Characteristics of injuries caused by paragliding accidents: A cross-sectional study
This study was undertaken to analyze the characteristics and risk factors relating to fatalities and injuries caused by paragliding.
METHODS:
The judicial examination reports and hospital documents of 82 patients traumatized in 64 accidents during 242 355 paragliding jumps between August 2004 and September 2011 were analyzed.
RESULTS:
In these accidents, 18 of the 82 patients lost their lives. In the patients with a confirmed cause of accident, most of them were involved with multiple fractures and internal organ injuries (n=8, 44.4%).
CONCLUSION:
We investigated the incidence of paragliding injuries, the types of the injuries, and the severity of affected anatomical regions. The findings are significant for the prevention of paragliding injuries and future research.
KEY WORDS: Paragliding accidents, Injuries, Turkey
INTRODUCTION
Paragliding is an adventure (extreme) sport and can be performed either individually or in tandem (accompanied by a pilot) using a specially designed parachute. Paragliding was first introduced in 1940 and has gained popularity after the 1980s. Design and equipment have been refined until then.[1,2] This sport has gained popularity worldwide since its equipment is more affordable and easier to obtain than other kinds of aerial sports, and moreover, it does not require any logistical support such as an airport. It has been performed over Baba Mountain in the region of Fethiye in Turkey since the early 1990s (Figure 1).
Fethiye Baba Mountain is one of the favorite paragliding regions in Turkey. Paragliding injuries are more uncommon than other types of trauma injuries.[2] The number of accidents that usually cause high energy trauma and subsequent morbidity or mortality has tended to increase in this sport correlatively with the increasing number of flights.[3,4]
The main objective of our retrospective study was to determine the characteristics of injuries related to paragliding accidents at the Fethiye region and to provoke the awareness of people about precautions.
METHODS
Eighty-two patients who were injured in 64 paragliding accidents between August 2004 and September 2011 were reviewed from judicial medical reports and data from three hospitals at the Fethiye region. The severity of traumas that patients were exposed was classified as minor (no need for hospitalization), serious (need for hospitalization) and mortal. A data sheet consisting of demographic data, physical and radiological findings, characteristics of flights, time of accident (take-off, mid-air or landing) and accident reports of the 64 accidents was composed. Moreover, autopsy reports of 18 deaths were obtained. Permission must be obtained from the Ministry of Justice to assess the paragliding accident reports that have been delivered to the district public prosecutor.
Data about the number, patterns and paths of the flights were obtained primarily from Turkey Paragliding Association and Fethiye Guc Birligi Turizm Tanitma Ticaret Limited Company. Since the records did not contain either the number of flights until the year of 2007 or patterns and paths of the flights until the year of 2010, records of 2010 and 2011 were utilized for statistical evaluation. Paragliding injuries without hospital or accident reports and happened outside of the Fethiye region were excluded. All analyses were performed with SPSS 15.0 for Windows ® . P
RESULTS
A thorough review of records revealed 64 of 242 355 paragliding flights ended with accidents. Eighty-two people faced to accidents, 18 of whom were dead and 64 were injured, were recorded. Sixty-nine (84.2%) were male and 13 (15.8%) were female. Their mean age was 37.5 years (18–71). Thirty-eight (46.3%) people were from Turkey and 44 (53.7%) were tourists.
The number of flights has increased progressively since the beginning of the last decade. The number of flights and accidents in the Baba Mountain between 2004 and 2011 are shown in Table 1. Twenty tandem flights and 44 single flights ended with an accident. Thirteen were single and 5 were in tandem flights of all 18 accidents that caused death. Thirty-one patients were injured during single flights and 33 were injured during tandem flights (Table 2). The number of accidents that occurred during the individual flights was significantly higher than that occurred during the tandem flights (P<0.05).
Table 1.
Annual flight count, types of flights and number of accidents
Table 2.
Number of deaths and injuries according to the types of flights
Of all patients who were recorded, 27 were injured during take-off (33%), 45 were injured in mid-air (55%), and 10 were injured during landing (12%) (Table 3). We determined that the mortality rate was significantly higher in accidents occurred in mid-air (P<0.05).
