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This is the blog of the Avalanche Journal. Here you will be able to read articles that appeared in past editions of the Avalanche Journal. Our digital archives currently go back to spring 2005 (volume 72) and we will be posting one article each week from a select issue.

 

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Case Study: Maroon Bowl

Posted By Alex Cooper, Canadian Avalanche Association, December 4, 2019

An Atmospheric River Event in the Colorado Rockies

 

From Vol. 119, winter 2018-19

By Brian Lazar

 

THE ASPEN COMMUNITY was rocked April 8, 2018. A long-time and beloved member of the local search and rescue group was killed in an avalanche while skiing recreationally in backcountry terrain adjacent to Aspen Highlands ski area. The entire episode was witnessed by members of the Aspen Highlands Ski Patrol (AHSP) from the ridge and summit patrol shack. It was also captured by a ski area web cam.

 

The Colorado Avalanche Information Center (CAIC) issued a special product called an Avalanche Warning the morning of the accident. Both the victim and his partner were very experienced backcountry travelers. Both knew the terrain intimately. They witnessed and crossed fresh avalanche debris on adjacent slopes to reach their objective and the site of the accident. The compelling nature of the clues had the snow safety community asking: What happened?


After a summer to reflect on this accident, it’s clear there were several contributing factors and some key take-home lessons that reinforce classic risk management advice in avalanche terrain. Yet it’s hard to escape one critical factor: The two people decided to enter complex avalanche terrain at the tail end of an unusually warm and wet storm.

 

THE STORM

 

FIG. 1: NATIONAL CENTERS FOR ENVIRONMENT PREDICTION (NCEP) OF PRECIPITABLE WATER ON APRIL 7, THE DAY PRIOR TO ACCIDENT. THIS SHOWS THE ATMOSPHERIC RIVER OF DEEP PACIFIC MOISTURE HEADING TOWARDS COLORADO(IMAGE COURTESY OF NICK BARLOW)

 

From April 1 to April 5, conditions were typical of early spring weather in Colorado. There were several centimetres of new snow, and above freezing daytime temperatures with below freezing nighttime temperatures. From April 6 to 8, an atmospheric river funneled deep Pacific moisture into the region (Figure 1). The sounding on April 8 from the National Weather Service in Grand Junction (approximately 150 km west of Aspen) showed the atmosphere had deep moisture to around 300 mb, and precipitable water was over 250% of average for the date. Some portions of the state picked up over 150mm HSTW in the 3-day period.

 

In the Aspen area, the storm began with above freezing temperatures to around 3600 m, and rain as high as 3400 m. Temperatures cooled as the storm progressed, and snow levels dropped. From April 6 to 7, AHSP measured less than 8cm of dense snow (HN24). On the morning of the accident, April 8, AHSP measured HN24 20cm (38mm). Another 3.8cm of snow fell later that same morning. HST totals were 31cm (43mm).

 

This was an unusual storm for Colorado, even for spring conditions. It was warmer and wetter than what most avalanche professionals in the area typically encounter. Rain at high elevations at the front end of a storm was rare, as was the high-density new snow that followed. The storm loaded a snowpack typical of the region: thin, cold, and with pronounced persistent weak layers.

 

FIG. 2: THE ASHP SNOW SAFETY TEAM WAS ALSO CONCERNED ABOUT THEIR IN-BOUNDS TERRAIN. HIGHLAND BOWL, ON THE OPPOSITE SIDE OF THE RIDGE FROM THE ACCIDENT SITE, REMAINED CLOSED ON THE DAY OF THE ACCIDENT.

 

THE EVENT

The storm cycle had many avalanche professionals on edge. At the CAIC we engaged in discussions both inside and outside our group about the widespread uncertainty. How would the snowpack respond to the rain, storm snow density changes, and rapid HST settlement?

 

CAIC forecasters issued a High (Level 4) avalanche danger the morning of the accident (Figure 3) and an accompanying Avalanche Warning advising people to stay out of avalanche terrain.

 

Post-incident interviews revealed that the two skiers involved discussed the unusual storm. The survivor stated that he did not read the avalanche forecast that morning. We don’t know if the victim knew that there was an avalanche warning in effect or if he was aware of the current backcountry avalanche forecast.

