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Huff Hills Area Ski Patrol 2006-2007 Handbook
Huff Hills Area Ski Patrol
2006-2007 Handbook
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Table of Contents
Ski Patrol Information ................................................................................................................. 3
Officers ....................................................................................................................................... 3
Meetings ...................................................................................................................................... 3
Dues and Benefits ....................................................................................................................... 4
Patrol Schedule ........................................................................................................................... 5
Training Information.................................................................................................................... 6
Training Committee .................................................................................................................... 6
Required Skills ............................................................................................................................ 6
Ski Patrol Awards ......................................................................................................................... 7
National Ski Patrol Website ......................................................................................................... 8
Training Information ................................................................................................................... 8
Operating Procedures (as of 10/26/04) ...................................................................................... 10
Safe Skiing Policy ........................................................................................................................ 18
Radio Operation .......................................................................................................................... 19
Huff Hills Area Ski Patrol By-laws ........................................................................................... 20
Adult Standard Orders and Protocols ...................................................................................... 24
History and Physical Examination ............................................................................................ 24
Adult Medical Emergencies, 18 Years or Older ....................................................................... 25
Suspected Myocardial Infarction .............................................................................................. 26
Pulmonary Edema ..................................................................................................................... 26
Cardiogenic Shock, BP Less Than 80 Systolic and Symptomatic ............................................ 26
Cardiac Arrest, Ventricular Fibrillation and Pulseless Ventricular Tachycardia ..................... 26
Asystole..................................................................................................................................... 26
Pulseless Electrical Activity > 50 BPM .................................................................................... 27
Asthma Attack or Dyspnea Associated with COPD ................................................................. 27
Seizures ..................................................................................................................................... 27
Symptomatic Diabetic (Known or Suspected) .......................................................................... 27
Unconscious, Unknown Etiology ............................................................................................. 27
Drug Overdose .......................................................................................................................... 28
Suspected Cerebrovascular Accident ........................................................................................ 28
Hypertensive Crisis ................................................................................................................... 28
Anaphylactic Shock (Severe) .................................................................................................... 28
Suspected Internal Bleeding ..................................................................................................... 28
Carbon Monoxide Poisoning .................................................................................................... 29
Traumatic Emergencies ............................................................................................................ 29
Trauma Code Criteria ............................................................................................................... 30
Head and Spinal Cord Injuries .................................................................................................. 31
Hypothermia, Moderate to Severe ............................................................................................ 31
Hyperthermia ............................................................................................................................ 32
Burns ......................................................................................................................................... 32
Obstetric/Gynecology Patients.................................................................................................. 32
Special Instructions ................................................................................................................... 34
Huff Hills Trail Map ................................................................................................................... 36
Ski Patrol Members ..................................................................... Error! Bookmark not defined.
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Ski Patrol Information
Welcome to the Huff Hills Area Ski Patrol! We thank you for your dedication to training
and volunteer service. We hope you will find the contents of this handbook to be valuable in
your ski patrol career. If you have additions or corrections for this manual, please contact one of
the officers below.
Officers
Todd Porter, Patrol Director
Metro Area Ambulance
(701)-255-0812
Dan Schaefer, Assistant Patrol Director
Metro Area Ambulance
(701)-255-0812
Maureen (Mo) Trnka, Secretary/Treasurer
4545 Fort Lincoln Road
Mandan, ND 58554
(701)-663-1246
Meetings
Ski Patrol meetings are held on the fourth Sunday of each month from September through
April. A 30-minute training session begins at 6:30 pm, with the business meeting following at 7
pm. The meeting location is at the South Metro Shop (1139 Memorial Hwy, Bismarck) unless
otherwise notified.
The Ski Patrol Banquet is held in the fall; awards are given out at this meeting. A potluck
get-together is usually held at the end of each season; officers are elected at this spring meeting.
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Dues and Benefits
National Ski Patrol (NSP) dues are currently $68 ($10 local and $58 division/national),
due by November 1 each year. You will pay the full dues amount when you fill out your initial
NSP application. Patrollers in good standing are eligible for a discount on dues in subsequent
years, subsidized by Metro. The discount amount is based on the number of shifts you patrolled
the previous season and the number of weeks the hill was open. Discounted dues are $53.50 for
those who worked the required number of shifts during the previous season, graduating down to
$39, $24.50, and $10 for those who worked more than the required number of shifts. The $10
amount reflects local dues, which are never waived.
The formula for calculating the required number of shifts is listed below:
Required shifts = ((Total # of weeks open) ÷ 2) - 1
Credit for shifts worked is based on the sign-in sheet out at the hill, so be sure to sign in
and out at the ticket counter each day you patrol. A full day's credit is given for patrolling from
10 am - 5 pm, with an extra half hour on each end to open and close the hill. A half day's credit is
given for patrolling a full 4 hours (10 am - 2 pm, or 1 pm - 5 pm), plus a half hour on one end to
open or close the hill. If you sign up to patrol a shift and the hill is closed, you will still receive
credit for that shift. To help our secretary keep track of those shifts, please fill in the sign-in sheet
for the cancelled shift the next time you are at the hill, marking that the hill was closed. A tally of
shifts worked is usually passed around at each ski patrol meeting, so be sure to check your shift
count each month and discuss any discrepancies with the secretary.
During your first year on the patrol, you can take advantage of the following benefits:
- Free skiing for yourself at Huff Hills (after orientation is completed)
- Free ski rentals for yourself at Huff Hills (after orientation is completed)
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- Discounted or free skiing at Bottineau, Terry Peak, and Deer Mountain with your ski
patrol badge from Huff Hills
During your second year or beyond on the patrol, members in good standing receive the
above benefits, plus:
- Free skiing for your family at Huff Hills
- Eligibility for serving as an officer on the Patrol
- Portion of your annual dues paid by Metro based on the number of shifts worked in
the preceding season
- Up to $100 annually for EMS training events out of the Patrol’s supplemental funding
(subject to grant availability)
- Pro form pricing from participating retailers
A member in good standing is one who has:
- Paid annual dues by November 1
- Completed the required number of shifts the preceding season
- Had an active role in ski patrol activities
- Stayed current with required training
Patrol Schedule
To view the patrol schedule, visit www.huffhills.com/?id=27. Andy Beck updates the
web page every Wednesday. If you want to work a day, send Andy an email at
[email protected] to let him know the day(s) that you want to work. He will put your name
on the schedule. You can also call Andy at the hill at 701-663-6421. If working a half shift, make
sure to indicate which half when signing up. If you sign up for a shift and later need to cancel,
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you are responsible for finding your own replacement. The designated hill captain each day
should be the patroller with the highest level of training.
