent apex to a perfectly leveraged position. A lot of videos do not capture that. The in the water spray effect is cool too!

@boarditup thanks for chiming in and please share more as you feel led. @SusanT that is a bummer... I checked out your area in Az,.. looks amazing!

@SusanT thank you for sharing this video. Basic first aide or even wilderness EMT courses do not cover specifics like this. You rock!

I plan to do an ankle video soon from the PT clinic.

@dave2ball I have been bi-annually CPR re-certified for the past 15 years and got my EMT in 99, and do wound care periodically as part of the physical therapy discipline that is my profession. I have also sat in on orthopedic surgeries such as total joint replacements. None of this including what you suggested trains you for an in the water rescue of an unconscious skier with a suspected cervical or traumatic brain injury. Hence the discussion here that have prompted great practical ideas that have been brought up that will never be covered in an EMT course due to our sport specific needs. You are right though those courses will teach basic cs precautions that every one should know. Part of this thread is really to encourage some in service type training for the spring at all clubs as well as raise awareness.

Thanks to all for chiming in and the testimonials @ToddA and @LeonL whew! Here is a link to a lifeguard training pdf. First part of Pdf is kinda straight forward, but going down to the below section does give some good info for an unconscious skier rescue. Hint (link has pictures in pdf) This technique makes sense and in line with the statement from the IWWF doc @Ral shared regarding not using the swim deck as a rescue platform unless you have to. http://trimbath.weebly.com/uploads/1/0/6/1/10617050/chapter5.pdf Passive Drowning Victim Rear Rescue Use the passive drowning victim rear rescue when the victim is at or near the surface, seems unconscious and a head, neck or back injury is not suspected. (If a head, neck or back injury is suspected, use the techniques de- scribed in Chapter 10.) A passive drowning victim may be floating face-down at or near the surface in a vertical-to- horizontal position. The goal is to put the rescue tube un- der the victim’s shoulders or back to support him or her face-up. To perform a passive drowning victim rear res- cue, the lifeguard should— 1. Approach the victim from behind (Fig. 5-18, A). 2. Reach under the victim’s armpits and grasp the shoul- ders firmly (Fig. 5-18, B). The lifeguard may be high on the victim’s back when doing this. 3. Squeeze the rescue tube between the lifeguard’s chest and the victim’s back. 4. Keep his or her head to one side to avoid being hit by the victim’s head if it moves backward. 5. Roll the victim over by dipping the lifeguard’s shoulder and rolling onto the back so that the victim is face-up on top of the rescue tube (Fig. 5-18, C). 6. Tow the victim to safety (Fig. 5-18, D). For greater distances, use one hand to stroke. Reach the right arm over the victim’s right shoulder and grasp the rescue tube. Then use the left hand to stroke. Or reach with the left arm and stroke with the right hand. RESCUING A SUBMERGED VICTIM Sometimes a drowning victim is below the surface. This could be in shallow water or in deep water beyond the lifeguard’s reach. This may occur when nonswimmers or very weak swimmers enter water over their head. A vic- tim may also submerge after a cardiac arrest, stroke, seizure or other medical emergency resulting in uncon- sciousness in the water. Passive Submerged Victim—Shallow Water To rescue a submerged passive victim in shallow water, the lifeguard should— 1. Swim or quickly walk to the point near the victim’s side. Let go of the rescue tube but keep the strap around the shoulders. 2. Face in the same direction as the victim, submerge and reach down to grab the victim under the armpits (Fig. 5-19, A). 3. Simultaneously, pick the victim up, move forward and roll the victim face-up upon surfacing (Fig. 5-19, B). 4. Grab the rescue tube and position it under the victim’s shoulders (Fig. 5-19, C). B C D Rescue Skills 67 Fig. 5-19 A B C D E 5. Move the victim’s arm that is closest to the lifeguard down to the side of the victim. Reach the right arm over the victim’s right shoulder and grasp the rescue tube or reach with the left arm over the victim’s left shoulder and grasp the rescue tube (Fig. 5-19, D). 6. Move the victim quickly to safety (Fig. 5-19, E). Active or Passive Submerged Victim— Deep Water Feet-First Surface Dive So,... this would require keeping a rescue tube on the boat. To me a cervical support and mid trunk one would be optimal. At most lakes like ours they are 5' deep and you could walk a floating patient to the shore where they could be met with a back board, bag mask ect. while ems would be on the way. Don