 

FIG. 3: TRIGGERED SLIDES IN MAROON BOWL, 4-8-18. THE GREEN ARROW MARKS A SMALL AVALANCHE TRIGGERED BY AHSP WITH AN EXPLOSIVE CHARGE ON THE MORNING OF APRIL 8. THE BLUE ARROWS MARK LARGER AVALANCHES TRIGGERED BY THIS SMALL ONE. THESE AVALANCHES WERE VISIBLE BEFORE THE TWO SKIERS DESCENDED THE TREES IN THE LEFT OF THE IMAGE. THE YELLOW ARROWS SHOW THE SKIERS’ TRACKS ACROSS AND ALONG THE AVALANCHE DEBRIS. THE GREEN CIRCLE SHOWS THEIR TRANSITION POINT FROM DOWNHILL TO UPHILL MODE. THE RED ARROW MARKS AVALANCHES THAT WERE TRIGGERED BY SKIERS ASCENDING THE SLOPE THAT AFTERNOON, RESULTING IN A FATALITY. (IMAGE COURTESY OF ART BURROWS)

 

Clues indicating potentially unstable conditions were evident. The skiers observed fresh avalanches before entering the terrain and crossed avalanche debris to get to their intended route. They determined that the fresh avalanches on adjacent slopes were not pertinent, having seen similar avalanches many times on those same slopes in the past. They completed their initial descent without incident. As they skinned up towards their second descent objective, they made an impromptu decision to continue up a slope steeper than 35 degrees with a terrain trap (trees) below them. The survivor stated afterwards that as they climbed, they noted that conditions on that slope felt different than on the slopes travelled up to that point.

 

As they climbed up for their next run, they triggered a size 2 avalanche. The crown face appeared to be about 40cm deep and 50m wide. The avalanche initiated on a steep, north-facing, near treeline slope and ran up to 150 vertical metres. It swept both skiers down into sparse trees. The victim stopped at a large tree shortly below a rock outcrop. The survivor continued about 60m further, coming to a rest on the snow surface with both skis still attached to his boots.

 

Despite witnessing the avalanche, professional ski patrollers and search and rescue members made the excruciating decision not to enter the accident site because of exposure and avalanche hazard. They were able to instruct the survivor via radio to self-evacuate down valley and out of harm’s way. The local Sheriff's Office made the decision not to recover the victim that evening or the next day due to lingering avalanche danger.


THE LESSONS
Some of the lessons are too familiar in avalanche accidents, but they do reinforce the basic messaging we promote as avalanche safety professionals:

  • The skiers did not discuss the forecast or the warning, and thus did not discuss the advice to stay out of avalanche terrain. How can we improve our outreach to reach all backcountry users?
  • They observed fresh avalanche activity on slopes with the same aspect and elevation but did not find this compelling enough to avoid their objective since they had seen those slopes avalanche many times and intended to avoid those particular features.
  • They changed their plan on the fly in the field by climbing higher than intended. They traveled safely until they made this change.

A couple lessons are particular to this storm event, and are cautionary for all of us who work and play in avalanche terrain:

  • Terrain familiarity can make it difficult to recognize when conditions are different from those previously experienced. This group had used this route before in a variety of conditions. Weather and climate are changing, and we need to be humble in accepting that our methods and evaluations need to be reconsidered. The tried and true approach to risk management can fail.
  • Although we could not readily access the crown in our investigation due to lingering hazard, rain at the front end of the storm was likely a contributing factor. We all need to carefully consider rain on snow effects, even those of us who work in historically cold interior climates.

The intent in writing up this case study is not to cast judgment on those involved. Rather, the hope is that an honest reflection will challenge us all to consider what we can do better and to be on guard for storm systems that fall outside past experiences. The times, they are a changin’.

Tags:  aspen  atmospheric river  avalanche incident  avalanche journal  case study  colorado avalanche information centre  fatality 

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Case Study: Skier Accidental Near Revelstoke Mountain Resort

Posted By Alex Cooper, Canadian Avalanche Association, November 6, 2019

From volume 104, fall 2013

By Troy Leahey

 

The start zone. Photo by Jim Bay.

 

This case study details a skier-triggered avalanche that occurred in the backcountry accessed from Revelstoke Mountain Resort (RMR) on February 22, 2013. The party included five young men, all new to Revelstoke. Three members of the party were involved in the avalanche. Two of these were partially buried; the deceased (an RMR staff member) was fully buried despite wearing an airbag. It was a size 2 slab avalanche with an approximately 40cm fracture line, which failed on an early February surface hoar layer.

 

Analyzing accidents has long been an important part of the CAA ITP program and in other risk  reduction industries. It is easy to be the armchair quarterback after an incident and identify the mistakes people made, but I believe it is also important to identify what was done well in the rescue effort to use as a good learning tool.

 

My involvement in this accident was on a number of different levels. As a member of Revelstoke Search and Rescue, I assisted Buck Corrigan and Ryan Buhler with the body recovery the day after the accident. I watched and helped interpret a Contour headcam video worn by one of the rescuers during the rescue effort for local members of the RCMP and a representative of the BC Coroners Service. This was a sobering but interesting piece of footage; although the actions of those involved on the scene would be apparent to most readers, the footage required some explanation and interpretation for non-skiing investigators. I interviewed some surviving members of the group for clarification on the location of those involved and their actions for the Coroners Service.