Training Information
All patrollers must be members of the National Ski Patrol and complete an Outdoor
Emergency Care (OEC) course for initial certification as a Candidate. Each subsequent year, an
8-hour OEC refresher course must be completed. To advance from Candidate to Patroller status,
minimum skiing/boarding skills must be demonstrated. If there is enough interest by new
candidates, a full OEC course is offered in the fall.
The OEC refresher course is usually held in the late fall or early winter, before the ski
season begins. The 2006 course will be held at the South Metro Shop on Friday October 20 from
6-10 pm and Saturday October 21 from 8 am – noon.
Training Committee
Scott Eckroth and Erik Sakariasson are the certified ski patrol instructors for Toboggan
and Alpine Skiing. A certified instructor must sign off your toboggan skills once per year, chair
evacuation skills once per year, and skiing/boarding skills to advance from Candidate to Patroller
status. When you feel you are ready to advance to Patroller status, schedule yourself on a shift
with one of the instructors and ask him to sign you off on the skills below. Patrollers interested in
becoming instructors can take the OEC Instructor course online.
Required Skills
Upon initial membership in National Ski Patrol, all patrollers are classified as Candidates.
To upgrade to Patroller status, you must be signed off on the required skills. Then a patrol
representative must fill out and send in a copy of the Update and Classification Change Form.
Once received in the national office, the change will be made and a follow-up membership card
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will be mailed out the following Tuesday during the months of October to March. Any changes
received in March to September will require the patrol representative to request a card from the
registrations department at [email protected] or call 303-988-1111 (ask for registrations). The
following skills must be signed off for patrollers to progress from Candidate to Patroller status:
Ski proficiency Free Skiing Toboggan Front Toboggan Back
Snow plow Turns
Snow plow Stop
Traverse
Side Slip
Kick Turns
Hockey Stop
Transitions
Narrow Trails
Variable Snow
Conditions
Short Radius Turns
Long Radius Turns
Communication
Route Selection
Braking Power
Transitions
Control in turns
Emergency Stop
Alone
Communication
Transition
Braking Power
Control in turns
Use of Rope
Emergency Stop
Ski Patrol Awards
At the annual banquet, Huff Hills Ski Patrol offers awards for Patroller of the Year,
Candidate of the Year, Caregiver of the Year, and Crash of the Year. The 2004 and 2005 winners
of these awards are listed below.
2004 2005 2006
Patroller of the Year Bill Zander Erik Sakariassen Scott Eckroth
Candidate of the Year Ann Brendel Kelly Leben Emily Sakariassen
Caregiver of the Year Tina Stroh Marlow Flanders Andy Beck
Crash of the Year Shelly Gunderson Shelly Gunderson Mike daSilva
Most Improved Skier Marlow Flanders
Powderhound Award Shelly Gunderson Ann Brendel Todd Porter
National Ski Patrol awards members for each year of service in increments of five years.
Members of our patrol who have received these awards are listed below:
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5-Year Awards 10-Year Awards 15-Year Awards
Chuck Allen
Ann Brendel
Jennifer Davis
Marlow Flanders
Ian Flanders
Trevor Flanders
Shelly Gunderson
Roxanne Montgomery
Scott Montgomery
Tina Stroh
Pam Werchau
Tari Azure
Andy Beck
Clayton Feist
Mike Frenette
Kevin Kerr
Mike Nider
Shirley Porter
Gail Schmitz
Mark Volk
Pam Werchau
Jill Wiese
Jeff Azure
Scott Eckroth
Frank Laqua
Richard Perkerewiez
Todd Porter
Dan Schaefer
Dave Trnka
Mo Trnka
Mark Wetzstein
National Ski Patrol Website
1. Point your browser to www.nsp.org
2. Click Member Login (lower left side of the screen)
3. Type in your Member ID Number and Password. If you have not activated your account,
click the link Activate Your Account.
4. This will bring you to your ‘Member Record’. Verify your account to make sure that all
of the information is correct.
5. Within your ‘Member Record’ is a category called ‘Your Patrol’. By clicking the link
that says "Huff Hills Ski Patrol" to the right of this category, you will be taken to a list of
all of the members and their contact information, if available.
6. From the member services page, you can access the following information:
Main Menu Sign Out
Have a question?
Contacts
Privacy Statement
Member Services My Profile
Winter Catalog
Powderfall '05
Check Your Orders
Promotional Offers
My Bookshelf
(forms, OEC, etc...)
Member Forum
NSP Logos
Employment
Opportunities
Feedback
Education Info Course Calendar
Your Education
Information
Training Information
1. To access training information for the Northern Division, click the link listed under
‘Member Services’ called ‘Course Calendar’.
2. This link will take you to the following screen:
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NSP Course Schedule
Select a Division: Course Type:
--Divisions--
-All Course Types-
Submit
3. Once you reach this screen, you will need to select ‘Northern’ from the drop down list.
Under the ‘Course Type’ drop down you can leave it at the default ‘All Course Types’ or
click the drop down arrow and select the course that you are looking for. If there is an
upcoming training class it will give the contact information for that specific course(s).
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Operating Procedures (as of 10/26/04)
I. Accident Reports
A. An accident report form will be filled out any time the Huff Hills Ski Patrol renders
emergency care of any kind.
B. The accident report form must be filled out completely and accurately, and the Hill
Captain must review and initial form before the end of the shift.
C. The management staff will handle accident investigations. A copy of the accident
report form must be turned over to the management staff immediately following an
incident whether a patient was treated/transported or not.
D. The Huff Hills Ski Patrol is responsible for the injured skier‟s personal equipment
during transport from the hill until the equipment can be released to that skier or
another responsible individual in the aid facility. This equipment must be handled
carefully and placed in the area designated for such storage.
E. Any questions about filling out accident report forms should be directed to the Hill
Captain or Patrol Director. Patrollers must not leave out any information requested
on the form.
II. Accident Site Protocol
A. The Huff Hills patroller on the scene first is fully in charge and responsible
unless the patroller specifically requests that another patroller take charge.
B. Discussion of care, technique or suggestions must be made in private, out of the
hearing of the injured skier/boarder and all members of the skiing public.