Table 3.
Distribution of patients during flight phase
In 18 (22%) deaths recorded, 14 were male (77.7%) and most of them had multiple fractures (n=15, 83.3%). The primary causes of deaths included 7 (38.9%) major artery injuries, 6 (33.3%) intracranial hemorrhages, 3 (16.7%) cervical fractures and 2 (11.1%) pneumothoraxes respectively.
Sixty-four patients survived after a paragliding accident. Seventeen (20.7%) patients were discharged from the emergency department after treatment for soft tissue trauma, abrasion or sprain without any serious health problem. Sixteen multiple fractures, 13 isolated lower extremity fractures and 8 isolated upper extremity fractures were detected in the survived patients (Table 4).
Table 4.
Distribution of injuries after paragliding accidents
One hundred-eight orthopedic fractures were seen in these paragliding accidents. The most common were lumbar fractures (n=21, 19.4%), fractures around the foot and ankle (n=19, 17.6%), and tibia fractures (n= 11, 10.2%), respectively (Table 5). Thirty-four (82.9%)patients underwent surgery after hospital admission. The mean length of hospital stay was 18.3 days.
Table 5.
Distribution of orthopaedic injuries after paragliding accidents
DISCUSSION
In this study we found the increased number of paragliding accidents is correlated with the increasing number of flights. Schulze et al[5] reported that accidents have a tendency to decline in number as years passed away. Additionally, Bohnsack et al[6] found that the number of paragliding accidents reduced in comparison with other aerial and motorcycle accidents. We think that the precautions taken for preventing paragliding accidents are insufficient in Turkey since the number of accidents tends to increase.
In our series, 84.2% of patients were male and 15.8% were female. Gender distribution of our patients was consistent with that of reports about accidents in modern aerial and adventure sports.[3,7] The mean age of the patients was also consistent with that reported in the literature.[1,2,8,9]
Our review of the literature did not show any studies reporting a comparison of the characteristics of injuries between single and tandem paragliding accidents. Our results suggested that the rate of paragliding accidents is significantly higher in individual flights than in tandem flights (P<0.05). These results suggested that flight experience of pilots about flight limits, condition of airbase during landing and take-off, and maneuvering in different weather conditions may minimize the risk of accident in tandem flights. Moreover, people tend to make some unnecessary acrobatic moves during individual flights which maximize the risk of accident.
There are various reports about paragliding injuries in the literature. The paragliding injury rate varies from 120 to 360 per 100 000 jumps.[4,5,8,10–12] We found an accident rate of 26 per 100 000 jumps in our study. We thought that exclusion of accidents with no judicial medical reports or no admission to hospital may be responsible for this low value. According to the testimonies of witnesses the most common reasons of accidents were recorded as reverse wind, air turbulence, sudden closure of wings, misalignment of ropes and hard landing. Adverse weather conditions were certainly the most important issue for the risk of accident.
The mortality rate of paragliding jumps in this study was found as 7/100 000. Fasching et al[3] from Germany reported a mortality rate of 45/100 000 in paragliding jumps. Krüger-Franke et al[5] reported three deaths in 218 paragliding accidents. Amamilo et al[6] declared a mortality of 0.06%–0.035% and an injury rate of 0.32%–0.5% between 1997 and 2003.
The injury rate of paragliding was found to be lower than that of other adventure and extreme sports, but the accidents were more fatal.[3] The most catastrophic injuries of the pilots were fractures (42.9%–89%).[3,13,14] These fractures occurred mostly at the lower extremities (29%–56%) especially around the ankle.[2,4,9] In our study, a lower extremity fracture rate was 39.8% (n=43), which was consistent with that reported in the literature.
In our study, mortal accidents occurred in mid-air (n=17, 94.4%). The most frequent detectable causes of the accidents were human errors and folding of the parachute during flight in bad weather conditions. About one third of the causes were undetectable.