 

I also led a debrief at RMR for friends and co-workers of the deceased, including the other young men involved in the accident. This debrief was the most challenging public speaking exercise I have ever undertaken. Our company president asked if I could speak about the accident, as staff members and friends in the community had unanswered questions, and answers can help lead to understanding and closure. I wanted to be quite frank about the obvious mistakes made, as they were an opportunity for learning. I also wanted to commend the survivors on their effort and help them recover some confidence and dignity. I focused on the following points in the debrief.

 

This photo shows the position of the skiers when the avalanche occurred and where they ended up. Their uptrack is in red, the avalanche is outlined in black, and the blue dot is where the victim ended up. Photo by Troy Leahey.

 

MISTAKES:
• The most obvious mistake was the aggressive terrain choice—the danger rating at alpine and treeline was high. The five males were young, aggressive skiers with limited backcountry experience. This is the demographic we may expect to see on the avalanche fatality list. The deceased had skied in the terrain the day before and felt confident in his decision to lead the rest of the group to that zone. He had spent many days in this area in what had been a mostly stable season to that point. It was also the first major surface hoar cycle we had experienced in the season, and this type of avalanche failure may not have been familiar to a young German in Canada for his first winter. The CAC’s avalanche forecast was bang on—as it usually is—but youth, overconfidence and a desire to ski steep powder caused this glaring information to be ignored.

 

• Poor group management. The first three skiers on the uptrack were all involved in the avalanche; they were obviously not well spaced out enough and were all engulfed by the slab. Luckily the last two in the group were slower and not affected by the slab failure, and were able to execute a fairly quick rescue. Complacency on uptracks is a common problem for less experienced backcountry travellers. The group of five had been split into the first group of three up front and the slower pair at the back, which leads to a lack of communication and no consensus in the go or no-go decision. The most educated member of the group had been a student of mine on a CAA Avalanche Operations Level 1 course the previous year in Whistler. I spent a lot of time speaking with him about their decisions that day. He admitted to having reservations about the decisions being made, but did not speak up and deferred to the deceased as the leader, since he was most familiar with the terrain.

 

• Improper use of an avalanche balloon pack. Wear the crotch strap if you are wearing an airbag. The deceased was near the surface with his airbag inflated and clearly visible from 100m away. He had not attached the crotch strap of his airbag. As the overburden of the slab he triggered from mid-slope overran his position in the toe of the debris, the airbag was lifted away from his back and above his head. This caused two serious problems. As the balloons and pack were pushed forward and downhill it lifted the pack, causing the chest strap to catch on his chin and impede his airway. Secondly, the buoyant airbag also pulled the victim’s arms above his head, restricting movement and the ability to use hands to clear his own airway. The Contour video showed quite clearly the victim’s lifeless arms well above his head. The space between the balloon pack and the victim’s back was approximately 40-50cm.

 

The avalanche path where the victim was caught is on the right. Photo by Jim Bay.

 

WHAT THE RESCUERS DID WELL:

• The two not involved took a safe route to the toe of the debris and did not expose themselves to any additional hazard. They quickly and efficiently went into rescue mode when they saw the airbag on the surface, and began the excavation by first removing the pack and digging to the head to clear the airway.

 

• The two partial burials ended up mid-path and were able to self-rescue and do a transceiver search of the slide path down to the victim.

 

• Group members performed good first aid on the victim. Once they uncovered his head, they immediately cleared an ice chunk from his mouth and pulled him out to a prone position where they started CPR. Considering the environment, they performed excellent CPR with quality air movement as exhibited by the face of the victim in the video.

 

• The survivor with the most training took control of the rescue effort. He dispatched one of the members of the party to start moving back to the ski area boundary to report the accident as there was no cellular reception on the accident scene. This individual really led the first aid efforts as well.


• After at least a half hour of CPR, they made the decision to try to move the body with an improvised toboggan. They did not get very far as the conditions were very deep, but were able to move the body to a safe location out of the avalanche path. They then made the very difficult decision to leave the body and return to the ski area, as the weather conditions were deteriorating quickly. They left the body in a seated position under a tree with the inflated airbag and flagging tape arranged to mark its position, making our recovery very easy the next morning.

 

This was an unfortunate accident involving a group of nice young people from around the world enjoying the mountains in Revelstoke. There is nothing ground breaking about this accident other than the question of whether the airbag crotch strap could have made a difference. So why did I write this for The Avalanche Journal on a 30° July day when I’d rather be fishing? On a personal level, it brings back a bunch of vivid images and unpleasant emotions that make me sad. However, on the big-picture level this is an opportunity for others to learn and avoid mistakes in the future. A case study is really a story; this story may be repeated in Whistler, Banff or beyond. Hopefully the mistakes made and the triumphs that occurred in this accident will resonate and help others make better decisions in the mountains. That makes me happy.


Have a fun, safe winter.

Tags:  airbag  avalanche  avalanche journal  case study  companion rescue  fatal  revelstoke mountain resort  troy leahey 

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