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First published September 1999
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Avalanche deaths in the United States: a 45-year analysis

Charles E. Page, MD, Dale Atkins, BA, […], Lee W. Shockley, MD, and Michael Yaron, MD+1View all authors and affiliations
Volume 10, Issue 3
https://doi.org/10.1580/1080-6032(1999)010[0146:ADITUS]2.3.CO;2

Abstract

Objective

To describe the demographic characteristics and patterns of death of persons killed in snow avalanches over a 45-year study period.

Methods

The national avalanche database was the source of data in this retrospective, descriptive study.

Results

A total of 440 victims were killed in 324 fatal avalanches, of which 87.7% were fully buried, 4.7% were partially buried, and 7.6% were not buried. The average age was 27.6 ± 10.6 years, and 87.3% were men. Victims who died included climbers (25.5%), backcountry skiers (22.7%), out-of-bounds skiers (10.0%), snowmobilers (6.8%), in-bounds skiers (5.2%), residents (4.5%), ski patrollers (3.6%), workers (3.6%), and motorists (3.0%). Over the 45-year study period there appear to be decreases in the deaths of in-bounds skiers, highway workers, and motorists. Increasing fatalities were observed among out-of-bounds skiers, snowmobilers, ski patrollers, and backcountry skiers. Most deaths occurred in Colorado (33.0%), Washington (13.2%), and Alaska (12.0%).

Conclusions

Avalanche fatalities have increased over the last 45 years. Climbers, backcountry skiers, out-of-bounds skiers, and more recently snowmobilers constitute the majority of the victims. The decrease in deaths among groups that benefit from avalanche control programs supports the benefit of avalanche prevention strategies. Further study is needed to assess the impact of avalanche safety education for individuals who travel in remote and uncontrolled terrain.

References

1. Brugger H., Durrer B., Adler-Kastner L. On-site triage of avalanche victims with asystole by the emergency doctor. Resuscitation 1996; 31, 11–16
Crossref
PubMed
Web of Science
Google Scholar
2. Grossman M.D., Saffle J.R., Thomas F., Tremper B. Avalanche trauma. J Trauma 1989; 29, 1705–1709
Crossref
PubMed
Web of Science
Google Scholar
3. Mair P., Kornberger E., Furtwaengler W., Balogh D., Antretter H. Prognostic markers in patients with severe accidental hypothermia and cardiocirculatory arrest. Resuscitation 1994; 27, 47–54
Crossref
PubMed
Web of Science
Google Scholar
4. Stalsberg H., Albretsen C., Gilbert M., Kearney M., Moestue E., Nordrum I., Morten A.O. Mechanisms of death in avalanche victims. Virchows Arch Pathol Anat Histopathol 1989; 414, 415–422
Crossref
PubMed
Web of Science
Google Scholar
5. Tough S.C., Butt J.C. A review of 19 fatal injuries associated with backcountry skiing. Am J Forensic Med Pathol 1993; 14, 17–21
Crossref
PubMed
Web of Science
Google Scholar
6. Colorado Department of Health and Environment, Health Statistics and Vital Records Division. Colorado Vital Statistics 1995.
Google Scholar
7. Colorado Department of Health, Health Statistics Section Colorado Vital Statistics. Denver, CO: Colorado Department of Health, 1985
Google Scholar
8. Colorado State Department of Health, Records and Statistics Section Annual Report of Vital Statistics. Denver, CO: Colorado State Department of Health, 1961
Google Scholar
9. Falk M., Brugger H., Adler-Kastner L. Avalanche survival chances. Nature 1994; 368, 21
Crossref
PubMed
Web of Science
Google Scholar
10. Brugger H., Falk M., Buser O., Tschirky E.F. L’arva: bilan et perspectives [in French]. Neige et Avalanches 1997; 78, 8–11
Google Scholar
11. Brugger H., Falk M., Adler-Kastner L. Der lawinennotfall neue aspetke zur pathophysiologie und therapie von lawinenverschiitteten [in German]. Middle Eur J Med 1997; 109, 145–159
Google Scholar
12. Burtscher M. Avalanche survival chances. Nature 1994; 371, 482
Crossref
PubMed
Web of Science
Google Scholar

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