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kest2703


May 6, 2008, 8:04 AM
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gunkiemike


May 8, 2008, 10:19 PM
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Re: [kest2703] AMGA -- American Mountain Guide Association [In reply to]
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As I understand it, the SPI exam comes at the end of the multi-day training. It is given by the instructor, who must of course be an AMGA certified SPI instructor. YIt is an on-rock practical test and so you can't download it as if it were a bunch of multiple choice questions.

There are alternatives to AMGA. Look up PCIA. But I think only AMGA is allied with the international organization IFMGA.


jmeizis


May 8, 2008, 11:28 PM
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Re: [kest2703] AMGA -- American Mountain Guide Association [In reply to]
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No they're not the only ones, just the most well recognized and as was said the only organization recognized by the IFMGA.

Check where you want to work, some places don't require it. Just make sure they have some risk management protocol and actually have some sort of program and aren't just a bunch of morons.

The course is instructed by an AMGA certified guide, someone who I believe has taken AMGA instructor course. You take the course which lasts three days, about 8 hours a day. They give you an evaluation of how you did. Then you sign up for the course andyou get a group of people, take them out like your on a single pitch trip and set up ropes for them. If you do anything that jeopardizes your safety or that of your clients you fail.

Like all certifications it's the quick and expensive way to show someone you know what your doing as opposed to putting in the mileage and learning it on your own. Unfortunately, some people won't look at you without the certifications. If you want to become a guide then go with the SPI. If you just want to work at a gym for a while then don't worry about certs.


majid_sabet


May 8, 2008, 11:34 PM
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Re: [gunkiemike] AMGA -- American Mountain Guide Association [In reply to]
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IMO, becoming a certified on something without gaining enough experience prior to be proficient on the subject is basically worthless and it is just a piece of paper to hang on wall. A lot of people go thru this phase of getting certification thinking that a piece of paper will put them a few steps ahead of others or sometimes builds this ego that a certified whatever knows or is superior to non-certified people but that is wrong reason to go after certification .Having certification in addition to experience and knowledge almost wins every time and in this type of activity, it will covers your end in case sh*t hits the fan and you end up in some court fighting a lawsuit.

Just go ahead and get some experience and then take the test. That way you earn it.


MikeSaint


May 9, 2008, 12:05 AM
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Re: [kest2703] AMGA -- American Mountain Guide Association [In reply to]
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kest2703 wrote:
Good Day,

I was wondering if the AMGA wall instructor and the AMGA single pitch instructor where the only recognized certification for instructing out there.

Is there a good alternative? Is working at the gym and passing the local gyms tests enough? or if i plan to continue working as an instructor, would it be beneficial to become AMGA certified?

Who instructs or tests you after taking the AMGA courses? Or can i download the test somewhere and take it, or can somebody "sign me off"???

just some questions i had.

Thanks already,
Kest

I would recommend getting more experience before any taking any classes. I can recommend taking the AMGA CWI. I know others who have taken the SPI and more advanced curriculums who really found it was a wise investment.

The AMGA is reputable association, maybe even the industry standard at this point.


(This post was edited by MikeSaint on May 9, 2008, 12:06 AM)


Partner j_ung


May 9, 2008, 1:15 AM
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Re: [majid_sabet] AMGA -- American Mountain Guide Association [In reply to]
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majid_sabet wrote:
IMO, becoming a certified on something without gaining enough experience prior to be proficient on the subject is basically worthless and it is just a piece of paper to hang on wall.

Well said.


jt512


May 9, 2008, 5:38 AM
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Re: [j_ung] AMGA -- American Mountain Guide Association [In reply to]
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j_ung wrote:
majid_sabet wrote:
IMO, becoming a certified on something without gaining enough experience prior to be proficient on the subject is basically worthless and it is just a piece of paper to hang on wall.

Well said.

Yeah, but usually the certifying authority requires that you have the requisite experience before you can be considered for the certification.


kest2703


May 9, 2008, 5:29 PM
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jt512


May 9, 2008, 5:40 PM
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Re: [kest2703] AMGA -- American Mountain Guide Association [In reply to]
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kest2703 wrote:
jt512 wrote:
j_ung wrote:
majid_sabet wrote:
IMO, becoming a certified on something without gaining enough experience prior to be proficient on the subject is basically worthless and it is just a piece of paper to hang on wall.

Well said.

Yeah, but usually the certifying authority requires that you have the requisite experience before you can be considered for the certification.

