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Blog: Effectiveness of Avalanche Airbags - A Quick Primer

Bruce Tremper

Because of the recent, tragic fatality on Gobbler’s Knob, the Utah Avalanche Center has received many questions about the effectiveness of avalanche airbags. The skier caught in the avalanche deployed their airbag but died anyway. So what gives? Here’s the short answer followed by a quick primer on avalanche airbags and where the statistics come from:

Answer:

According to the latest, peer-reviewed, statistical study, a deployed avalanche airbag will reduce mortality by 50% (22% vs. 11% in the study). But because 20% of the people in the dataset were not able to deploy their airbags, if you include the non-deployments, avalanche airbags reduce mortality by 41%.

In other words, avalanche airbags work, but certainly not all the time. Why?

1) About one out of four avalanche fatalities occur from the trauma of hitting trees and rocks on the way down, often at freeway speeds. In which case, all the rescue gear in the world won’t help you.

2) Airbags are much less effective if the avalanche drains into a narrow terrain trap, like a gully, where even a small avalanche can bury someone very deeply.

3) Avalanches often come down in two or more waves as different parts of the starting zone release. If someone is caught in the first wave and end up on the surface, sometimes the secondary wave can bury them even with a deployed airbag.

4) Airbags depend on the motion of the avalanche to “float” us to the surface—like shaking a bag of potato chips to make the large pieces rise to the surface. Sometimes the avalanche is too small or does not travel far enough for the “inverse segregation” process to work.

5) In about 20 percent of cases, the person caught does not—or can not—pull the trigger.

A Quick Primer on Avalanche Airbags and Statistics Behind the Study:

If we trigger an avalanche, we pull the trigger on the pack shoulder strap, which inflates the bags on the outside of our pack, making us a much larger object, and we tend to rise to the surface.

Why? Avalanche airbags don’t “float” you to the surface like a life jacket floats us to the surface of water. Instead, they work because of the “inverse segregation” process in a granular flow where larger objects rise to the top. Assignment: go shake a bag of potato chips to watch the large chips rise to the surface and the crumbs sink to the bottom. Unlike a life jacket in water, if the avalanche debris is not in motion or doesn’t travel far enough for the process to work, there’s no floatation.

Unfortunately, marketing by some manufacturers on the effectiveness was overly optimistic, especially in the early days. But even within the past couple years, I have read taglines of “97% Effective” or something similar. There’s a couple big problems with this number: first, the earlier studies included everyone that was caught in an avalanche that was wearing an airbag pack including many people who would never have been buried anyway, such as in small avalanches or when people were able to escape out of the avalanche. Second, a tagline like “97% Effective” doesn’t tell you the other half of the story; about 90 percent of people who get caught in avalanches will survive anyway even if they are not wearing airbags. Luckily for us, avalanches are surprisingly benevolent.

In order to give us more realistic numbers, a group of many of the world’s top experts on avalanche rescue and medical aspects of avalanche accidents published a 2014 study in the medical, peer review journal, Resuscitation. Researchers included Pascal Haegeli, Markus Falk, Emily Proctor, Benjemin Zweifel, Fredrick Jarry, Spencer Logan, Kalle Kronholm, Marek Biskuspic and Herman Brugger. (http://dx.doi.org/10.1016/j.resuscitation.2014.05.025)

They looked at a total of 424 documented avalanche accident victims from throughout the world who were “seriously involved” in an avalanche accident. In other words, they filtered out smaller avalanches and ones where people escaped off to the side and only looked at avalanches where an avalanche airbag had a chance to make a difference. In addition, they only considered incidents with multiple involvements including both people with and without avalanche airbags so they could make a statistically valid “apples to apples” comparisons. Because of these filters, as they admit, the dataset is skewed towards a more pessimistic effectiveness of avalanche airbags but it was statistically the only way they could test the effectiveness of the technology.

