Book Review- Where You’ll Find Me; Risk, Decisions, and the Last Climb of Kate Matrosova

Where You'll Find Me- Book Review Kate Matrosova

Last week I caught a program on NHPR’s Exchange centered on this high profile 2015 White Mountain climber fatality. My connection to this story started with a Mountain Rescue Service call-out on the late afternoon of February 15th, 2015 when I was driving home from teaching an AIARE Avalanche Course. My commitments to the on-going course would prevent me from responding to the call-out but I would follow the rescue attempt carefully over the next 48 hours and shortly after post this blog post about the outcome and my initial thoughts.

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This tragedy would go on to capture the attention of the national media and local interest and has now been brought back into the limelight with the publication of this book, Where You’ll Find Me; Risk Decisions, and the Last Climb of Kate Matrosova.

I received the book from Amazon this past Monday and by Thursday I had carved out enough time to read it cover to cover. I want to dive into a bit more detail about this take on the well publicized story rather than just say this is a “must read”.

The author, Ty Gagne, points out this particular rescue attempt gathered a lot of media attention for multiple reasons. First there was the real-time media engagement of an active search and rescue attempt occurring during a well forecasted “perfect storm.” Second was the victim seemed to not fit the typical “flat-lander” stereo-type that causes some in the north country to quickly cast blame on those who end up floundering a bit in the mountains. She was equipped with high end gear and clothing and multiple electronic safety devices… so what went wrong?

In an eloquent and respectful way Ty manages to walk us through Kate’s back-ground, planning, and finally execution of what would be Kate’s last mountain adventure. Having summited a few of the tallest peaks in the world many perceived she had a lot of experience, however through careful retrospection it becomes clear that her previous mountain achievements were mostly guided ventures, allowing someone with more experience and local knowledge to make critical go/no go decisions. For all intents and purposes it appears this was her first non-guided high risk adventure…yet as Ty documents she was quite meticulous about her planning.

Where You'll Find Me Book Review Kate Mastosova
Kate’s route plan with bailout options highlighted

Much of this book however was not actually about Kate but about those who work tirelessly on search and rescue. Some are paid state employees while most are volunteers from all walks of life. Ty is able to describe multiple timelines from these heroes and their own struggles while Kate’s epic unfolds in a clear and engaging manner from start to sad finish. This re-telling from multiple perspectives is well done but he goes beyond simply just saying what happened when and to whom…

Throughout the book Ty instructs the reader on the incredibly complex topic of “risk management”. This should be easy for Ty as his career is in corporate risk management, but the way he converts high risk corporate strategy to what we do in the mountains is quite amicable. He draws upon lessons from multiple walks of life from high stakes corporate decisions to the most current recreational avalanche safety and mitigation theory. The reader is left with no choice but to think more intentionally about how they manage their own risk whether planning a solo hike in the White Mountains or a day cragging with friends, we are all left with the reminder that nature is indifferent in her response to our often very personal decisions.

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Summary

Ty has done an excellent job researching and presenting this tragic event in a very respectful yet honest manner. For those who have read and enjoyed the acclaimed “Not Without Peril” this is another “must read” for your library. We can all learn something from Kate’s story and Ty’s re-telling of it is a powerful and fitting tribute to her final mountain adventure.


Resources

Find this book locally at the White Mountain Cafe in Gorham, NH, White Birch Books in North Conway, NH, at SOLO in Conway, NH, and the White Mountain Wanderer in Lincoln, NH, International Mountain Equipment in North Conway, or buy it on Amazon here.

HikeSafe.com

Donate directly to Mountain Rescue Service (MRS)

Donate directly to Androscroggin Valley Search and Rescue (AVSAR)

Donate to NH Fish & Game Search and Rescue

 

Improved Belay Check

A tragic rock climber fatality this past weekend at a crag in Vermont has motivated this post. The exact events leading up to the accident are still not public but what is clear is the young woman fell 90 feet while trying to descend, presumably while being lowered.

UPDATE 9/22/2017: An official summary of the accident has been posted from the VT Search & Rescue Coordinator, Vermont Dept. of Public Safety. I now include it here before my original post below:


Following is a summary of the incident.

Three climbers (#1, #2, #3) were finishing up their day top roping on Harvest Moon. Climber #1 was making the final ascent of the day. Both #2 and #3 believed that the plan was for #1 to ascend, clean the anchor, and rappel down. The actual wording of this conversation is not entirely clear. #2 remembers #1 saying she would “probably” rappel, but “might” be lowered. #3 only remembers the use of the term “rappel”.

Climber #1 finished the climb, called “off belay” and #2 removed  the belay and took their harness off believing that #1 would clean the anchor then rappel down.  About 5 minutes later #1 called “are you ready to lower?”. Both #2 and #3 shouted “no” back, and #2 rushed to put their harness back on. Less than a minute later Climber #1 was observed in an uncontrolled fall down the face which she did not survive. She was tied into her harness and the rope was threaded through the bolts at the top anchor, with the free end ending up just a few inches above the ground.

