Between a Rock and a Hard Place - Aron Ralston [54]
Around two o’clock, I reconsider my status and my options. Waiting, chipping, and lifting have all played out unsuccessfully. For the first time, I seriously contemplate amputating my arm, thinking through the process and possible consequences. Laying out everything I have on the surfaces around me, I think through each item’s possible use in a surgery. My two biggest concerns are a cutting tool that can do the job, and a tourniquet that will keep me from bleeding out. There are two blades on my multi-tool: The inch-and-a-half blade is sharper than the three-inch one. It will be important to use the longer blade for hacking at the chockstone and preserve the shorter blade for the potential surgery.
I instinctively understand that even with the sharper blade, I won’t be able to saw through my bones. I’ve seen the hacksaws that Civil War–era doctors used for amputating patients’ legs and arms in battlefield hospitals, and I don’t have anything that could approximate even a rudimentary saw. I’ve made an assumption that I want to amputate as little of my arm as possible. This unstated parameter leads me to think strictly in terms of cutting through the bones of my forearm, as opposed to going through the cartilage of my elbow joint. The latter possibility never occurs to me, preemptively eliminating the likeliest method.
A vivid memory from a movie of a heroin user shooting up, with a length of surgical tubing wrapped around his arm, gives me the idea to experiment with a tourniquet of tubing from my empty CamelBak. I cut the tubing free from the reservoir and manage to tie it in a simple knot around my upper forearm, just below the elbow. The placement comes to me without consideration of the pressure points nearer my biceps. I’m thinking I will have to twist the tubing so tightly that it will permanently damage part of my arm; therefore, I should put it as close to the cutting site as possible. The knot in the tubing is loose, and I can’t cinch it down even after redoing it three times: The plastic material is too stiff to allow a small knot that would stay snug around my arm. I look around for a stick to put in the tourniquet, but there aren’t any thick enough for my needs. To tighten the tubing will require a force that would snap any stick I can reach.
So much for that idea.
I have a piece of purple webbing knotted in a loop that I untie and wrap around my forearm. A five-minute effort yields a doubled knot, but the loops are too loose to stop my circulation. Again, I need a stick…or I can use a carabiner and twist the loops tighter with that. I clip the gate of my last unused carabiner through the loops and rotate it twice. The webbing presses deeply into my forearm, and the skin nearer my wrist takes on the pallor of a fish belly. I’ve fashioned an effective tourniquet, and seeing my makeshift medical setup working brings me a subtle sense of satisfaction.
Nice work, Aron.
What else will I need? Basic first aid says to put direct pressure on a wound, so I’ll need something to wrap the end of my arm, minimizing any blood flow that sneaks past the tourniquet. The cushioned crotch of my biking shorts would make a good absorbent pad, and with the four feet of unused yellow webbing that I could cut from the anchor, I can secure the shorts around the end of my arm. Then I can stick my stump into my CamelBak mini-backpack, and with both straps around my neck, the pack will act like a sling, immobilizing my arm across my chest. Perfect.
Despite my optimism, there’s a darker undercurrent to my brainstorming. Though my mind is working on the amputation scenario, the operation is still only a theoretical possibility.