Exactly what I am talking about Horton. Pro active not re active is my mo. No one wants to ever encounter a trauma scene. Basic stuff to know just in case: -Stabilize C spine, this is the tricky one for a water to boat then to dock scenario. I will research and post what I find. Others who have protocols or paramedics please chime in on this. -Pressure on lacerations or bleeding parts. Head wounds bleed profusely but are often not as big of a deal as they may seem. More on a recent incident at our lake later. -Splint broken limbs with make shift stuff if needed able. -Head injuries, is there csf (clear fluid) flowing from ears or other cranial orifices? Are the pupils equal round and reactive to light? Are they oriented to place, person and day? Give them 3 things to remember and ask them to repeat it back over an hour period to monitor a change in cognition. If concerned obviously do not let them drive. Remember Liam Neeson's wife bonked her head. They thought she was ok and then passed the next day.

Sitting around the dock yesterday I brought up the topic of having some annual training to discuss how to handle a head or spinal cord injury as well as having a snake bite kit on hand (two rattle snakes killed on site since early sept -one in the boat house). I proposed having a back board on site as well as updating the 1st aid kit each spring. In addition I suggested some sort of training for scenarios such as; aiding an unconscious skier in the water. For this thread I am asking for resources for this sort of scenario as well as get a feel for what type of training or plan your private lake or club on public water has? Thanks in advance! Don

Prayers for his family!

Senior pictures? This is my buddy Ed 78 years young and still single skiing -does this count as a 'senior picture'?

First double release this year, nice and clean out of both Strada boots last week. Had lower laces pretty snug and top laced and pulled loosely! Getting used to 34mph does make for some good falls. Love those bindings though!

Think progression. Range of motion first with out the foam that would give you more motion but less strengthening. The goal is both range first then core activation via decelerating hip IR with ER's. The average person would start without the foam If you want maximum core activation you add the foam due to the above stated reasons. The adaptation is in relation to the demand, little demand, little adaptation, greater demand, greater adaptation. Ankle stability and skiing is kind of big deal and the relationship between the hip and the ankle is enormous, my next video!

@Gary, thank you for the encouragement! The forearm flexor stretch and icing are the two best methods. Some folks could be getting entrapment of the ulnar nerve ( cause: super strong and tight forearm musculature from gripping the handle which is pressing on the ulnar nerve ) which presents with numbness in pinkie and ring finger or radiating pain in that case you would want to do ulnar nerve glides too which nourishes the ulnar nerve with blood flow. My video above covers it with a basic glide but do an 'ulnar nerve glide' search on YT and others will come up. As for the most common injury, it seems like the achilles and ankles seem to be the buggers most commonly injured. I can do a video with some 'outside the box' ideas for sure!

@34mph great question. Prorioceptors in your joints and musculature key into; slants, vectors, planes of motion, velocity, pressure ect. They also assist with muscle recruitment or how many fibers are activated (picking up an envelope not many are activated, but running the course they are on alert status). So, using a firm piece of foam as in the video causes an increase in arousal of the proprioceptors and musculature. We use the term 'dormant butt' to describe lazy gluts. Put this person in a single leg stance, then add the foam as able and a dormant butt becomes a well trained butt or gluteus maximus. Neuro musculature re education is the term we use when rehabbing dormant joint and surrounding musculature. It involves the feedback of the proprioceptors to the central nervous system and then the CNS' adjustments and allows for correction and more efficient motor execution. Hopefully that makes sense gives you something to chew on for a while! You might be able to tell this stuff gets me excited!

@Waternut lack of hip mobility will cause you to twist at other joints. Slow the motion down with less range and work hip not ankle. The knee twisting is the femur rotating on the tibia and will wreak havoc on your meniscus. The purpose in the video is to increase and strengthen the hip rotators Not re enforce already existing compensations that occur due to lack of mobility . The section later where I add T-spine rotation laterally and rotationally with hip flexor and hamstring stretching is supper important too. Poor t spine mobility leads to compensations in the Lumbar spine and many injuries. Take it slow, watch for compensations and build on 'what you got' as Marcus said.