C. Absolutely no discussion of accident details may be conducted over a radio.
D. All but one radio at the accident site should be turned off.
E. All requests for equipment from the hill by a patroller are to be fulfilled without
question or discussion.
F. Only the number of patrollers specifically needed to handle and manage the accident
site are to remain on site. All other patrollers should continue on their way after
verifying if they are needed.
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III. Ambulance Rescue
A. The Huff Hills Patrol may request that an ambulance be dispatched through the Huff
Hills office/radio operator upon request of the patient or with implied consent.
B. Metro-Area Ambulance Service will be called at the request of the injured
skier/boarder, the injured skier‟s parent or guardian, or when, in the opinion of the
Hill Captain, the injury warrants immediate emergency medical care. If the Hill
Captain is unavailable, the patroller in charge should refer to the prepared list of
injuries (posted in the aid room) that warrant EMS to be dispatched. Calling „911‟
should dispatch Metro-Area Ambulance Service.
IV. Auxiliaries
A. Auxiliaries are full members of the Huff Hills Ski Patrol who, because of their
category of membership, are limited to specific patrol functions. Auxiliaries are to be
extended the same courtesies and privileges of any other Huff Hills Patroller.
B. Auxiliaries may perform emergency care in the aid station.
C. Auxiliaries may wear any aid belt (with NSP insignia) on the hill and perform
emergency care where needed. They may not participate in transporting loaded or
unloaded toboggans, except in supervised training situations.
D. Auxiliary members will participate in chair lift evacuation.
V. Chair Lift Evacuation
A. All Huff Hills Patrol members must be familiar with the chair lift evacuation
procedures and policies as detailed in „The Life Evacuation technical manual‟ as
adopted by the Huff Hills Management and Ski Patrol (written by National Ski Areas
Association and the NSP).
VI. Hospital
A. When, in the opinion of the officiating patroller, an injured skier is directed to a
hospital via his or her own transportation, the recommended destination will be the
closest appropriate emergency facility. Maps are available in the patrol hut. No
patroller will recommend a specific facility.
B. Under NO circumstances will any member of the Huff Hills Ski Patrol assist in
transporting an injured person to a medical facility. The only exception to this rule
would be if Metro Area Ambulance personnel ask for assistance en route to a medical
facility.
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VII. Duty Day Requirements
A. Hours of operation:
Thursday 10:00 am to 5:00 pm
Friday 10:00 am to 5:00 pm
Saturday 10:00 am to 5:00 pm
Sunday 10:00 am to 5:00 pm
*Holidays and Vacation days are the same hours as Saturdays and Sundays.
No shows – If you have signed up to patrol and cannot make it you must find your own
substitute (12/22/96)
B. Every member of the patrol must serve a minimum of two (2) shifts per month during
the ski season. It is often difficult but not impossible, to meet these shift
requirements. It is hoped that some patrollers will serve more than the required two
shifts per month.
Full or Half Shifts:
10:00am to 5:00pm constitutes a full day (10/26/97). This was amended to read
9:30am – 5:30pm (12/16/01).
You must patrol at least four hours to constitute a half shift (10/26/97).
Ski Patrol are to be the first ones riding the lift in order to check out our toboggans
and slope conditions, and are to be the last ones down the slope in the final sweep. If
you intend to work a half-day, you must sign up that way on the schedule.
VIII. Juniors
A. Juniors have had the same training and have passed the same exams as the basic
patroller, however, because of their age and relative inexperience, juniors are limited
to certain patrolling functions. Juniors must not perform certain duties until they
become adult patrollers.
B. Juniors must be assigned to patrol with an adult patroller.
C. Juniors may not run loaded or unloaded toboggans unless in a life-threatening
situation in which no adult patroller is available.
D. Juniors may take an active part in chair life evacuation but are not allowed to do any
rope work.
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IX. Lift Lines
A. Patrollers will assist Huff Hills employees in the safe, orderly flow of lift lines.
Patrollers are expected to do this on their own initiative.
B. Only Patrollers assigned to a particular lift or those going to a duty station or an
accident are allowed to cut lift lines. Patrollers cutting lift lines should always ride
“single.”
C. Only one patroller should be on the lifts at one time.
X. Lift Tickets
A. Anyone on Huff Hills property on skis/boards must have a valid area ticket at all
times.
B. All Huff Hills patrollers are expected to assist lift operators in assuring that all
skiers/boarders have a current area ticket. This does not mean that patrollers are
expected to stand at lift lines to check tickets, but each patroller has the responsibility
to point out to the appropriate employees or management those skiers thought to be
skiing without a ticket.
C. Lift tickets and rental skis will be given at no charge to patrollers who serve a
minimum of two shifts at Huff Hills each month. The Patrol Director will monitor
this.
D. Personnel:
Level One – If you are a new candidate in good standing with the patrol, (have paid
your dues) but have not completed your required shifts, you will receive rentals and a
ski pass on your patrol day. After the patroller has passed orientation/probation, the
patroller will receive rentals and skis pass for yourself anytime you patrol or wish to
free ski. (This is to promote your ski skills and increase fellowship with the patrol
without the responsibility.)
Level Two – If you enter the second year in good standing with the patrol, you will
receive the following benefits. Free Family Pass and ski equipment until you have
purchased your own. Pro form prices from participating retailers. Huff Hills
encourages you to purchase your own equipment as you mature in your ski skills and
grow in responsibility in the patrol. Huff Hills Patrol will provide Huff Hills Ski
Area Management with a list of all patrol members and their standing status. The list
will be updated frequently and used by the Huff Hills Staff to verify patrollers.
Definitions of „Good Standing‟ –
Having paid your dues on time.
Completed required shifts for the past year
Having an active role in the activities that HHSP is involved in.
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Staying current with the required training.
The management of Huff Hills Resort will have the ability to alter or change the
above in the event of need. We are a volunteer patrol and the above are given as an
incentive, not as payment of any kind.
E. All patrollers on or off duty must sign in prior to skiing.
XI. Medical Treatment
A. See attachment “A” for medical standing orders/protocols.
XII. Patrol Belts/Vests
A. All aid belts/vests must be clean, neat, and fully stocked.
B. Patrollers must wear aid belts/vests at all times when signed on for patrolling duty.
(When there are more than three patrollers on duty at one time, patrollers may ski in
pairs; then only one team member needs to wear a belt/vest).
