12:16 p.m. on November 8, 2006 (EST)
In the past few years, I have taken to using gaiters all the time. This first came from orienteering (I run advanced courses, which go off-trail for the most part). Orienteering gaiters have a plastic front to shield against banging your shins on low branches on bushes, plus the material reduces the collection of star thistles, sticky seed-things (like wild oats), and such, and it helps reduce the amount of sand, pebbles, and dirt getting into your shoes. Since it helped so much keeping the junk out of my shoes, I started using low gaiters (the anklet type) for all my hiking on dusty and sandy trails. Not only does it keep the socks cleaner, but it makes the feet a lot more comfortable (no more of those annoying pebbles under foot and sand between the toes). Yeah, it's nice to wear shorts, and the anklet gaiters allow your legs to gather the breezes. Then again, since I use sunblock by the gallon on all exposed skin (the legacy of too many "healthy suntans" in my youth and resulting frequent visits to the dermatologist for liquid nitrogen spray jobs), the dust from the trails leaves my legs a dark dusty brown by the end of all my hikes.
On the elbow - the specific incident was that a snowboarder (37-year old woman, who apologized by saying - I'm not making this up - "Sorry, dude") ran into me as I was about to enter the lift line (during a tele workshop). She knocked me down in such a way that I was lying on the arm - think face-down with the right elbow dislocated and the skis pointing to the left. Being tele bindings, they are not easy to release from a face-down twisted position. To raise up and turn, I would have needed my right arm, the dislocated one. Just try putting on skis and lying down twisted half-way, then trying to get up without using the off-side arm (that's the one that's underneath). I have tried it since my arm healed and can get into a half-sitting position while favoring the injured arm, but haven't managed to work into a standing position. The problem is once you are sitting, somehow getting over the skis and standing, even with the help of one ski pole. I think I could have managed it eventually, but it would take time if I were solo and had done the dislocation by running into a tree or taking a hard fall.
Dislocations can happen to any joint if you impact it in just the right way - shoulder, elbow, knee, even hip. Pain? Yessiree!!! That was close to the worst pain I have ever felt, the only thing being worse was when the nerve in a tooth died slowly over several days. And I am very pain-tolerant compared to most people (so my doctor tells me when he slices off the little skin cancers from my years of "healthy tans").
Walk out, if it happened on a hike? Well, I probably would be able to get up, if I didn't have skis on - getting them off was a major problem that was solved by the Ski Patrol doing it for me. And it was no problem walking - I walked into the first aid room after the sled ride down the hill (Ski Patrol sled rides are a combination of a thrill, fast roller-coaster style, and sheer terror, since they completely wrap you with no visibility - just fly down the slope at what seems like a hunnert mile-an-hour, not being able to anticipate bounces and twists and turns, in the blind). I think I would rather have walked down. Then again, the bouncing popped the elbow back in place, which reduced the pain by orders of magnitude.
Carry the pack? Well, to get up, I am sure that unless it was a small daypack, I would have has to get the pack off somehow. But getting it off over a dislocated elbow or, worse, shoulder would have been very problematic. With the elbow, the lower part of my arm was just flopping around loose, and shooting pains with every little move.
Pain enough to keep me from thinking clearly? Since I don't think clearly anyway .... Well, it would depend on what else happened in the accident. In this case, I was thinking clearly enough to make a few wisecracks to my buddies on the Ski Patrol when they did the LOC thing (if you have done WFR or EMT, you know about LOC). Their comment to me afterward was that I was the most lucid victim they had ever dealt with, with that level of injury, so don't judge by me.
But the thing is, in thinking things through afterward and during, and talking about it with friends who spend a lot of time in the hills, both solo and groups, in solo backcountry, whether skiing or hiking, the situation would have been very difficult to deal with. People have done so (think Joe Simpson, among others). It takes experience, training, and a lot of thought.