Further investigation discovered that climber #1 did not have a rappel device on her harness. It was later found to have been in a pile of gear at the base of the climb.

The most likely scenario is the climber #1 had intended to rappel after cleaning the anchor, but discovered that she had left her ATC behind.  The communication of this change to a different plan was not clear.  While it seems most likely that #1 did not clearly hear the “no” and “no- wait” shouts from #2 and #3 and leaned back expecting to be lowered, it cannot be ruled out that she slipped or tripped while waiting for the lower or perhaps tried to move closer to the edge to improve communication. There is simply no way to know for certain whether #1 was expecting to be lowered at the time of the accident, or unintentionally tripped or fell while waiting to be lowered.


It seems lowering/rappelling accidents are on the rise. The 2013 Accidents in North American Mountaineering publication looked at lowering accidents from the previous 10 years and determined 34% where due to belayer error and/or miscommunication. During 2016 we had 24 accidents caused by rappelling and lowering errors. Twice this past week I witnessed miscommunication between belayers and climbers at Rumney Rocks, NH that almost resulted in a climber being taken off belay when they were still climbing.

I believe our standard “belay check” that we perform before climbing could be improved in an effort to reduce a large amount of similar accidents.

Let’s start by taking a look at the standard belay check most climbers perform before climbing. The rope is stacked and the climber is ready to leave the ground, whether it be on lead or top-rope. The climber looks at the belayer and asks…

“On Belay?”

The belayer, before responding, checks to make sure the climber’s harness is on properly, looks closely at the climber’s tie-in knot to make sure it is tied correctly and in the proper place on the harness, then checks that the belay device is installed on the rope correctly, and that the belay system is closed (knot or tied-in to the other end of the rope). At this point the belayer signals with…

“Belay on!”

From this point on the climber is free to ascend whether leading or top-roping with the belayer providing critical security should the climber fall.

The American Alpine Club has produced a quality video demonstrating these steps as part of the “Universal Belay Standard”. I’ve embedded their video below to start at this belay check.


 

But every year climbers die or get seriously injured when the belay gets dis-mantled when the climber is at the top of the route.

Let’s look at how this has can occur and how we can might best mitigate the risk.


Misinterpretation

Likely the most common factor is misinterpretation of what is happening when the climber gets to the top of the climb and needs to break down the team’s personal gear before being lowered or rappelling off of fixed gear. Essentially the climber arrives at the anchor and signals to the belayer. The belayer interprets this signal to mean the climber no longer needs a belay, and dismantles the system. The climber, expecting to be lowered, leans back on the rope and soon finds themselves falling.


Miscommunication

When the climber arrives at the anchor they signal with a non-standard signal that could have multiple interpretations. I often teach students that “OK” is a dangerous word in climbing. It can mean so many things and undoubtedly has lead to belayers believing one thing while the climber meant something else. Does OK mean you are in-direct to the anchor? Does it mean you are hiking down? Setting up a rappel?


Solutions

First we need to add a final step to our belay check when climbing in a single-pitch environment. Essentially our belay check should look like this.

“On Belay?” – climber

“Belay on.” – belayer

“What are you going to do at the top?” – belayer

“I’m planning to have you lower me through the fixed gear”- climber

or

“I’m planning to go in direct, call off belay, and rig to rappel” – climber

or

“I’m going to come off belay toss the rope down and hike back down” – climber

This communication, referred to as an “action plan” by the AAC, prior to leaving the ground would certainly help prevent many of the close calls and likely some of the serious accidents that occur. It is much easier to communicate with your partner during the belay check then when you are 90 feet above them at the anchor.

Stick to standard commands. “On belay, take, tension, slack, lower, off belay”. At busy crags use names and space out the sylables to be clearly understood by your belayer.

“John….  Off……  Belay” -climber

As a belayer make sure the command you heard was from your partner.

“Jane… Was… That… You?”- belayer

“John…. Yes…. Off….. Belay” – climber

Rock Climbing Belay Check
A busy day at the crag requires solid communication between belayer and climber- photo by @alexandraroberts

When the option exists chose to be lowered over rappelling. Lowering is often faster than setting up a rappel and argue-ably safer as the climber never needs to come off belay. The belayer knows the belay must stay intact until the climber is back on the ground. The AAC does a great job of explaining this skill here and in this video:


Summary

Climbing IS dangerous. Even with all the high quality safety gear and available training and knowledge we will continue to see tragic loss of life to seemingly easily preventable accidents. But…

We can see a reduction in accidents if we continually challenge ourselves and the climbing community at large to make small improvements in our methodology. Make sharing your “action plan” part of every belay check!

References

Accidents in North American Mountaineering, 2013, pages 9-12

Accidents in North American Climbing, 2016, page 125

Mountain Project Accident Forum

Book Review Coming Soon!

Vertical Aid: Essential Wilderness Medicine for Climbers, Trekkers, and Mountaineers

Vertical Aid: Essential Wilderness Medicine for Climbers, Trekkers, and Mountaineers
Vertical Aid: Essential Wilderness Medicine for Climbers, Trekkers, and Mountaineers