The results…drum roll please… a deployed avalanche airbag will reduce mortality by 50% (22% vs. 11% in the study). But because 20% of the people in the dataset were not able to deploy their airbags, if you include the non-deployments, avalanche airbags reduce mortality by 41%.

In other words, even in this more pessimistic dataset, avalanches are still surprisingly benevolent with a mortality of only 22%, even without an avalanche airbag. With an inflated airbag, it cuts the mortality in half, to 11%. So if you considered 100 people who die in avalanches without an airbag, an inflated airbag would save about 50 of them.

In our recent Know Before You Go video (https://vimeo.com/144545554), we included a cool animation that helps visualize these statistics. If you add everything together—fatalities by trauma, those saved by transceivers, saved by airbags, those who die in terrain traps or secondary burials, etc—our avalanche rescue gear will only save about half of the people involved in a serious avalanche accident. The take home sound bite: Avalanche rescue gear will save only half us. But at the same time, we can't afford to leave home without it.

We also have to remember that terrain consequences are extremely important. If the avalanche we may trigger will take us over a cliff, into trees, down a very large avalanche path, or into a terrain trap, then we have a low chance of survival, despite whatever rescue gear we may carry.

Finally, we have to remember that if we use any safety device to justify increased risk (or increased utility such as more powder) then the effectiveness of an avalanche airbag can be quickly nullified. The study does not address any increase in risky behavior as a result of using an avalanche airbag pack. I plan to write a future blog on this subject.

