Climbing

The Climbing Column is for all climbers (bouldering to big-wall, sandstone to snow) to read about safety and prevention as well as awareness and management of climbing injuries.  Posts range from news accounts to educational guides to interviews and everything in between that relates to climbing and wilderness medicine.

Column Editor: Lainey Yu, DO, MS, FAWM, DiDMM 

 


Xenon in Mountaineering

Erin Etoll MDJenny Thacker MD, FACEP, DiDMM
May 26, 2026

Explore the debate around xenon gas in high-altitude mountaineering, including its proposed role in acclimatization, Everest expeditions, WADA restrictions, and the unanswered questions surrounding safety and efficacy.


Buildering Goes Mainstream

Lainey Yu, DO, MS, FAWM, DiMM, DiDMM
March 13, 2026

A look at buildering’s growing visibility after Alex Honnold’s Taipei 101 ascent, and the practical safety considerations climbers should assess when moving from rock to urban structures.


Crimp with Caution

Samantha Mazzeo, DO
September 25, 2025

The most common injuries seen in rock climbing are tendinopathies (tendonitis, tendon strain, or tendon rupture), muscle strains, and joint sprains, accounting for almost 75% of all injuries.


Particulates in Rock Climbing Gyms

Paul Hein, MD
June 13, 2025

Indoor rock climbing is a great way to try out the sport in a more controlled environment but causes concerns about air quality.


Bolting Ethics

Lainey Yu, DO, MS, FAWM, DiMM, DiDMM
March 3, 2025

While the WMS community mourns the death of a member and the climbing community reignites debates on helmets, risk tolerance, and bolting wars, I couldn’t help but ponder: are “old-school” bolting ethics harmful to modern climbers?


Innovations in Climbing Safety: Climbing Harnesses

Jeff Thurman, MD, DiMM, FACEP, FAEMS, FAWM
November 18, 2024

In addition to a robust feature set, harnesses are now engineered to high standards


3 Ways to Use Your Climbing Gear When Things Go Wrong

Lainey Yu, DO, MS, FAWM, DiDMM, DiMM
August 26, 2024

Creative solutions for unexpected situations


Innovations in Climbing Safety: Climbing Helmets

Jeff Thurman, MD, DiMM, FACEP, FAEMS, FAWM
February 20, 2024

Modern helmets are marvels of lightweight materials and engineering


Innovations in Climbing Safety

Jeff Thurman, MD, DiMM, FACEP, FAEMS, FAWM
November 21, 2023

Rock protection


Innovations in Climbing Safety: Belay Devices and Techniques

Jeff Thurman, MD, FACEP, FAEMS, FAWM
April 17, 2023

Belaying forms the sacred bond of climbing


In Terms of Safety: Injury in Bouldering versus Rope Climbing

Kristi Tran, MD
March 1, 2023

Insight for both clinicians and climbers


Climbing Anchors

Elaine Yu, DO, MS, FAWM
September 9, 2022

The good, the bad, and the ugly


Cold Montane Environments

Derek DeBruin, WFR
January 7, 2022

Tips to Stay Warm and Dry (and Injury-Free)


Rock Climbing Accidents

Elaine Yu, DO, FAWM
November 1, 2021

2021 Year in Review


Accidents in North American Climbing (ANAC)

Corey Winstead, PA-S2, W/AEMT, FAWM, SPI
May 10, 2021

Accidents in North American Climbing


Age of Evidence-Based Medicine

Corey Winstead
September 16, 2020

Vertical Rescues


Promoting "Peak" Health

Corey Winstead
April 12, 2020

Guided Climbing Considerations in the COVID-19 Era


Communication During Climbing Transitions

R. Bryan Simon, MSc (Mtn Med), RN, FAWM, DiMM
October 22, 2019

How improved communication can help prevent climbing injuries


Climbing Rescue

R. Bryan Simon, MSc (Mtn Med), RN, FAWM, DiMM
August 22, 2019

The importance of understanding common climbing vernacular by SAR


Check Your Gear

R.Bryan Simon, MSc, RN, DiMM, FAWM
June 3, 2019

Gear: Imposters, recalls, and just plain worn out


The Sharp End

R. Bryan Simon, RN, FAWM, DiMM
July 15, 2017

A discussion with Ashley Saupe, creator of the "Sharp End" podcast...