Document Detail


Mountaineering fatalities on Denali.
MedLine Citation:
PMID:  18331224     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mount McKinley, or Denali, is the tallest mountain in North America and attracts over 1,000 climbers annually from around the world. Since Denali is located within a national park, the National Park Service (NPS) manages mountaineering activities and attempts to maintain a balance of an adventurous experience while promoting safety. We retrospectively reviewed the fatalities on Denali from 1903 to 2006 to assist the NPS, medical personnel, and mountaineers improve safety and reduce fatalities on the mountain. Historical records and the NPS climber database were reviewed. Demographics, mechanisms, and circumstances surrounding each fatality were examined. Fatality rates and odds ratios for country of origin were calculated. From 1903 through the end of the 2006 climbing season, 96 individuals died on Denali. The fatality rate is declining and is 3.08/1,000 summit attempts. Of the 96 deaths, 92% were male, 51% occurred on the West Buttress route, and 45% were due to injuries sustained from falls. Sixty-one percent occurred on the descent and the largest number of deaths in 1 year occurred in 1992. Climbers from Asia had the highest odds of dying on the mountain. Fatalities were decreased by 53% after a NPS registration system was established in 1995. Although mountaineering remains a high-risk activity, safety on Denali is improving. Certain groups have a significantly higher chance of dying. Registration systems and screening methods provide ways to target at-risk groups and improve safety on high altitude mountains such as Denali.
Authors:
Scott E McIntosh; Aaron D Campbell; Jennifer Dow; Colin K Grissom
Related Documents :
17097404 - Few medicaid and uninsured patients are accessing dermatologists.
15287444 - Remains to be transmitted: primo levi's traumatic dream.
21291384 - Understanding the use of immunosuppressive agents in the clinical management of ibd.
15365974 - Women, pregnancy and serendipity: a personal story about the discovery of hla.
3566114 - Upper urinary tract stone disease: the changing management in a district general hospital.
7338684 - Family medicine as a social science.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  High altitude medicine & biology     Volume:  9     ISSN:  1527-0297     ISO Abbreviation:  High Alt. Med. Biol.     Publication Date:  2008  
Date Detail:
Created Date:  2008-03-11     Completed Date:  2008-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100901183     Medline TA:  High Alt Med Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  89-95     Citation Subset:  IM; S    
Affiliation:
Division of Emergency Medicine, University of Utah, Salt Lake City, Utah 84132, USA. scott.mcintosh@hsc.utah.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Accidents / mortality*,  statistics & numerical data
Alaska / epidemiology
Altitude*
Death Certificates
Female
Humans
Incidence
Male
Mountaineering / injuries*,  statistics & numerical data
Retrospective Studies
Risk Factors
Safety Management / statistics & numerical data
Time Factors
Wounds and Injuries / mortality*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Hypoxic preconditioning increases skin oxygenation and viability but does not alter VEGF expression ...
Next Document:  Receptor for Advanced Glycation Endproducts (RAGE): a formidable force in the pathogenesis of the ca...