Marcus' video got me shuffling through my clinical 'toolbox'. Ideas began flowing from the info he presented regarding the rear hip internally rotating with the offside pull to allow a true 'open' position. He put forth an interesting premise: when hip range of motion is limited we twist our spine to be 'open' to compensate. This video was created to 'springboard' off his ideas and provide you some exercises to increase your hip range of motion and strengthen the powerful hip rotators. Here is the result; http://www.youtube.com/watch?v=EIk2Ny77bJ0&feature=youtu.be

@ John and Ed, thats great! Your success in using it means you were in the correct healing phase to tolerate and get to the advanced stage of healing!

@ToddL Sweet shots!

There should be a qualifier to the video - In the acute phase of healing these exercises will light up your symptoms. Re think this with me. The muscle is tight and pulling on a tendon which does not stretch. Do you want to restore the elasticity of the muscle via gentle stretching and icing OR,.. work it more creating increased tension on the already pissed off tendon? They should add 'do these in that advanced stages of healing'. Once a patient is able to strengthen without symptom aggravation(advanced stage of healing) we would use these in the PT clinic. The eccentric method of release is good for muscle fiber recruitment. Always think timeline; when there is an injury it is in the acute or sub acute stage of healing. If the irritant is not re introduced it moves along a physiological timeline into sub acute then advanced stages of healing. If your will surpasses rational informed thinking and you keep up a known activity that flares you up you bounce back and forth between acute and sub acute stage of healing never really healing. In comes PT where we can hopefully monitor when to introduce an exercise like this with out exacerbating the 'familiar symptoms'. My apologies to the OP, @ToddL, my comments in the previous post were mistakenly thinking you were referring to the band that goes around the elbow. I did not realize you were referring to the above useful tool.

This makes a lot of sense. The offside hip rotation he refers to is Internal rotation. Stretching the hip flexors is good but to be more specific to prevent spinal rotation it is Internal rotation mobility in the rear hip that is needed. So how do we get more IR of the rear hip as well as strength the hip rotators? I will do a video on my favorite PT clinic exercises for this soon. I will also cover the difference between hip rotation= good and rotating your femur on to your tibia= bad and would result as a compensation from having poor hip IR/ER rotation.

In the PT clinic we Never solely treat symptoms rather we find the cause. Using these bands means you are not stretching icing or taking the time off you need. Your cause can be treated with x-friction massage, nerve and tendon glides, wrist flexor and extensor stretching and ICE. Iontophoresis with Dexamethasone in short cycles is very efficacious as well! If your PT clinic uses ultra sound to treat this go some where more up to date on evidence based medicine. The cause is: Muscles stretch, tendons do not. The 'itis' is a tendon that is being pulled on by a super tight muscle that by design is very efficient at telling you to stretch it. Placing a bolster to help anchor the muscle to the bone will help suppress the symptoms but cannot address the cause- a tight forearm flexor for the inside and extensor if symptoms present on the lateral or outside of the elbow. Stretching and icing for 10-12 minutes till numb will address the 'itis' and provide rapid healing. Address the cause and the symptoms will disappear.

@livetoski if your cuff was torn you could not lift it past shoulder height. With icing and **staying away from irritating movements** -which tends to re aggravate the healing process you will get the inflammation under control quickly. At 18 years old you will heal quickly!

@livetoski, I work in out an patient PT ortho clinic. Most likely you have severe impingement, which means as you fell your arm went up and back pinching a small muscle called the supraspinatus which sits under your mid deltoid. It is inflamed and does not like to get slammed between the humeral head and acromian process when you abduct and flex your arm (lift it up or out). ICE ICE and yes really, actually ICE it, until it's numb 12-15 minutes 5x a day and it should get better in a few days. If it does not you need to get in to see a PT to rule out a tear. If you can currently lift your arm over your head even with discomfort or pain you likely do not have a tear in your cuff, just impingement.

Climb, and winter ski a bit on the Delta. Living in the Cali foothills is climbing season when the rest of the nation aside from Bishop, Vegas, and Moab are indoors.

No prob!