Comments
Bruce, great write up, but why not include blunt force trauma victims in these numbers? " this data does not include people who died from the trauma of hitting trees and rocks on the way down."
Ian Reid
Mon, 1/25/2016
The 2014 study actually does include that factor. (Otherwise, great summary of their research.)
Jonathan Shefftz
Mon, 1/25/2016
I thought the guys caught on Gobbler's Knob had avalungs, not airbags? Or, perhaps the news mis-reported.
David Frascone
Mon, 1/25/2016
Airbags, NOT Avalung. Perhaps both would have mad a difference. It took the rescuer 20 minutes to dig the victim out. Then again, it was a 1200 foot fall in steep terrain, and one wonders if this was a traumatic death, rather than an asphyxia death.
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Tue, 1/26/2016
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Jeanne
Sat, 3/5/2016
Thank you for the insight! Oversimplified stats can be very misleading
Tim slocum
Mon, 1/25/2016
This makes sense. What it does not factor in is what % of the people caught in an avalanche would not have been on that terrain if they did not have an avalanche bag? Does having an avalanche bag bias people's decisions on terrain management?
Bruce Hodgkins
Mon, 1/25/2016
I own a ABS vest and I'm commonly riding in Avalanche terrain. I am just as terrified of avalanches with the vest on. It doesn't impact my decision making any more than wearing a seatbelt in my car. I don't drive aggressively because I'm wearing a seatbelt and I don't ride like an idiot because I'm wearing a vest. I think you have to give more credit to the people who use this kind of safety gear. We are not idiots.
Gideon B
Mon, 1/25/2016
I've heard it argued that the best way to reduce car accidents would be to eliminate the seat belt and have every car have a spike sticking out if the steering wheel pointed at the drivers heart. That would change the way you drive no? I think what really goes on is people have some level of risk they're willing to accept. Just for simplicity, lets say you're willing to accept a 1% chance of dying. If the airbag reduces your chance of dying by 50%, maintaining your risk tolerance of a 1% chance of dying would imply you're twice as willing to get into a potentially fatal avalanche. Now I think most people's risk tolerance is way lower, so maybe the change in behavior is not that perceptible. But then there are people who think the efficacy of the bag is much higher than it actually is, or the chance of getting into a deadly avalanche in a given situation is much lower than it actually may be. In other words, people's poor probability skills (exacerbated by bringing the new bag into the equation) leads them to take risks they may not actually want to take.
Peter
Mon, 1/25/2016
Peter, yes, I read that way back in the late 80s in college in a book entitled The Economist's View of the World -- sure seemed convincing back then, but when I researched my own airbag study (a relatively primitive predecessor to the 2014 study), out of curiosity I looked up the latest stats for vehicular safety, and the results were quite striking, in a positive way. (To be fair to that 1985 book, the technological advances since then have been very dramatic.)
Jonathan Shefftz
Tue, 1/26/2016
Ok, quick exercise. Would you ski without an avalanche beacon? If so, which of your recent trips would you not have done without a beacon? If the list is more than zero then avalanche safety gear is affecting your decision making in some way. You then have to ask yourself if the 40% chance of companion rescue with a beacon outweighs the extra risk you are taking on. Repeat for your airbag.
David George
Wed, 1/27/2016
David, good conceptual exercise, but I think it should be modified as "if avalanche beacons did not exist, which of your recent trips would you not have done?" That is because a beacon goes beyond just personal safety and instead is a communal social responsibility. As Dale Atkins said at our 2014 ESAW, you have a responsibility to be searchable and to be able to search. This made me think about a tour I sometimes take, solo, with absolutely zero chance of an avalanche, and zero chance of deviating from my plan b/c of a tight itinerary. (Hard to imagine one’s own death, but easy to imagine the tardiness-triggered wrath of wife & daughter!) So why bother bring avy rescue gear? But I am within sight of avy terrain. Hence some possibility I would need to search for someone else. Now thanks for Dale’s exhortation I always bring rescue gear for that tour since it’s not just about me. (And I hope that both any grateful victim and also Dale will provide a tardiness excuse note to my family in case I ever need to deviate from my itinerary to help in a rescue!) Plus people w/o rescue gear hardly seem to be any safer – depressing recent anecdote here: http://nealpinestart.com/2016/01/18/avalanche-in-the-chute-1172016/ (Executive Summary = Out of the five people in the avy, no beacons ... including the SAR team member there to check out recent avy activity: https://www.facebook.com/coreyswartz603/posts/10100445875489187)
Jonathan Shefftz
Wed, 1/27/2016
<p>Great question. &nbsp;This study did not address this question and I plan to publish a future blog on it. &nbsp;Bruce Tremper</p>
Bruce
Mon, 1/25/2016
Going towards the risk homeostasis question, I was wondering if the right data set exists out there in which the number of people caught/carried in slides who were wearing airbags could be compared to the number of those caught/carried who were not. These would be some interesting numbers to see and if the ratios of people getting caught/carried in slides who are or are not wearing airbags are significantly different than the usage rates of airbags it could show that something is going on. The problem being that in order to be statistically significant a large data set would be needed and finding avalanche airbag usage rates within the backcountry population may require some new data collection. I look forward to the future blog post on this interesting subject.