SPI requieres things like being able to climb 5.10a's comfortable and some other grades and so on.

and well i have been teaching for a year now, and really enjoy it. and i am not the piece of paper kind of guy. i dont really care. i dont like plaques (except the one i got for eagle scout). for me its more or less that i will be moving in one or two years and would like to find a job as an instructor again.

and well... pieces of paper have never helped anyone. and its more that they prove you have experience. so i dont really believe in this piece of paper crap either. so stop flaming me for it (jk i asked an opinion and this is what i got. )

so yeah.

Flamed you? What the fuck are you talking about. When I flame you, you'll know it. Thanks for mentioning that you were a Boy Scout. There's material in that.

Jay


MikeSaint


May 9, 2008, 6:03 PM
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Re: [kest2703] AMGA -- American Mountain Guide Association [In reply to]
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For the record: AMGA SPI does not require being able to climb 5.10's.

http://www.amga.com/programs/rock_SPI.php


lupocanine


May 16, 2008, 7:58 PM
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Re: [MikeSaint] AMGA -- American Mountain Guide Association [In reply to]
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Just because a person can't climb a 5.10 does not mean they don't know what they are doing. I had my back broke when a drunk driver hit me. I can't touch my toes because my back is fused. 5.10's are a little past what my body can handle anymore.

AMGA cert is better than the average here in Missouri. Here its buddy teaching a buddy and neither know the difference between climbing rope and hardware rope. With both of them learning only one belay method on the local plastic.


pipsqueekspire


May 17, 2008, 7:10 AM
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Re: [lupocanine] AMGA -- American Mountain Guide Association [In reply to]
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I took this course almost 6 years ago when it was the TR SIte Manager Course and again to recert just recently. I felt that my experience took what I THOUGHT was a casual test from the DMV and forced you to tighten your seatbelt, don a helmet and haul ass around a course with out so much as tapping an orange cone.

It focused on rescue skills in a one pitch setting. Hauling, lowering, belay escapes, ascending etc. Time is a big factor in this course. For example, in ~30 minutes complete the following:

1) Set up two anchors you have never seen before, MAKE a harness for your "client" (not kidding- the smart people made a harness for themselves and gave away their own harness, "the silly client left the harness on the hood of the car 45 minute hike from here")

2) Let the client rap a tension releasable rappel, with a back up and you have only one rope (think about it- it can be done). The client gets their "t-shirt stuck". You then have to release the rap and take the client on the back up line. Get the shirt unstuck and then let them rap the rest of the way.

3) Convert your systems/anchor back into a TR mode. THEN the client climbs back up and gets "stuck" again! You then have to escape (you never should have been in the anchor in the first place but some times they just wanna see you do it)

4) Haul your client back up- I mean HAUL. If your test taking buddy is 200lbs, you gotta haul her butt back up without help. Z-pulleys, c-pulleys, what ever it takes.

That is just one scenario of a 3-4 scenario testing day. Most climbers can't even set up 2 gear anchors in 30 minutes.(Go time yourself from base of cliff back to base of cliff ready to climb in an area you have never seen before)

You gotta know your stuff.

Munters, Munter-mules, tension releasable rappels, prussiks, bowlines, cloves, double eights, carabiner break rappels, equalization, improvised harness, anchor sytems, anchors using only your climbing rope and 2 biners, ascending systems (withOUT a gri gri, aider, tibloc, etc) hauling systems 2:1, 3:1, 6:1 (Again, withOUT pulleys, autoblocks, jumars etc- just a few items you always have with you) All of this was covered at some point.

Those of you who think this is just a piece of paper I ask you to test yourself on all the skills I just mentioned. I bet VERY few people on RC.com could do all of those things in the scenario I describe safely, fewer of them could do it in 30 minutes. Maybe 1% of all climbers have ever even set up all the systems I am talking about. I would not blow this course off.

I cant imagine what a Level III Rock test is like...


Just a few thoughts....

-pip

(This post was edited by pipsqueekspire on May 17, 2008, 7:42 AM)


socalclimber


May 17, 2008, 3:15 PM
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Re: [pipsqueekspire] AMGA -- American Mountain Guide Association [In reply to]
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Sounds like the TR course has gotten better over time. They used to take anybody with a belay device. Some of the people coming out of that course had no business taking it in the first place.

As far AMGA goes, if you want to truly guide in this country, you'd better get your AMGA certs. The Park Service has pretty much embrassed them, and other Federal land management types are doing the same, for instance, the BLM, The Forrest Service etc.