C. On-coming shift patrollers must verify that the aid belts/vests are stocked with the
required equipment (a list is hanging in the patrol hut).
XIII. Patrol Room
A. Patrol hut duty is as much a part of a patroller‟s responsibility as hill duty. When in
the patrol hut, patrollers are expected to greet any member of the skiing public who
comes into the room; identify themselves as patrollers and offer assistance. Patrol hut
rotation assures that the patrol hut is always monitored; however, any patroller in the
patrol hut has the responsibility to offer assistance to any walk-in accident victim and
to any patroller performing emergency care.
B. The patrol hut is a combination lounge and ready room. Patroller‟s children should
not be left unsupervised in this area. Occasionally, the hut can become over-crowded,
and the Hill Captain has the authority to clear the room of non-patroller‟s to see that
this room remains neat and clean at all times. NO SMOKING IS ALLOWED IN
ANY AREA OF THE PATROL HUT!
C. The patrol hut is a treatment area and should be kept neat, clean and quiet. Only
injured skiers/boarders, friends or relatives of injured skiers/boarders and patrollers
performing emergency care should be in this room.
XIV. Public Relations
A. Public relations is the responsibility of all patrollers. Huff Hills Patrollers must
extend courtesy and friendliness to all customers and Huff Hills employees. Every
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effort should be made to assure that the customer has an enjoyable and safe day of
skiing/boarding. The continued success of Huff Hills patrol depends upon the
satisfaction of the Huff Hills customer.
B. The Huff Hills Ski Patrol assumes some responsibility for enforcing skier control and
should advise area management for lift ticket removal after a warning has been
issued.
C. Patrollers should approach and advise reckless skiers courteously.
D. Jumping is acceptable when done with care, meaning that is should only be done
when skier/boarder traffic is not impeded or endangered.
E. Patrollers are NOT responsible for dealing with unruly skiers/boarders. Huff Hills
Management or staff should be notified immediately in these situations.
XV. Radio Procedures - see handout
A. Radio use should be limited to official and necessary transmissions only.
B. All Patrollers are expected to display courtesy and discipline when using Huff Hills
radios. Patrollers should keep in mind that the radios are on an open line and anyone
else with a radio or anyone in close proximity to someone with a radio can hear all
transmissions.
C. Do not use customer‟s name, etc.
D. Radios should be treated with care and should always be returned to the charger with
the switch turned OFF.
E. When treating a patient, only one radio should be left on in the immediate area.
XVI. Patrol Attire
A. Huff Hills Patrollers are expected to wear the orange and blue patrol vests, the red
(with white cross) patrol vests or their own patrol parkas whenever on patrol. Vests
or patrol parkas should not be worn when not on duty.
B. Huff Hills patrollers are expected to keep their skiing skills at a level that reflects
credit on the ski patrol unit.
C. Patrollers are expected to reflect safe skiing practices at all times (see attachment)
D. Patrollers should wear black ski pants.
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XVII. Hill Captain Responsibilities
At the beginning of a shift, the hill captain has the following responsibilities:
A. Inspect the patrol hut for cleanliness. Assign patrollers for cleanup as necessary.
B. Check with management to see if there have been any problems with lifts, or if any
lifts will be closed down.
C. Check patrol schedule to see that there is adequate help for the shift.
D. Check to see if there are sufficient supplies and splints on hand. (checklist is hanging
in patrol hut)
E. Check radios for proper operation, radios that need repair should be marked and taken
in for repair.
F. Remind patrollers to check a toboggan to be assured that there are adequate supplies
on-board. (checklist in backpacks)
During the shift operation, the hill captain is responsible for:
A. Patrolling, and making periodic rounds of the area to be sure that proper coverage is
maintained.
B. All contact with area management on matters concerning the Huff Hills Patrol.
C. Reviewing accident reports for completeness. Names of patrollers involved in rescue
and emergency care must be on the report.
At the end of the shift, the hill captain is responsible for:
A. Final sweep is conducted on all slopes.
B. Initial each accident report as verification that the report is complete and accurate.
C. Communicate with the next shift‟s hill captain, relaying any information that might
affect the operation of the succeeding shift. (notes will be left for the next day shift)
D. Ensure that all toboggans are placed in their designated areas. Radios are turned off,
and placed in the charger.
E. Inspect the patrol hut to ensure it is clean and orderly for the next shift.
XVIII. Toboggan Handling
A. In accordance with the NSP guidelines, toboggans may be run with either one or two
patrollers. It is the option of the lead person to request a second patroller on the tail
rope.
XIX. Visiting Patrollers
A. Visiting patrollers are welcomed and encouraged by the Huff Hills Ski Patrol, but
they may sign on only with the permission of the Hill Captain. All walk-ons must
meet the following criteria:
1. Have a current NSP registration card, OEC and CPR card.
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2. Must have their own NSP vest, coat or aid belt.
3. Must conform to the Huff Hills Patrol Protocols.
B. Copies of visiting patroller‟s credentials must be available for file.
C. Visiting patrollers should be assigned to a regular patroller for rotation.
D. Emergency care that is provided on the hill and in the patrol hut by a visiting patroller
is to be directed.
E. Only roster listed or auxiliary member of Huff Hills may fill out accident reports.
Visiting patrollers should not be asked or expected to complete accident reports.
F. Visiting patrollers signing on may receive a complementary lift ticket for themselves
only.
G. Visiting patrollers, who have proven themselves over time to the Hill Captain, may be
allowed to patrol alone on the hill.
H. Visiting patrol officers should be extended every courtesy. They should not be
assigned to rotating on the hill unless they request it. If manpower is available, a
regular Huff Hills patroller should be assigned as a guide to a visiting patrol officer.
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Safe Skiing Policy
Purpose: Preventative policy with an interest in skiing safety for the general public.
A: Definitions
1) Speeding: Skiing in a fast motion, excessive and noticeable difference above the flow of
skiing traffic, no tucking allowed.
2) Reckless skiing: Skiing in a manner placing self and others at risk
3) Jumping: Jumping at side of run in a low traffic area, requiring good visibility in all
directions. Jumpers need a spotter in landing area. This requires a patroller‟s discretion.
4) Snowboarder: “Shredder” is a common name. Reckless snowboarding involves riding on
something other than snow, such as tables and fallen trees, or snowboarding at lose
proximity to skiers, placing self and others at risk.
5) Chair jumping: Jumping from chair lift.
6) Rocking: Rocking the chair lift while in motion or sedentary.
