In the perilous realm of occupations where individuals regularly confront the hazards of working at significant heights—be it construction sites, rooftops, or window-cleaning scenarios—there’s an inherent and ominous risk: suspension trauma. This silent threat lurks in the aftermath of a fall, where a worker left suspended can face severe physiological consequences.

Understanding the urgency of addressing this risk is central to the mandate of fall protection training, a crucial safeguard for those who brave gravity’s challenges daily.

In this blog, we’ll explore how Metro Safety addresses suspension trauma via fall protection training.

II. What is Suspension Trauma?

Suspension trauma, also known as harness hang syndrome or orthostatic intolerance, is a grave consequence of fall incidents. This phenomenon occurs when a person is left suspended in a harness after a fall, with their body weight creating pressure on the harness straps. The harness constricts blood vessels, impeding the flow of blood back to the heart.

The physiological impact is profound. Blood pools in the legs, depriving the brain and vital organs of oxygen. This can lead to a cascade of severe complications, including unconsciousness, organ failure, and, in extreme cases, death. Understanding the mechanics of suspension trauma is paramount to appreciating the gravity of its potential consequences.

III. Understanding the Gravity of the Situation

To comprehend the severity of suspension trauma, one must fathom the human body’s response to prolonged immobility while suspended. As blood stagnates in the lower extremities, oxygen levels drop precipitously. This oxygen deprivation triggers a range of physiological responses, from nausea and dizziness to loss of consciousness.

Hence, the critical nature of addressing suspension trauma promptly cannot be overstated. The ticking clock, counting down the precious moments before irreversible damage occurs, underscores the urgent need for comprehensive fall protection training, which teaches a broad range of theories and trains enrollees in standard operating procedures to improve worker safety.

 

Several carabiners and hooks attached to a person’s hip.

IV. High-Risk Professions

Certain professions inherently carry a higher risk of falls and, consequently, a greater risk of suspension trauma. Roofers who work at considerable heights face the constant danger of falls, emphasizing the need for specialized training in fall protection. Similarly, window cleaners, often suspended from elevated structures, are exposed to the risk of falls that can lead to suspension trauma. Construction workers engaged in tasks at heights also fall within this high-risk category.

In these professions, the work environment itself poses challenges that necessitate specific safety protocols. For instance, roofers navigating steep slopes, window cleaners suspended from tall buildings, or construction workers operating on scaffolding—all confront unique fall hazards.

Therefore, a tailored approach to fall protection is essential to address the specific risks associated with these high-risk professions. The statistics of fall incidents in such professions underscore the critical importance of specialized training to ensure worker safety.

V. Mitigating Suspension Trauma

Mitigating suspension trauma begins with comprehensive fall protection training. Workers in high-risk professions must undergo thorough education on the proper use of fall protection equipment. This includes harnesses, lanyards, and anchor points. Knowing how to effectively use this equipment not only prevents falls but also ensures that, in the event of a fall, the risk of suspension trauma is minimized.

A robust fall protection training goes beyond the theoretical aspects; it includes practical hands-on exercises that simulate real-life scenarios. Workers should ideally learn how to assess their surroundings, identify potential hazards, and respond appropriately to ensure their safety. Such training should also emphasize the importance of emergency response protocols. Being well-versed in these protocols enables workers to act swiftly and effectively in the critical moments following a fall.

 

A construction worker is putting up lights underneath a board.

VI. Recognizing Symptoms

Recognizing the symptoms of suspension trauma is another crucial aspect of addressing it promptly. Fall protection training educates workers on the signs that may indicate suspension trauma. These can include dizziness, fainting, and numbness in the legs. Immediate response is vital, and workers are trained to perform basic first aid while awaiting professional medical assistance.

These aspects highlight the importance of targeted fall protection training for high-risk professions. It not only equips workers with the knowledge and skills to prevent falls but also ensures they are prepared to handle the aftermath, minimizing the risks associated with suspension trauma.

VIII. Beyond the Fall: Long-term Effects

In the aftermath of a fall incident, the immediate concerns often focus on addressing the physical injuries sustained during the descent. However, it is crucial to also recognize that suspension trauma can have enduring effects on a person’s health. Prolonged periods of hanging in a harness can lead to serious complications, including deep vein thrombosis (DVT), which is the formation of blood clots in deep veins. These clots can, in turn, travel to the lungs and result in a life-threatening condition known as a pulmonary embolism.