The AMGA pretty much has a lock on the guiding industry here in the US. So you might as well take the time and money and do it if you really want to guide and get hired legitimately.


phugganut


May 17, 2008, 5:36 PM
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Re: [kest2703] AMGA -- American Mountain Guide Association [In reply to]
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kest2703 wrote:
Good Day,

... Or can i download the test somewhere and take it, or can somebody "sign me off"???...

If you have all the skills & experience in the world, you can't just take the test. You MUST take the classes (& pay top-dollar for them) before they will allow you to test.

IMHO the AMGA seems to be primarily a self-serving organization. Their main purpose seems to be making & keeping themselves legitimate & necessary.

A necessary evil in this biz unfortunately. Maybe one day they will spend their efforts helping guides rather than milking them for cash and trying to advance their own goals, like making themselves necessary.


ja1484


May 17, 2008, 5:56 PM
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Re: [phugganut] AMGA -- American Mountain Guide Association [In reply to]
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phugganut wrote:
kest2703 wrote:
Good Day,

... Or can i download the test somewhere and take it, or can somebody "sign me off"???...

If you have all the skills & experience in the world, you can't just take the test. You MUST take the classes (& pay top-dollar for them) before they will allow you to test.

IMHO the AMGA seems to be primarily a self-serving organization. Their main purpose seems to be making & keeping themselves legitimate & necessary.

A necessary evil in this biz unfortunately. Maybe one day they will spend their efforts helping guides rather than milking them for cash and trying to advance their own goals, like making themselves necessary.


I don't have a problem with the organization. They're a good organization with good standards, and AMGA guides have their shit together.

That said, you don't need a certification to be very capable in the things they teach.


socalclimber


May 17, 2008, 7:11 PM
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Re: [ja1484] AMGA -- American Mountain Guide Association [In reply to]
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ja1484 wrote:
phugganut wrote:
kest2703 wrote:
Good Day,

... Or can i download the test somewhere and take it, or can somebody "sign me off"???...

If you have all the skills & experience in the world, you can't just take the test. You MUST take the classes (& pay top-dollar for them) before they will allow you to test.

IMHO the AMGA seems to be primarily a self-serving organization. Their main purpose seems to be making & keeping themselves legitimate & necessary.

A necessary evil in this biz unfortunately. Maybe one day they will spend their efforts helping guides rather than milking them for cash and trying to advance their own goals, like making themselves necessary.


I don't have a problem with the organization. They're a good organization with good standards, and AMGA guides have their shit together.

That said, you don't need a certification to be very capable in the things they teach.

This is bad advice. Ignore it!

Your point is moot. It makes no difference what you think about the AMGA good, bad, or indifferent. You clearly have no understanding of what is happening in the American guide scene.

Stop handing out advice on things you don't know anything about.

To the OP:

As I have stated before, if you wish to make guiding your job, you really will benefit from getting the Top Rope Site Manager course as A MINIMUM. You will also need a Wilderness First Aid cert. at minimum, not to mention a valid CPR cert. Your best bet is to get a WFR (Wildernes First Responder) cert. It's around 80 hours, and about $800 to $1000 for the course depending on who you take it from. Make sure the course is sanctioned by the WMA (Wilderness Medical Associates). I would also not bother with the Red Cross CPR course. It's worthless. Check out the American Heart Association. They are the only accepted CPR course for medical professionals in the country (that I'm aware of).

There are certainly plenty of "guide schools" out there, but if you're smart, you will only want to work with the reputable ones. Especially if you want to be able to work year round for multiple schools when the weather changes from one locale to the next.

Simply put, if it comes down to you or another guide getting hired by a reputable operation, the other has his certs and shit together and you don't, guess who's getting hired and who isn't.

If you have any other questions let me know, I have a fair amount of background with this.

It all boils down to liability. No certs, huge liability, proper certs. limited liability. If you owned a guide school and your neck was on the legal chopping block, combined with a ton of money and time invested, which would you choose?


ja1484


May 17, 2008, 8:38 PM
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Re: [socalclimber] AMGA -- American Mountain Guide Association [In reply to]
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socalclimber wrote:
This is bad advice. Ignore it!

Your point is moot. It makes no difference what you think about the AMGA good, bad, or indifferent. You clearly have no understanding of what is happening in the American guide scene.

Stop handing out advice on things you don't know anything about.


Where exactly did I hand out any advice? You need to calm down. All I stated was that someone, anyone, be they a recreational climber or otherwise, could be competent with safety and rescue systems, even if they haven't gone through any certification process.

I wasn't telling the OP to get, not get, or not consider getting certified.

People around here really should learn to read before they fly off the handle. I'm quite aware of the increased emphasis on certs and liability in the recent past since the AMGA retooled.

