Skiers and other snow sports enthusiasts can become lightning casualties. Two such accidents are reported, one being fatal. There are fewer warning signals of impending lightning strikes in winter-like conditions. However, outdoor activists should be aware of at least two suspicious clues: the appearance of convective clouds, and the presence of graupel (snow pellets) during precipitation. (Br J Sports Med 1998;32:333-335) Keywords: injury; lightning; skiing Skiers and other snow sports enthusiasts face many health hazards. Few think of lightning as one of the dangers that confront them. It is well known that lightning is a threat to the health of those engaged in summer recreational activities, such as golfing, boating, swimming, and mountain hiking.1 It may come as surprise to many that those participating in skiing and snowmobiling are also at risk of being injured by lightning. Although lightning is less common in the winter months, its electrical power is often more damaging than summer lightning. 2 We present the case of a ski patrol member on a snowmobile who received ocular injuries while rescuing another skier who had had a non-lightning injury. Also, we review a previously reported patient who had a fatal lightning skiing injury.3 Since that case was reported, we have learnt additional information about the weather conditions that we detail here.We describe the meteorological conditions that are necessary for lightning during snowy conditions and provide a few clues that might allow one to suspect an impending lightning storm.
Case reportA 38 year old man was above the timber line at an altitude of 12 500 feet (3800 metres) near Breckenridge, Colorado. He described the weather as cold with sleet and lightning. In a subsequent interview it became clear that what he called "sleet" was actually graupel or snow pellets. He was on a ski rescue mission when he saw a flash of bright light and was thrown about five feet oV his snowmobile. It was 4 30 pm on 8 June 1997 and the outdoor temperature was 3.3°C. He was transporting an injured skier with a broken neck in a fibreglass toboggan on the back of his snowmobile when the lightning struck. He was unconsciousness for a moment and on regaining consciousness he experienced numbness and weakness in his left arm and leg. He had diYculty swallowing or speaking for a few minutes. He was then able to use his right hand to remove his radiotelephone from his back pocket and call for help.The search and rescue team reached him in about 15 minutes. At that time his speech was "garbled" and he had diYculty opening his eyes because of extreme sensitivity to light. He was wearing a helmet which covered his head, face, and ears. The visor was up so that he could see. He was taken by ambulance to Centura Health, St Anthony Hospital in Denver, Colorado. In the hospital his neurological examination was normal. His abnormalities were confined to the ophthalmological examination. He had swollen eyelids without ecchymosis. The anterior segments showed chemotic conjunct...