B: Basic function of patrol: Assist management in providing a safe and enjoyable skiing
experience, included an not limited to hazard reduction involving control for reckless ksiing.
To provide rational emergencycare for unusual sutiations, patient assessmen t for both
injuries and medical illnesses with respect for improvisation of first aid equipment and
techniques.
C: Policy: At patroller‟s discretion.
1) Verbal warning and marking of day ticket or recording season pass name. To be marked
with a black marker.
2) Pull or remove day pass or season pass for a week.
3) Pull season pass (third offense) for a month.
4) Pull season pass for season.
D: Patroller‟s discretion involves a spot decision.
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Radio Operation
1. Radios will be kept in patrol hut unless being used.
2. Radio operation
A. Turn radio on with power-volume control
B. Set channel to 1.
3. Place the radio inside your jacket or in a chest carrier.
4. Channels
A. Channel 1 is for ski patrol use only.
B. Channel 2 is the Huff Hills operations channel; use this channel to contact the base
station or operations staff in an emergency.
C. Do not use channel 2 for ski patrol conversations.
D. Channel 2 can be selected to monitor the operations communications, but ski patrol has
its own channel for communications in order to prevent tying up the operations channel.
5. To contact the base station in an emergency:
A. Set channel to 2.
B. Contact the base station for an ambulance, etc.
6. At the end of the day, turn the radio off by rotating the volume switch counterclockwise to
the off position. Place the radio in the charger and check that the red charge light is on.
7. If you have any problems with the radios, please call Larry Smith at 223-2600 (work) or 258-
3827 (home).
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Huff Hills Area Ski Patrol By-laws
The purpose of the By-laws is to bring order and consistency to the affairs and functions of this
organization. The Huff Hills Area Ski patrol is a duly registered patrol of the National Ski Patrol
(NSP), and as such is guided by the rules, regulations, policies, and ideals of the By-laws of the
NSP, a nonprofit federally chartered organization. The Huff Hills Area Ski Patrol By-laws were
written in accordance with the National Ski Patrol By-laws and are subject to NSP By-laws as
they are amended from time to time.
Article I
I. Name: The official name of this organization will be the Huff Hills Area Ski Patrol.
Article II
II. Purpose: It is the philosophy of the Huff Hills Area Ski Patrol to be organized and dedicated
to the service of the Huff Hills Area and its skiing customers. However, it should be
understood that the members of this patrol are not limited to ski patrol activities at this area
and may be directed by area management to handle other duties.
Article III
III. Membership: The Huff Hills Area Ski Patrol will consist of members chosen for admittance
who have met current NSP and local patrol requirements. All members may be invited to
renew membership each year, if in the previous year they have met all NSP requirements and
all standards set forth by the NSP and the Huff Hills Area Ski Patrol in duly published
operations manuals and have remitted such annual dues as established by the Patrol Director.
All members of the Huff Hills Area Ski Patrol will be entitled to a single vote in all Patrol
Elections in accordance with the policies established by these By-laws (see Article VII,
Elections section G).
Article IV
IV. Officers:
Section A: Patrol Director
The highest-ranking administrative officer of the Huff Hills Area Ski Patrol would be the
Patrol Director. This person will be responsible to the general membership for all
administrative activities of the Patrol. The Patrol Director will hold office for a minimum of
twelve (12) months.
1. Vacancy of office: A vacancy that occurs in the office of Patrol Director due to
resignation, death or disqualification will be filled by the Assistant Patrol Director to
finish out the 12 month term.
Section B: Assistant Patrol Director and Advisors.
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The Patrol Director may appoint Assistant Patrol Directors and Advisors as needed. The
appointments must be confirmed by the general membership. All such officers will report to
the Patrol Director, serve at the Patrol Director‟s discretion, and be accountable to the Patrol
Director. The Patrol Director, in turn, will be accountable for the actions of these appointed
officers.
Section C: Hill Captain
The Hill Captain for the day should be the highest trained patroller present. This is an
important position, as the hill needs a single person to contact in the event of an emergency
or lift evacuation. (1/29/01)
Section D: Committees
The Patrol Director may appoint any number of special committees to assist in specific
activity and to augment the experience of the patrol advisors. These committees will serve
only as long as their intended mission requires and then will be dismissed.
Article V
V. General Meetings: The Patrol Director must conduct an annual spring meeting and also give
the membership thirty (30) days prior notice of the meeting. During this meeting the general
membership will elect or re-elect a Patrol Director, an Assistant Patrol Director, as well as
the Secretary/Treasurer positions. This meeting will also serve as an opportunity to conduct
any other routine business of the Patrol, including presentation of a financial statement and
minutes of the previous general meeting.
Except as otherwise provided in these By-laws all meetings of the Huff Hills Area Ski Patrol
will be conducted pursuant to the current addition of Robert‟s Rules of Order. Minutes of all
meetings of the general membership and must be recorded, posted in a designated place in
the Patrol Room, and filed in a permanent binder to be stored in the Patrol Room or with the
Secretary/Treasurer appointee.
Article VI
VI. Elections:
Section A: The Patrol Director will be elected by the general membership and must obtain a
minimum of at least one year of current Ski Patrol at the Huff Hill Area Ski Resort.
To become a candidate for one of the other two positions, the candidate also must have been
a member in good standing of the Huff Hills Area Ski Patrol for at least one year. A
candidate who is nominated for any position must agree to run and serve if elected.
All members of the Patrol, except candidates, will be eligible for appointed offices without
regard to Patrol status designation.
Section B: Notification of nomination should follow that candidates who intend to run for the
offices of the Patrol Director, Assistant Patrol Director, or the Secretary/Treasurer position
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must announce their intent to do so, at least, three weeks prior to the annual spring meeting in
writing.
Section C: Nominations from the floor.
Nominations will be accepted from the floor from qualified Huff Hills Area Ski Patrol
members. Nominees from the floor must be present to accept or reject the nominations and
must have been registered members in good standing for at least one year, not counting the
candidate year. All Nominations from the floor must be duly seconded.
Section D: Clerks of Election.
The Patrol Director will choose three nonbiased members from the general attendance to
act as clerks at the election. These individuals will collect the written ballots, count the
ballots and report the results to the Patrol Director of the meeting. The ballots will be
retained until the clerks of the election are sure that the general attendance at the election
meetings are satisfied with the count.
A simple majority of the votes cast will be sufficient to win an office where a single position
is at stake, i.e., Assistant Patrol Director.