I was responding to the previous poster's opinion of the AMGA being a "self serving organization".


(This post was edited by ja1484 on May 17, 2008, 8:46 PM)


vegastradguy


May 17, 2008, 9:30 PM
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Re: [socalclimber] AMGA -- American Mountain Guide Association [In reply to]
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sheesh, that's some pretty emphatic advice, there socal.

at any rate, i should probably clarify a couple of things for you and the OP.

first and foremost, the TR Site Manager course is no longer a part of the AMGA cirriculum. It has essentially been changed to the Single Pitch Instructor course.

if you're going to really guide, though, i'd recommend working toward Rock Instructor, unless all you have around are single pitch climbs.

as for the WFR- the Wilderness Medicine Institute is one that i'd highly recommend. It's 80hrs, approximately $600, and includes a CPR cert.

i think socal is right on one hand- i think that the AMGA certification is something that is becoming more and more of a required standard for guiding in the u.s. on the other, though, i dont necessarily think that the AMGA is the only place you can become competent in the skills required for being a guide. it is however, probably the fastest way to do it, despite the cost.


steady_climbing


May 17, 2008, 10:44 PM
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Re: [kest2703] AMGA -- American Mountain Guide Association [In reply to]
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I suppose I will have to chime in here. From what I am gathering, you have minimal experience climbing outside.... In fact, I seriously doubt you have the required knowledge to even attend SPI. Get some real experience with a real mentor first.... Undesrstand that this "instruction" your giving on this half ass climbing wall should probably be taken for a grain of salt...


socalclimber


May 17, 2008, 11:50 PM
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Re: [vegastradguy] AMGA -- American Mountain Guide Association [In reply to]
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Well truth be told, minus the fact that the AMGA has again changed their course structure, the truth still remains the same. The requirements are rapidly becoming strict with regards to what it takes to get hired as a guide. AMGA certs are required at the very least by the senior of any guide school. Most insurance companies won't even talk to you much less give you a policy without it. The WFR (as I stated) is required for all guides as is the CPR.

This year we had a "rogue" seasonal ranger come through the park during the peak climbing season and pull 20 year veteran guides from the middle of classes, in front of their clients, and make them display their credentials. It was poorly handled. There were complaints, but believe me, those complaints fell on deaf ears.

Emphatic or otherwise, there was nothing inaccurate in my advice (minus the fact that the AMGA has changed their curriculum yet again). Frankly, I'm not really all that happy with the AMGA's position in the guide community. They have an absolute lock on the industry, they also have a monoply. They now largely control both the certification and the training process. But so it goes.

Oh, and let's not forget the AMGA is in love with the concept of changing their "systems" every few years or so. This way you have no choice but to dump out cash to stay "current".

The days of "hey I got a zillion pitches and years under my belt, I can guide for you" are coming to a close. As I stated in the last paragraph of my post, it's an issue of liability.

If you think this is bad, you would not believe what's happened to the Search And Rescue side of the world. It's even worse. Certifications have completely replaced qualifications.

Take it as you like, but it's time to pay to play if you want a paycheck attached.


reno


May 18, 2008, 3:09 PM
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socalclimber wrote:
Check out the American Heart Association. They are the only accepted CPR course for medical professionals in the country (that I'm aware of).

Wrong.


socalclimber


May 18, 2008, 3:32 PM
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I stand corrected. Who else? I'm curious.


majid_sabet


May 18, 2008, 3:51 PM
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socalclimber wrote:
ja1484 wrote:
phugganut wrote:
kest2703 wrote:
Good Day,

... Or can i download the test somewhere and take it, or can somebody "sign me off"???...

If you have all the skills & experience in the world, you can't just take the test. You MUST take the classes (& pay top-dollar for them) before they will allow you to test.

IMHO the AMGA seems to be primarily a self-serving organization. Their main purpose seems to be making & keeping themselves legitimate & necessary.

A necessary evil in this biz unfortunately. Maybe one day they will spend their efforts helping guides rather than milking them for cash and trying to advance their own goals, like making themselves necessary.


I don't have a problem with the organization. They're a good organization with good standards, and AMGA guides have their shit together.

That said, you don't need a certification to be very capable in the things they teach.

This is bad advice. Ignore it!

Your point is moot. It makes no difference what you think about the AMGA good, bad, or indifferent. You clearly have no understanding of what is happening in the American guide scene.

Stop handing out advice on things you don't know anything about.