In our study, the paragliders did not use protective equipment except a simple helmet. In Turkey, paragliding can be performed with a certificate that is given by the Turkish Aeronautical Association after a two-week training course. Reports suggested that by refinement of pilot education, deliberate use of protective equipment, and better understanding of inherent aerodynamics of paragliding, the injury rates can be lowered.[2,6,17,18]
In our study, only patients admitted to hospitals were reported as having injuries. Obtaining results from only one specific touristic region is one of limitations of this study. A country-wide database should be established to determine the national incidence of paragliding injury and risky regions for paragliding. These would refine the precautions and provide immediate intervention to accidents and medical support for patients.
Most countries have a federation of paragliding.[2,3,9] A national federation of paragliding exists in Turkey but it has a limited field of practice.
In conclusion, it is essential to annually renew certificates of paragliding pilots and to take more precautions to minimize the risk of accidents. Since most death injuries happen in mid-air, more attention should be paid to the period of seasonal transition when wind speed and direction change improbably. To decrease the injury risk of extremities, proper protective equipment should be used by pilots and tandem paragliders. Also, regular education-programs should be given to paragliders for the improvement of their mentality and practical skills. More studies should be conducted to obtain countrywide results and build a database about paragliding accidents.
Footnotes
Funding: None.
Ethical approval: The ethical approval was obtained from the Ethical Review Committee, Muğla Sıtkı Koçman University, Mugla, Turkey.
Conflicts of interest: We do not have any conflicts of interest.
Contributors: All authors conceived the study, developed the proposal, involved in data collection, data analysis, and manuscript preparation. All authors approved the final version of the article.
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How Many People Have Died from Paragliding?
Paragliding is an exhilarating sport that attracts adventure seekers from around the globe. With its breathtaking views and the thrill of flying, it offers a unique way to experience nature. However, like all extreme sports, paragliding carries inherent risks. A common question among both enthusiasts and potential newcomers is: how many people have died from paragliding? This article aims to delve into the statistics surrounding paragliding fatalities, analyze contributing factors, and discuss safety measures to mitigate risks.
Understanding Paragliding Fatalities
To assess the risks associated with paragliding, we must first understand what constitutes a fatality in this context.
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Definition of Paragliding Fatalities
A paragliding fatality refers to any death that occurs during a paragliding activity. This includes accidents during takeoff, flight, landing, and even pre-flight preparations. Understanding these categories helps clarify the nature of risks involved.
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Historical Context of Paragliding
Paragliding has evolved significantly since its inception in the late 20th century. As the sport has become more popular, so too have concerns about safety and fatalities.
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- Growth of the Sport: Since the 1980s, paragliding has grown exponentially in popularity. With more participants comes a higher incidence of accidents and fatalities.
- Technological Advancements: Modern paragliding equipment has improved safety, but the increasing number of enthusiasts has created a larger pool of data regarding accidents and fatalities.
Fatality Statistics in Paragliding
Gathering accurate statistics on paragliding fatalities can be challenging due to various factors, including reporting standards and differing regulations across countries.
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Global Fatality Rates
Estimating the number of paragliding fatalities globally provides a clearer picture of the sport’s risks.
- Estimates of Fatalities: Various studies and reports indicate that the fatality rate for paragliding ranges from 0.3 to 1.3 fatalities per 11,000 pilots per year. These figures suggest that while fatalities do occur, they are relatively low compared to other extreme sports.
- Country-Specific Data: Countries with high paragliding activity, such as Switzerland, France, and the United States, often have more comprehensive data on fatalities. For example, a report from the US Hang Gliding and Paragliding Association (USHPA) highlighted an average of 5-10 fatalities per year in the United States over the last decade.
Contributing Factors to Fatalities
Understanding the contributing factors to paragliding fatalities is essential in assessing risk.
Pilot Error
One of the most significant factors contributing to paragliding fatalities is pilot error. This encompasses a range of mistakes, including:
- Inadequate Training: Many fatalities occur among novice pilots who lack sufficient training and experience.
- Poor Decision-Making: Weather conditions, terrain, and equipment choices can lead to fatal errors if not properly assessed.
Equipment Failures
While modern paragliding equipment has become safer, failures can still occur.
- Paraglider Malfunctions: Issues such as line breaks, fabric tears, or incorrect packing can lead to severe accidents.