Section E: A Quorum.
A simple majority of the votes will constitute a quorum for the purposes of electing officers
or transacting other routine business.
Section F: Qualifications to Vote.
All members of the Huff Hills Area Ski Patrol will be eligible to vote. Members must be
present at the election meeting to vote. No absentee ballots will be filed.
Section G: Voting Procedures.
In cases where there is no contest, the Patrol Director at the meeting will rule the election is
by acclamation. In cases of contested elections, all voting will be done by secret ballot. No
ballot will be discarded based on a misspelling of a candidates name or lack of a full name.
The intent of the voters will carry the decision. In the event of a tie vote, the clerks of the
election, will immediately order a run off vote between the tied candidates. The run off will
be by secret ballot.
The newly elected officers and appointed Patrol Director will assume office within ten (10)
days from the notification of the election results.
Article VII
VII. Financial Administration
Section A: Dues
To exist as an organization, the Huff Hills Area Ski Patrol has certain financial requirements
that must be met by membership fees and various fund raising activities. To be considered a
member in good standing, able to vote in elections, and to take advantage of membership
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privileges every member must pay all required dues by November 1st. The amount of Patrol
dues will be established by the members and the Board of Directors. These dues will be
added to the national and division assessments and each member will be given a breakdown
of the amount that goes to the national level and to each subunit of the organization. Every
member will pay the total of all dues in one lump sum and every member will pay the same
amount each year.
Section B: Fiscal year
The fiscal year of the Huff Hills Area Ski Patrol will be June 21 through May 31. The
Secretary/Treasure of the Patrol, as the chief financial officer of the Patrol, must prepare a
comprehensive, end of the year financial statement for presentation to the general
membership at the annual spring meeting. The financial records of the patrol must be
available for formal audit by other higher NSP bodies as required and for review by any
voting member upon twenty-(20) days-prior request. Should the Huff Hills Area Ski Patrol
be dissolved, all funds remaining in the treasury will be passed on the NSP.
Article VIII
VIII. Amendments:
These By-laws may be amended at any general membership meeting upon, at least, two
weeks prior written notice to the membership. Such notice will include the original By-law
working, purposed changes, reasons for changes, and the date when the matter will be voted
upon. A Patrol member may purpose amendments in writing to the Patrol Director.
A two-thirds (2/3) majority of the qualified voting Patrol member who attend the meeting
and vote on the amendment will be sufficient to carry the amendment.
Where more than one By-law amendment is presented, each amendment must be considered
separately, unless there is unanimous agreement by those voting to the contrary.
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Adult Standard Orders and Protocols
Note: These orders and protocols are written for individuals who function under the direction of
Metro Area Ambulance Inc. These individuals must remain within their certified level of
training, and are not allowed to deviate from these orders at any time.
History and Physical Examination
1. Chief complaint.
2. History of the present illness or injury.
3. Physical examination:
A. Vital signs:
1) Level of consciousness
2) Respiration (rate), (regular or irregular), (rhythm)
3) Pulse (rate), (shallow or deep), (rhythm)
4) Blood pressure
B. System checks:
1) Head: Open airway and breathing, position, discharge, nose shape, pupil size,
teeth, skull deformity, color
2) Neck: Position, pulses, swelling, vascular, distention or flattening
3) Chest: Breathing, symmetry, swelling, noises, tenderness, lung and heart
sounds
4) Abdomen: Contour, distention, musculature, tenderness, masses, presence of GI
sounds
5) Neurologic: Level of consciousness, orientation, response to stimuli, motor
function, pain
6) Orthopedic: Symmetry, swelling, function, pain, tenderness, motion, color, pulses,
instability
7) Vascular: Skin color, temperature changes, pulses, instability
4. Past history:
A. Pre-diagnosed medical conditions
B. Allergies
C. Medications
D. Major surgery
5. Patient data:
A. Patient name
B. Age (or estimate)
C. Sex
D. Doctor
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Adult Medical Emergencies, 18 Years or Older
A. Standing orders for all adult cardiac patients are as follows:
1. Talk to the patient to reassure and decrease anxiety.
2. Elicit patient history and perform a physical examination.
3. Administer oxygen. Oxygen should be supplied at 10 LPM via non-rebreather mask,
or if intolerant to mask 2 LPM via nasal cannula to:
a. Patients with chief complaints of possible cardiac origin.
b. Patients displaying signs and symptoms of shock, whether medical or trauma in
origin.
c. Head injuries or CVA, whether medical or trauma in origin.
d. If the patient has a history of COPD start therapy at 2 LPM via nasal cannula, to
be increased to 10 LPM via non-rebreather mask if the respiratory status worsens
or if the oximeter SAT reading is below 90%.
e. With pulse oximeter SAT readings below 95%. Record SAT levels in the report.
f. As individual standing orders and protocols may specify.
g. Patients in which the provider feels oxygen would be beneficial and not covered
above. Documentation of such reasons is required.
4. Obtain vital signs, temperature, and estimate weight of patient.
5. Patient is to be positioned with their head elevated 30 degrees, or in the position of
comfort.
B. Specific considerations:
1. Patients with any of the following chief complaints or presenting problems should be
treated as a suspected MI, unless ordered otherwise. Contact Medical Control and
discuss case if possible.
a. Chest pain/chest pressure
b. Epigastric pain
c. Syncopal episodes in patients over 40 years of age
d. Unexplained respiratory distress
e. Generalized weakness, nausea, dizziness, or any other sign/symptom which is
unexplained and may be of cardiac origin.
f. Patient states he/she feels like they did when they had a previous MI.
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Suspected Myocardial Infarction
A. Standing orders for adult medical patients.
B. Obtain systolic/diastolic blood pressure readings in both arms.
Pulmonary Edema
A. Standing orders for adult medical patients.
B. Keep head elevated at all times.
C. Administer oxygen at 10 LPM via non-rebreather mask. If history of COPD or if the
patient is intolerant to mask, use 2 LPM by nasal cannula initially. May need to increase
oxygen to 10 LPM via non-rebreather mask if respiratory status worsens or if oximeter
reading is low.