To the OP:

As I have stated before, if you wish to make guiding your job, you really will benefit from getting the Top Rope Site Manager course as A MINIMUM. You will also need a Wilderness First Aid cert. at minimum, not to mention a valid CPR cert. Your best bet is to get a WFR (Wildernes First Responder) cert. It's around 80 hours, and about $800 to $1000 for the course depending on who you take it from. Make sure the course is sanctioned by the WMA (Wilderness Medical Associates). I would also not bother with the Red Cross CPR course. It's worthless. Check out the American Heart Association. They are the only accepted CPR course for medical professionals in the country (that I'm aware of).

There are certainly plenty of "guide schools" out there, but if you're smart, you will only want to work with the reputable ones. Especially if you want to be able to work year round for multiple schools when the weather changes from one locale to the next.

Simply put, if it comes down to you or another guide getting hired by a reputable operation, the other has his certs and shit together and you don't, guess who's getting hired and who isn't.

If you have any other questions let me know, I have a fair amount of background with this.

It all boils down to liability. No certs, huge liability, proper certs. limited liability. If you owned a guide school and your neck was on the legal chopping block, combined with a ton of money and time invested, which would you choose?


Do you have any idea what you talking about ?

Are you really in charge of some volunteer Org.?

I hope you do not kill any one dude.


reno


May 18, 2008, 4:46 PM
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Re: [socalclimber] AMGA -- American Mountain Guide Association [In reply to]
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socalclimber wrote:
I stand corrected. Who else? I'm curious.

Many hospitals, EMS providers, and the like will accept a CPR certification from an organization called ASHI (American Safety and Health Institute.)

http://www.ashinstitute.org/

ASHI basically copied the American Heart stuff and put new wrapping on it. The AHA paid for and compiled tons of research. ASHI just read what the AHA came up with, and are thus able to offer the same course information at a substantially reduced cost.


climbingaggie03


May 18, 2008, 5:22 PM
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My hospital accepted the CPR cert from my WMA WFR course. which is fantastic, cause it's the only CPR cert I know of that is good for 3 years.


socalclimber


May 18, 2008, 5:54 PM
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Re: [reno] AMGA -- American Mountain Guide Association [In reply to]
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Thanks, that's good to know. I need to find out if they do there course in my area. I'm a tad out on CPR cert and with the new protocols I guess it's time to get it done. Cheaper is always fine with me.

Rajmit.... oh never mind, talking to you makes as much sense as a soup sandwich.

Thanks again Reno.


reno


May 18, 2008, 6:19 PM
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Re: [socalclimber] AMGA -- American Mountain Guide Association [In reply to]
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socalclimber wrote:
Thanks, that's good to know. I need to find out if they do there course in my area. I'm a tad out on CPR cert and with the new protocols I guess it's time to get it done. Cheaper is always fine with me.

Rajmit.... oh never mind, talking to you makes as much sense as a soup sandwich.

Thanks again Reno.

No worries, SoCal. Happy I could be of service.


ja1484


May 18, 2008, 6:22 PM
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socalclimber wrote:
Thanks, that's good to know. I need to find out if they do there course in my area. I'm a tad out on CPR cert and with the new protocols I guess it's time to get it done. Cheaper is always fine with me.

Rajmit.... oh never mind, talking to you makes as much sense as a soup sandwich.

Thanks again Reno.


Yeah, now's a good time, because the AHA just revamped all its recommendations for obstructed airway procedures (i.e. choking victim goes unconscious) and there are a couple other differences (it's 30/2 @ 5x/2 minutes now). I had to renew my AHA a couple months ago.

You might want to check and make sure AHSI has adopted the new standards.


(This post was edited by ja1484 on May 18, 2008, 11:04 PM)


pipsqueekspire


May 18, 2008, 8:25 PM
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Re: [ja1484] AMGA -- American Mountain Guide Association [In reply to]
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BACK TO THE POINT Sheesh! Go pump and blow somewhere else! (That's a CPR joke.)

Apparently no one here is involved in professional guiding politics. I'm not either but at least I have heard of PCIA. They are being more widely accepted as a certifying agency- including several national parks like JT http://pcia.us/pro/

Professional Climbing Instructors Association.

-pip


moose_droppings


May 18, 2008, 10:21 PM
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ja1484 wrote:
socalclimber wrote:
Thanks, that's good to know. I need to find out if they do there course in my area. I'm a tad out on CPR cert and with the new protocols I guess it's time to get it done. Cheaper is always fine with me.

Rajmit.... oh never mind, talking to you makes as much sense as a soup sandwich.

Thanks again Reno.


