Injury among cavers: results of a preliminary national survey

Background. To estimate the frequency of and risk factors for caving-associ ated injuries,, Methods. A standardized questionnaire covering demographics, caving exposur e, and injury history was distributed to all members of the National Speleo logical Society by inclusion in the monthly newsletter. Results, Of 9,532 members sent a questionnaire, 301 responded (3.2 %). Resp ondents had an average of 18 years of caving experience, and 37 % had susta ined one of more injuries while caving. Hypothermia was the most frequent i njury, followed by fractures, animal bites, and concussions, The rate of in jury was about 1 per 1,990 hours in a cave, Injury rates for females were a bout twice those of males; older persons and those with more than 5 years o f caving experience seemed to have lower injury rates. Conclusions. Many caving injuries appear potentially preventable. proper te chnique for safe climbing should be a part of exploration training. There i s a need for proper belaying or rappelling for even short ascents or descen ts, Helmet use should be stressed, as should adequate protection from hypot hermia.