Cardiogenic Shock, BP Less Than 80 Systolic and Symptomatic
A. Standing orders for adult medical patients.
B. Place patient in Trendelenburg position as soon as possible.
C. Apply MAST (DO NOT inflate at this time).
Cardiac Arrest, Ventricular Fibrillation and Pulseless Ventricular Tachycardia
A. Perform ABC‟s.
B. If witnessed, give a precordial thump and start CPR as needed.
C. CPR until monitor/AED is attached.
Asystole
A. Initiate CPR.
B. Standing orders for adult medical patients.
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Pulseless Electrical Activity > 50 BPM
A. Initiate CPR.
B. Standing orders for adult medical patients.
Asthma Attack or Dyspnea Associated with COPD
A. Standing orders for adult medical patients.
B. Oxygen: In COPD/Emphysema patients 2 LPM via nasal cannula. May have to
increase to 10 LPM via non-rebreather mask if respiratory status worsens or
oximeter reading is low.
In Asthma patients 10 LPM via non-rebreather mask.
Consider positive pressure or bag-valve-mask if respiratory status worsens or
oximeter reading is low.
Seizures
A. Standing orders for adult medical patients.
B. Position patient to monitor airway. If patient is unresponsive insert nasal or oral airway.
C. Restrain as needed to protect patient or crew.
D. If there is any possibility of associated trauma, C-collar and longboard should be used to
immobilize the patient.
Symptomatic Diabetic (Known or Suspected)
A. Standing orders for adult medical patients.
Unconscious, Unknown Etiology
A. Standing orders for adult medical patients.
B. Immobilize with C-collar and longboard as soon as possible prior to moving patient,
unless trauma can definitely be ruled out.
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C. Monitor for vomiting, while watching and securing airway. Oral and nasal airways are to
be used.
Drug Overdose
A. Standing orders for adult medical patients.
Suspected Cerebrovascular Accident
A. Standing orders for all adult medical patients.
B. Position patient to maintain airway and monitor for vomiting. The head of the bed is to be
elevated 30 degrees, to decrease intracranial pressure, if possible. Use nasal or oral
airway if needed.
Hypertensive Crisis
Definition: A hypertensive crisis is defined as a patient with a blood pressure of 200 mm/Hg
or higher systolic, and/or a diastolic above 130 mm/Hg and also having additional signs of
acute severe hypertension.
A. Standing orders for adult medical patients.
B. Continue to monitor the patient‟s vital signs, especially both the systolic and diastolic
blood pressure every 5 minutes.
C. Contact responding ambulance for further orders.
Anaphylactic Shock (Severe)
A. Standing orders for adult medical patients.
B. Contact medical control for further orders.
Suspected Internal Bleeding
A. Standing orders for adult trauma patients.
B. Apply MAST.
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Carbon Monoxide Poisoning
A. Assure scene safety and remove the patient from source immediately.
B. Standing orders for adult medical patients. Oxygen flow rate should be 15 LPM via non-
rebreather mask. Oximeter will not reflect patient oxygenation.
C. If respiration is inadequate, assist with positive pressure or bag-valve-mask.
D. Contact Medical Control for further orders.
Traumatic Emergencies
A. Begin oxygen therapy as early as possible (10 LPM via non-rebreather mask if possible).
B. Trauma patients with neck pain, lacerations above the clavicle, or unconsciousness
secondary to the trauma shall be presumed to have a cervical spine injury and shall be
properly immobilized with C-collar and longboard.
C. A C-collar and shortboard shall be used to immobilize patients who must be moved onto
a longboard from a sitting position (except when rapid extrication technique is used and
documented). Patients in a supine position need good C-spine stabilization and head
immobilization. Put a C-collar on the patient lying supine ONLY if you can do so without
excessive movement.
D. Under NO circumstances should transport of critical trauma patients be delayed for
physical examinations, treatment of non-life threatening injuries, or the initiation of IV
lines. Summon for transport IMMEDIATELY.
E. Apply MAST on all trauma patients with a systolic BP less than 90 or if systolic BP
greater than 90 but clinical signs of shock are present. MAST may be inflated on direct
physician order only. Reference #1 of Specific Considerations.
F. Notify responding ambulance as soon as possible if patient falls under guidelines for
“Trauma Code”, and give a brief report.
Specific considerations for trauma patients:
A. MAST should be applied, but not inflated, on any severe trauma patient having a systolic
BP of 90 or greater. These include patients that have the potential to become hypotensive
due to the extent of the injury, or the mechanism of injury. Reference letter “E” of
Trauma Standing Orders.
B. Trauma codes: If the trauma patient meets any of the areas in Step 1 or Step 2 pertaining
to vital signs and specific traumatic conditions, you are to call a Trauma Code as soon as
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possible. If the patient is strictly meeting the criteria as a mechanism of injury or special
considerations alone, you are to call a Trauma Code due to the mechanism of injury or
special considerations. Be specific when calling a code due to mechanism or special
conditions, making sure you include in your report that this patient only meets criteria by
either mechanism or special condition. Trauma Codes are to be called to the responding
ambulance for their information.
Trauma Code Criteria
Step 1 Measure vital signs and level of consciousness
Glasgow Coma Scale <14 of
Systolic blood pressure <90 or
Respiratory rate <10 or >29 or
Revised Trauma Score <11 or
Pediatric Trauma Score <9
YES NO
Take to Trauma Center; alert trauma team Assess anatomy of injury
Step 2
--All penetrating injuries to head, neck, torso, and extremities proximal to elbow and knee
--Flail chest
--Combination trauma and burns
--Two or more proximal long-bone fractures
--Pelvic fractures
--Limb paralysis
--Amputation proximal to wrist and ankle
YES NO
Take to Trauma Center; alert trauma team Evaluate for evidence of mechanism of
injury and high energy impact
Step 3
--Ejection from automobile
--Death in the same passenger compartment
--Extrication time >20 minutes
--Falls >20 feet
--Rollover
--High-speed auto crash: Initial speed >40 mpg
Major auto deformity >20 inches
Compartment intrusion >12 inches
--Auto-pedestrian/auto-bicycle injury with >5mph impact
--Pedestrian thrown or run over
--Motorcycle crash >20mph or with separation of rider from bike
YES NO
See Special Consideration “B” under Traumatic Injuries.