Yeah, now's a good time, because the AHA just revamped all its recommendations for obstructed airway procedures (i.e. choking victim goes unconscious) and there are a couple other differences (it's 30/2 @ 5x/minute now). I had to renew my AHA a couple months ago.

You might want to check and make sure AHSI has adopted the new standards.

Every 2 minutes, and for the future there's talk of going all compressions and no breaths.


ja1484


May 18, 2008, 11:05 PM
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moose_droppings wrote:
ja1484 wrote:
socalclimber wrote:
Thanks, that's good to know. I need to find out if they do there course in my area. I'm a tad out on CPR cert and with the new protocols I guess it's time to get it done. Cheaper is always fine with me.

Rajmit.... oh never mind, talking to you makes as much sense as a soup sandwich.

Thanks again Reno.


Yeah, now's a good time, because the AHA just revamped all its recommendations for obstructed airway procedures (i.e. choking victim goes unconscious) and there are a couple other differences (it's 30/2 @ 5x/minute now). I had to renew my AHA a couple months ago.

You might want to check and make sure AHSI has adopted the new standards.

Every 2 minutes, and for the future there's talk of going all compressions and no breaths.


My mistake. Didn't feel like pulling the sheet out to review.


onceahardman


May 19, 2008, 12:54 AM
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Re: [moose_droppings] AMGA -- American Mountain Guide Association [In reply to]
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Even though nobody asked...

Years ago, I got my guiding license in New York State. I was horrified by the process. I needed basic First Aid, CPR, and Basic Water Safety (?). Then, a written test.

NOBODY so much as watched me tie an overhand knot! No practical section whatsoever, just a multiple guess written test.

I don't know anymore, as time is limited, I'd rather climb and mentor than actually guide, but it would not surprise me, here in the People's Republic of New York, if a NYS license is still the only thing needed.


Partner j_ung


May 20, 2008, 6:43 PM
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Word on the street is that Pisgah National Forest (home to Looking Glass Rock, Cedar Rock and many other smaller crags) will begin requiring all guides and group instructors, be they assistants or leaders, to carry AMGA Single Pitch certification at a minimum -- beginning in 2009. To my knowledge this is the most stringent requirement to date in the US, and it will affect hundreds of people, since the above areas are virtually overrun with camp groups all summer long.


climbingaggie03


May 20, 2008, 6:47 PM
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j_ung wrote:
Word on the street is that Pisgah National Forest (home to Looking Glass Rock, Cedar Rock and many other smaller crags) will begin requiring all guides and group instructors, be they assistants or leaders, to carry AMGA Single Pitch certification at a minimum -- beginning in 2009. To my knowledge this is the most stringent requirement to date in the US, and it will affect hundreds of people, since the above areas are virtually overrun with camp groups all summer long.

hmmm, that could be interesting. So does this mean everyone belaying would have to have an SPI? or just the leaders? I'd bet that the camps have probably 1 certified person now to set the anchors and manage the site, however if everybody who is holding a rope has to have an AMGA cert, the crowds probably won't be very bad in 2009.


redpoint73


May 20, 2008, 7:58 PM
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moose_droppings wrote:
ja1484 wrote:
socalclimber wrote:
Thanks, that's good to know. I need to find out if they do there course in my area. I'm a tad out on CPR cert and with the new protocols I guess it's time to get it done. Cheaper is always fine with me.

Rajmit.... oh never mind, talking to you makes as much sense as a soup sandwich.

Thanks again Reno.


Yeah, now's a good time, because the AHA just revamped all its recommendations for obstructed airway procedures (i.e. choking victim goes unconscious) and there are a couple other differences (it's 30/2 @ 5x/minute now). I had to renew my AHA a couple months ago.

You might want to check and make sure AHSI has adopted the new standards.

Every 2 minutes, and for the future there's talk of going all compressions and no breaths.

Are you sure about that???

Updated 911 procedures for completely untrained people is compressions and no rescue breaths, b/c studies have shown that untrained bystanders responding to a victim cannot be properly explained over the phone by 911 operator on how to perform breaths. Plus, studies have also shown that a bystander is much more likely to administer CPR if breaths are not involved, b/c they are freaked out about putting their mouth on a stranger's mouth. "Its better than nothing" is the main driver behind this philosophy.

For trained personnel (including just the one-day CPR training), the procedure still includes rescue breaths. I haven't heard any talk about that changing. But I would be interested in hearing if you know differently.

The reason for this, is that a person with the one-day CPR training is fairly likely to administer breaths properly. Yes, there is oxygen in your bloodstream when you have a heart attack (the reason why compressions w. no breaths works) , but only about 10 minutes worth. After that, you would just be pumping de-oxygenated blood around the victims body (which is useless). Its every bit likely (even in the city) that emergency services will not respond in 10 minutes, so thats why they are still teaching rescue breaths.