Mark R
Mon, 1/25/2016
Bruce, perhaps, but the 2014 study's dataset was limited to touring parties that included both wearers and non-wearers of airbag packs. (So in other words, every incident analyzed for the study included at least one skier who did not have an airbag.)
Jonathan Shefftz
Tue, 1/26/2016
Just to clarify, my reply was directed to the comment by Bruce Hodgkins.
Jonathan Shefftz
Tue, 1/26/2016
Hi Bruce. Still out and about, just quiet. This analysis sounds much like that done for seat belts and vehicle airbags. I am familiar with these both from a product liability and a vehicle collision liability perspective, where we must fight off junk science all the time. Now wondering what the FTC would think of "97% effective." There comes a point where footnotes and disclaimers are unavailing to counteract deceptive effect. Very well done and insightful.
Phil Lowry
Mon, 1/25/2016
When I go Mountain Biking in Moab when I have pads on I am on the bike riding more terrain than when I don't have pads, riding faster and more aggressively. If I had an airbag would I ski more terrain? Seems like it would bias my decision in that direction. Am I am idiot? I hope not. I don't think I am.
Bruce Hodgkins
Tue, 1/26/2016
Scared Straight As a witness and participant in body recovery after fatal avalanches, with eyeballs popped out of their heads and frozen looks of fear and anguish, I told myself long ago. I plan on never getting caught. Back in the early '90's when Jordy @ Black Diamond asked me to test out the first rebreather Avalungs. My answer? Your basically playing Russian Roulette, false sense of security. I plan my life around staying out of jail, not getting AIDS and never going for a ride. Call me a "Pussy". I can count on both hands the good friends, who thought they were the "Shizzle", who've gambled and lost to the white death. I've lost none of my friends who surf triple to quadruple overhead. One foot slab, different story.
Laurent
Tue, 1/26/2016
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Rocky Mtn Pursuit
Tue, 1/26/2016
<p>Looking forward to Bruce T&#39;s next installment. My very simple understanding of Risk Homeostasis research indicates that yes, adding a safety feature improves over-all safety but not to the degree one might expect. &nbsp;In other words, yes, you (not <u>you</u>, of course, because you are smarter than the average....)&nbsp;subconsciously&nbsp;will take slightly greater risks, but your new safety gear will protect you enough better to make you statistically a little safer. &nbsp;Maybe the bottom line (judgment suspended) is that more dangerous lines will be ridden without any change in overall mortality?</p> <p>The identical argument was made when transceivers (and Avalungs) first became popular but carrying both are considered by most to be effective and legitimate safety precautions now.</p> <p>I like to think that having an airbag in my car or a transceiver in my pocket doesn&#39;t change my behavior, but, as Bruce often says, humans are a damned mess.</p>
Paul
Wed, 1/27/2016
Statistics can be very confusing. But the issue of 'absolute' vs 'relative' risk reduction needs discussion. At best (with a lot of concerns regarding methods and design), a 50% (22% to 11%) mortality reduction is quoted. In reality, taking into account non-deployment of airbags, mortality reduction is 41% (22% to 14%). These are 'relative' reductions, and they sound very meaningful. If baseline mortality is 22% (no airbag) in the study, that's equal to 1 death for every 4.6 accidents. If mortality with the airbag is 14%, then that's 1 death for every 7 accidents. So it's clear that everyone caught in an avalanche with an airbag does not benefit, but some do. 'Benefit' of an intervention is not shared among all users. Rather, some get it, and most do not. So what are the odds it does save/benefit you? That would take a Number Needed to Treat (NNT) analysis. Reducing mortality from.22 to.14 is an absolute difference of .08 (eight percentage points). So 1/.08 is 12.5 - that is the NNT of airbags. 12.5 people need to buy an airbag AND get caught in a major slide to see 1 additional life saved. The odds of an airbag saving you are 1 out of 12.5 - that's absolute risk reduction if you believe their numbers. The other 11.5 who have an airbag AND get caught, see no benefit. If you eliminate non-deployments (not recommended) and mortality is improved to 11% instead of 14%, then the NNT would be 9 (1/.22-.11 = 9). 9 people need to buy an airbag AND get caught in a major slide to see 1 additional life saved, and the other 8 see no benefit. In the world of treatments for disease and prevention, these NNT's are pretty decent numbers - but there are so many things Bruce alluded to that can make any benefit disappear rapidly. If anyone takes high blood pressure medication or high cholesterol medication - ask about the NNT - you'll be shocked.
George Vargyas
Tue, 2/2/2016
<p>George, I&#39;m glad you pointed that out. &nbsp;Since it&#39;s a quickie primer, I did not want to dive into the number needed to treat stats because it tends to make people&#39;s eyes glaze over even more. &nbsp;But like you say, in the medical industry, those are actually pretty good numbers compared to many drugs and treatments we all take. &nbsp;And how about taking supplements? &nbsp;Don&#39;t get me started. There was a good Frontline piece on this recently. &nbsp;But I digress...</p>
Bruce
Thu, 2/4/2016
Nice job! But... It's impossible to save each second with an avy bag because each second dies because of trees, rocks etc. according to your stats...
Gornodav
Sat, 2/6/2016