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Step 4
--Age <5 or >55
--Cardiac disease, respiratory disease
--Insulin-dependent diabetes, cirrhosis, or morbid obesity
--Pregnancy
--Immunosuppressed patients
--Patient with bleeding disorder or patient on anticoagulants
YES NO
See Special Consideration “B” under Traumatic Injuries. Re-evaluate with Medical
Control
IF EVER IN DOUBT, CALL A TRAUMA CODE TO THE RESPONDING AMBULANCE
Head and Spinal Cord Injuries
A. Standing orders for adult trauma patients. Specifically note spinal immobilization.
B. Elevate head of bed or patient 30 degrees if possible.
C. Document neurological signs on extremities before and after spinal immobilization.
D. Contact receiving facility as soon as possible (may be done after leaving scene if better
suited to the situation).
Hypothermia, Moderate to Severe
A. Standing orders for adult trauma patients.
B. Administer high flow oxygen. Assist respirations with positive pressure or bag-valve-
mask if respirations shallow or slow. See special note on patient handling.
C. Contact the responding ambulance as soon as possible.
D. Remove wet garments and protect against heat loss. Place hot packs in the axillary and
groin areas.
E. Obtain an actual temperature.
F. If the patient has no pulse and no respirations, start CPR.
Special Note: Handle patients gently; excessive movement may precipitate cardiac dysrhythmias.
DROWNINGS WITH A DOWN TIME OF LESS THAN 75 MINUTES FROM THE TIME
CALLED ARE TO HAVE LIFE SUPPORT MEASURES AND TRANSPORT.
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Hyperthermia
A. Standing orders for adult medical patients.
B. Contact the responding ambulance as soon as possible to alert the appropriate teams.
C. Obtain an actual temperature.
D. Begin cooling therapy (groin, axillary).
Burns
A. Less than 20% of body surface:
1. Apply sterile dressings and saturate with NS or LR.
2. Standing orders for adult traumatic injuries.
B. More than 20% of body surface:
1. Contact responding ambulance ref: Trauma Code.
2. Standing orders for adult traumatic injuries (if pulmonary burns or CO is suspected,
use positive pressure or bag-valve-mask as needed).
3. Remove any non-adherent burned clothes and cover patient with sterile dressings.
4. DO NOT cool the patient with water. Exceptions to this would be the presence of
smoldering clothes, articles, or materials adhering to the skin that would continue the
burning process (i.e., hot tar, caustic chemicals, etc.).
Obstetric/Gynecology Patients
1. Obstetric Patient
A. Standing orders for adult medical patients.
B. Obtain the specifics of pregnancy:
1) Trimester
2) Gravida (number of times pregnant)
Parida (number of live births)
3) Patient under prenatal care
4) Pain sites
5) Vaginal bleeding or spotting present
6) Past pregnancy problems, diabetes, eclampsia, etc.
2. Suspected ectopic pregnancy
A. Standing orders for adult trauma patients.
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B. Apply MAST.
C. Obtain specific history:
1) Any female of childbearing years with lower abdominal pain should be treated as
pregnant, or with an ectopic pregnancy until proven otherwise.
2) Menstrual cycle
3. Third trimester hemorrhage
A. Standing orders for adult suspected internal bleeding.
B. Suspect Abrupto Placentia if the patient has constant, severe abdominal pain with
tenderness.
C. Suspect Placenta Previa if patient has painless, bright red vaginal bleeding.
4. Pre-eclampsia
A. Standing orders for adult medical emergencies.
B. Pre-eclampsia: Those patients that have hypertension, abnormal weight gain, edema,
headache, protein in urine, epigastric pain, or occasional vision disturbances.
5. Eclampsia
A. Standing orders for adult medical emergencies.
B. Eclampsia: Grand mal seizures.
6. Breech delivery
A. Standing orders for adult medical emergencies.
B. Position patient with buttocks at the edge of a firm bed.
C. Have patient hold legs in a flexed position.
D. Allow baby to deliver with normal contractions. DO NOT pull on the baby.
E. As the baby‟s head passes the pubis apply gentle upward traction until the mouth appears
over the perineum.
F. If the head does not deliver, place a gloved hand in the vagina and form a “V” over the
baby‟s mouth and nose to push the face away from the wall of the vagina.
7. Prolapsed cord
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A. Standing orders for adult medical emergencies.
B. Insert two fingers of a gloved hand to raise the presenting part of the fetus off the cord.
C. Check the cord for pulse.
D. Continue to hold the presenting part off the cord.
Special Note: First Responders are not to perform vaginal examinations, unless in the specific
emergency situations mentioned. Always use a sterile glove when performing a vaginal
examination.
Special Instructions
1. Remember courtesy to the patient, the patient‟s family, and other emergency care personnel
is of the utmost importance.
2. All patients must have vital signs taken and documented.
3. Any time medical treatment is rendered under Standing (written) Orders, the charge
paramedic should be notified as soon as possible.
4. Insertion of an oropharyngeal/nasal airway should be attempted on all unconscious patients
for airway maintenance.
5. These SOPs are applicable only to adult patients 35+ kg (77 lb).
6. The specific condition listed for medical treatment in this document, although frequently
stated as a medical diagnosis, is to guide the First Responder in initiating appropriate
treatment.
7. Initiation and performance of these orders must be in accordance with the First Responder‟s
level of training, and must be carried out as written in the SOP.
8. LEVEL OF CARE STATEMENT: These orders are written to encompass personnel
responding at the level of First Responders. We understand that the level of training may
vary from Advanced first aid to RN, including modules in defibrillation and Epi-pen
administration. Personnel utilizing these orders must remain within their current certified
scope of practice and are not allowed to deviate from these orders at any time, nor are they
allowed to exceed their certified level of training.
9. Physicians that identify themselves on scene, and want control, are in control of patient care.
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10. Legal guardians must be contact prior to a minor refusing treatment or transportation. Polic
on scene shall witness the guardian‟s consent to transport or refuse and document on refusal
form with witness‟s signature.
11. Documentation of patient care preformed prior to the arrive of the charge Paramedic is
required from all First Responders, and should be completed by the First Responder with ht
highest level of training. The documentation shall include, but not limited to, the Chief
Complaint History of Present Illness, Vital Signs, Neuro Functions, Past
History/Medications/Allergies, Physical Examination and Treatments. These records shall be
turned into Metro-Area Ambulance Service, Inc. and placed into their Quality Assurance
Program for review.
12. Hypothermia/Cold Weather Situations: In instances where a patient is suffering from
hypothermia and an IV has been established., First Responders should utilize hot packs taped
to the IV to heat the fluid in the bag. In situations on extremely cold days when patients are
moved outside, First Responders may utilize hot packs to protect IV solutions from freezing
while outside with the patient.
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Huff Hills Trail Map
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