I understand that breaking the rhythm of the compressions is another reason why rescue breaths turn out to be less effective than previously thought. I also know there is a high-profile medical doctor in Arizona that is a proponent of the "no-compression" philosophy, and has been changing the standard in Arizona.

But I still don't see a point in pumping blood around the victims body, when there is no oxygen in the blood anymore.

My AHA instructor stated there is lots of misinformation going around about "no compressions", thanks to the media. He said that one "AHA expert" that has been repeatedly quoted as being a proponent of "no compression" does not even work for the AHA anymore, and hasn't for years.


Partner j_ung


May 20, 2008, 8:18 PM
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Re: [redpoint73] AMGA -- American Mountain Guide Association [In reply to]
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redpoint73 wrote:
moose_droppings wrote:
ja1484 wrote:
socalclimber wrote:
Thanks, that's good to know. I need to find out if they do there course in my area. I'm a tad out on CPR cert and with the new protocols I guess it's time to get it done. Cheaper is always fine with me.

Rajmit.... oh never mind, talking to you makes as much sense as a soup sandwich.

Thanks again Reno.


Yeah, now's a good time, because the AHA just revamped all its recommendations for obstructed airway procedures (i.e. choking victim goes unconscious) and there are a couple other differences (it's 30/2 @ 5x/minute now). I had to renew my AHA a couple months ago.

You might want to check and make sure AHSI has adopted the new standards.

Every 2 minutes, and for the future there's talk of going all compressions and no breaths.

Are you sure about that???

Updated 911 procedures for completely untrained people is compressions and no rescue breaths, b/c studies have shown that untrained bystanders responding to a victim cannot be properly explained over the phone by 911 operator on how to perform breaths. Plus, studies have also shown that a bystander is much more likely to administer CPR if breaths are not involved, b/c they are freaked out about putting their mouth on a stranger's mouth. "Its better than nothing" is the main driver behind this philosophy.

For trained personnel (including just the one-day CPR training), the procedure still includes rescue breaths. I haven't heard any talk about that changing. But I would be interested in hearing if you know differently.

The reason for this, is that a person with the one-day CPR training is fairly likely to administer breaths properly. Yes, there is oxygen in your bloodstream when you have a heart attack (the reason why compressions w. no breaths works) , but only about 10 minutes worth. After that, you would just be pumping de-oxygenated blood around the victims body (which is useless). Its every bit likely (even in the city) that emergency services will not respond in 10 minutes, so thats why they are still teaching rescue breaths.

I understand that breaking the rhythm of the compressions is another reason why rescue breaths turn out to be less effective than previously thought. I also know there is a high-profile medical doctor in Arizona that is a proponent of the "no-compression" philosophy, and has been changing the standard in Arizona.

But I still don't see a point in pumping blood around the victims body, when there is no oxygen in the blood anymore.

My AHA instructor stated there is lots of misinformation going around about "no compressions", thanks to the media. He said that one "AHA expert" that has been repeatedly quoted as being a proponent of "no compression" does not even work for the AHA anymore, and hasn't for years.

Crossposted from another thread:

http://www.msnbc.msn.com/id/23884566/

It's official. The American Heart Association has changed CPR once again. Breaths are no longer required at all.

In reply to:
In a major change, the American Heart Association said Monday that hands-only CPR — rapid, deep presses on the victim’s chest until help arrives — works just as well as standard CPR for sudden cardiac arrest in adults.

But, there are still come situations for which they recommend traditional CPR:

In reply to:
This action should be taken only for adults who unexpectedly collapse, stop breathing and are unresponsive. The odds are that the person is having cardiac arrest — the heart suddenly stops — which can occur after a heart attack or be caused by other heart problems. In such a case, the victim still has ample air in the lungs and blood and compressions keep blood flowing to the brain, heart and other organs.