- Reserve Parachute Deployment: In emergencies, the failure to deploy a reserve parachute can result in fatalities.
Environmental Factors
The environment plays a crucial role in paragliding safety.
- Weather Conditions: Sudden changes in weather, such as strong winds or turbulence, can catch pilots off guard and lead to accidents.
- Terrain: Launching and landing in unsuitable areas can increase the risk of accidents.
Statistics by Demographics
Demographic factors also play a role in paragliding fatalities, with certain groups being more susceptible to accidents.
Age and Experience
- Younger Pilots: Research suggests that younger, less experienced pilots are at higher risk of fatal accidents due to overconfidence and inadequate training.
- Older Pilots: Conversely, older pilots may be more cautious but can also face physical limitations that affect their flying ability.
Gender Differences
- Gender Statistics: Historically, more men participate in paragliding than women, resulting in a higher number of male fatalities. However, data on female paragliding fatalities is limited.
Analyzing Fatality Trends Over Time
Studying trends in paragliding fatalities over the years provides insight into how the sport has evolved in terms of safety.
Historical Trends
- Early Years: In the early years of paragliding, fatalities were significantly higher due to a lack of training, safety protocols, and advanced equipment.
- Recent Data: In recent years, fatalities have generally decreased due to improved training standards, better equipment, and increased awareness of safety measures.
Regional Trends
Certain regions have higher fatality rates than others, influenced by local regulations and safety practices.
- Europe vs. North America: European countries, known for their robust paragliding communities, often report higher fatality rates due to the frequency of flights and diverse terrains.
- Emerging Markets: In countries where paragliding is newly emerging, such as parts of Asia and South America, lack of regulation and training may lead to higher accident rates.
Improving Safety in Paragliding
As the sport continues to grow, it is crucial to enhance safety measures to reduce fatalities.
Training and Certification
Proper training and certification can significantly mitigate risks.
- Flight Schools: Enrolling in reputable flight schools ensures that pilots receive comprehensive training in flying techniques, weather assessment, and emergency procedures.
- Continuous Education: Ongoing education for experienced pilots helps keep their skills sharp and updates them on the latest safety practices.
Equipment Standards
High-quality equipment is vital for safe paragliding.
- Regular Inspections: Pilots should perform regular inspections of their gear, including the paraglider, harness, and reserve parachute.
- Adherence to Standards: Equipment should meet national and international safety standards to ensure reliability.
Community Awareness and Reporting
Building a culture of safety within the paragliding community can help reduce fatalities.
- Accident Reporting: Encouraging pilots to report accidents and near-misses helps gather valuable data that can inform safety improvements.
- Safety Campaigns: Hosting safety workshops and campaigns can raise awareness about the importance of training and safe practices.
Conclusion
While paragliding remains a popular and thrilling sport, it is essential to recognize the inherent risks involved. Understanding the statistics surrounding fatalities, contributing factors, and safety measures can help current and prospective pilots make informed decisions. By prioritizing safety through proper training, high-quality equipment, and community awareness, the paragliding community can work together to minimize risks and ensure a safer flying experience for all.
FAQs：
What are the main causes of paragliding fatalities?
The main causes of paragliding fatalities include pilot error, equipment failures, and adverse environmental conditions such as weather changes and unsuitable terrain.
How can I reduce my risk while paragliding?
To reduce risk, ensure you undergo thorough training, use high-quality equipment, regularly check your gear, and stay informed about weather conditions before flying.
Are fatalities common in paragliding compared to other extreme sports?
While paragliding fatalities do occur, they are relatively low compared to other extreme sports like BASE jumping or skydiving, with estimates ranging from 0.3 to 1.3 fatalities per 11,000 pilots annually.
What should I do if I experience equipment failure while paragliding?
In the event of equipment failure, follow your training protocols for emergencies, which may include deploying your reserve parachute and preparing for a controlled landing.
Is paragliding safe for beginners?
Paragliding can be safe for beginners if they receive proper training from certified instructors and adhere to safety guidelines and regulations.
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https://pmc.ncbi.nlm.nih.gov/articles/PMC4566014/https://www.ourextremesports.com/archives/3879
