Suspension Trauma and Reflow Syndrome

Understanding the Risks

Suspension trauma can occur when someone is suspended, whether due to equipment failure, medical emergency, or working at height situations such as inside large vessels.

• Reflow Syndrome: Known medically, this condition arises when a person is suspended and unconscious, causing blood to pool in the legs, becoming de-oxygenated and carrying impurities.
• Danger of Toxic Shock: Releasing the person suddenly can lead to toxic shock, potentially causing heart failure or kidney issues.

Managing Suspension Trauma

Key steps in managing someone with suspension trauma:

• Recovery Position: Immediately place the person in the recovery position upon rescue to facilitate blood flow back to the brain.
• Emergency Response: Inform emergency services about the reflow syndrome for appropriate medical treatment.

Preventing Suspension Trauma

Preventative measures include:

• Proper Equipment: Ensure use of appropriate equipment and well-trained personnel.
• Leg Loops: Use leg loops to elevate legs and reduce the risk of reflow syndrome.
• Rope Ladders: Deploy rope ladders for conscious individuals to elevate their legs and mitigate suspension trauma.
• Health and Safety Guidance: Refer to Health and Safety Executive documents for comprehensive guidelines and further information.

Understanding and preparing for suspension trauma is crucial in high-risk environments. Proper equipment and quick, informed action can save lives.