Beyond the physical consequences, the psychological impact of a fall and the subsequent suspension trauma can be profound. Anxiety, post-traumatic stress disorder (PTSD), and a heightened fear of heights are not uncommon outcomes. Addressing these long-term effects requires comprehensive post-incident care, including both physical rehabilitation and mental health support.

 

A painter is suspended mid-air while holding a brush.

IX. Prevention Strategies

1) Thorough Fall Protection Training

In-depth fall protection training is the linchpin in the prevention of suspension trauma. Workers must not only grasp the correct usage of fall protection equipment but also be trained to respond effectively in the aftermath of a fall. Simulating scenarios during training ensures quick and precise reactions in real-life situations, enhancing the overall efficacy of the training.

This training should not be a one-time event but an ongoing process. Periodic refreshers reinforce the knowledge and skills acquired initially. The curriculum should cover a spectrum, from understanding the physics of falls to practical deployment of rescue techniques. With an emphasis on the real-world applicability of the acquired knowledge, workers are better prepared to handle the unexpected.

2) Regular Equipment Checks and Maintenance

Vigilant inspection of fall protection equipment on a routine basis is critical. A proactive approach involves meticulous checks of harnesses, lanyards, and anchor points, searching for any signs of wear or damage. Frequent and thorough equipment maintenance ensures that all components are in optimal condition, sustaining safety standards.

Maintaining an equipment log, detailing the inspection dates and results, adds a layer of accountability. This not only serves as a reference for compliance but also facilitates predictive maintenance. Identifying potential issues before they escalate ensures the integrity of the equipment, fostering a proactive safety culture.

3) Proactive Risk Assessment

Employers should conduct routine risk assessments of worksites to identify potential fall hazards. This proactive approach involves pinpointing areas of vulnerability and implementing preemptive measures. Installing guardrails, safety nets, or establishing controlled access zones are examples of proactive measures derived from these risk assessments.

The risk assessment process should be dynamic, adapting to changes in the work environment or procedures. Workers should be encouraged to report perceived hazards, creating a collaborative approach to risk identification. This iterative process ensures that the safety measures in place remain effective and relevant.

4) Emergency Response Protocols

The establishment of clear and well-rehearsed emergency response protocols for fall incidents is critical. This includes swift and efficient rescue procedures for suspended workers. Post-incident, providing thorough medical evaluations addresses any potential health implications due to the fall, ensuring a holistic approach to worker well-being.

Regular drills that simulate different fall scenarios prepare response teams for various challenges. This includes scenarios like confined spaces or elevated platforms. Mock rescues, coupled with debriefing sessions, refine the response protocols based on lessons learned during these exercises.

5) Proper Harness Selection

Selecting the right harness is paramount. Workers should be equipped with harnesses appropriate for their specific tasks, considering factors like the nature of the work, duration, and environment. The harness should be designed to minimize the impact of hanging in a suspended position, ensuring both comfort and safety.

The selection process involves understanding individual worker needs. Factors such as body size, comfort preferences, and the type of work performed contribute to the tailored selection of harnesses. Workers should actively participate in this process, fostering a sense of ownership over their safety equipment.

6) Implementing Fall Arrest Systems

Another important safety mechanism is fall arrest systems, which play a pivotal role in minimizing the impact of a fall. This includes the use of shock-absorbing lanyards and self-retracting lifelines. Engineered to significantly reduce the forces exerted on the body during a fall, these systems enhance overall safety, serving as a crucial component of fall prevention.

Beyond mere implementation, workers should be educated on the mechanics of these systems. Understanding how each component functions during a fall builds confidence in the equipment. Practical sessions that allow workers to deploy and test these systems in a controlled environment reinforce their effectiveness.

 

A worker is climbing up a wall using a harness.

Metro Safety – Your Trusted Source for Teaching Worker Safety

By integrating these preventive strategies into workplace safety practices, the risks associated with falls and suspension trauma can be significantly minimized. This multifaceted approach emphasizes education, equipment integrity, and a proactive stance toward safety, creating a robust framework for fall prevention.

For comprehensive fall protection training that prioritizes safety, connect with our teams at Metro Safety. Besides our fall protection course, we also offer courses on confined space safety, forklift operation, and several tiers of occupational first aid.

If you’re new to any of these areas, we have also shared various resources and guides on our website. Enrol today for a safer tomorrowTop of Form!