A child who collapses is more likely to primarily have breathing problems — and in that case, mouth-to-mouth breathing should be used. That also applies to adults who suffer lack of oxygen from a near-drowning, drug overdose, or carbon monoxide poisoning. In these cases, people need mouth-to-mouth to get air into their lungs and bloodstream.


shockabuku


May 20, 2008, 8:34 PM
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Re: [socalclimber] AMGA -- American Mountain Guide Association [In reply to]
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Hey, anyone have any idea how often 1) a guide would be in a position to administer CPR and 2) how often a response with a defibrilator would be in time to be of any real use?


pipsqueekspire


May 21, 2008, 5:06 AM
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Compressions pump blood- the amount of oxygen in your blood is sufficient to maintain basic metabolic processes of the brain for a while even without breathing. (Try holding your breath- Aha! Proof that it works.) The more acidic your blood becomes the better it is at releasing the reserves so you can strip your blood of oxygen better as you're working out (or holding your breath or just not breathing). Removing metabolic waste products is another part of circulation. All in all pumping only is better than nothing. Besides what is the oxygen content of a "rescue" breath- its close to venous blood content level since it was already used by the rescuer anyway.

Regarding the how often question people use CPR on a client- not often. Unless you are guiding AARP members who stop smoking just long enough to inject insulin after consuming a Grand Slam breakfast.

The only stories I have heard about CPR in the field have all been traumatic. CPR in this setting is nearly useless and de-fib is only indicated in a few abnormal rhythms like v-fib. SO - I wouldn't bother carrying an AED in my pack yet. I would bring a stethescope and a large bore needle first to drain that tension pneumo caused by the rib that pierced your lung. Or- I would just watch my clients like a hawk and try to avoid that fall in the first place.

Cool fact- Where is the best place in the USA to have a heart attack and survive? You would think it was in the ICU right after your gall bladder surgery and you just got lucky enough to code right in front of a nurse. WRONG! It's in a Vegas casino. They have the best rates of immediate de-fib and "saves" even better than if you are in the hospital. (Please ignore the fact that most people in hospitals are already sick with some organ damage and not likely to survive anyway- it makes for a way cooler story without the selection bias.)

Just a few thoughts

-pip


basilisk


May 21, 2008, 5:35 AM
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Re: [climbingaggie03] AMGA -- American Mountain Guide Association [In reply to]
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climbingaggie03 wrote:
My hospital accepted the CPR cert from my WMA WFR course. which is fantastic, cause it's the only CPR cert I know of that is good for 3 years.

Unless you've got something fancy going on, you might want to double check that. I got CPR with WFR, and they made an explicit point that although WFR is valid for three years, CPR is only good for two. And if CPR runs out, then WFR is no longer valid either.

Not saying you're wrong by any means, but it doesn't line up with my knowledge and it'd suck for you to have to retake WFR due to a misunderstanding.


guangzhou


May 22, 2008, 7:12 AM
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climbingaggie03 wrote:
j_ung wrote:
Word on the street is that Pisgah National Forest (home to Looking Glass Rock, Cedar Rock and many other smaller crags) will begin requiring all guides and group instructors, be they assistants or leaders, to carry AMGA Single Pitch certification at a minimum -- beginning in 2009. To my knowledge this is the most stringent requirement to date in the US, and it will affect hundreds of people, since the above areas are virtually overrun with camp groups all summer long.

hmmm, that could be interesting. So does this mean everyone belaying would have to have an SPI? or just the leaders? I'd bet that the camps have probably 1 certified person now to set the anchors and manage the site, however if everybody who is holding a rope has to have an AMGA cert, the crowds probably won't be very bad in 2009.

I am curious about this too. I don't guide in that area anymore, but when my service had permit, all we needed was a one million dollar liability insurance.

I have been a professional member of AMGA since the late 90's and they are always pushing for the industry to become more regulated, but America isn't there yet and I doubt it will be anytime soon.

AMGA certification is an excellent program, but like any certification program, it has it flaws. I won't get into them here.

One reason I don;t see guiding being more regulated any time soon is that plenty of big guide services aren't pushing for it. Actually, I can't think of a single guide service that is petitioning the Federal government too. I can't think of it at state level either.

One thing about guiding in the United States is that many of our crags are actually not on public land. Yes, the Federal government owns a few and so do the various state government, but many of our area are private land owner and organization. Private land owner s deal with guide services how they see fit. I know this from personal experience.

Guiding insurance, well I get asked when I pay my fees every year about my certification, but not being certified, I am not, doesn't prevent me from getting my Insurance. Cost me about 1400 a year to get my guide insurance. This will be the first year in ten that I won't be paying insurance for guiding.

Before any of you assume I am speaking of Asia, let me make this clear, my guiding, my insurance, and my permits were are all in the U.S.A. Asia guiding is even less regulated.

America is along way from having a mandatory guide certification. Part of me wishes the industry was more regulated, but part of me likes it the way it is. of course, I do believe in AMGA's mission and I will continue my professional membership for along time.

On a seprate note, in response to one post above. The guiding industry doesn't even know what going on within the guiding industry. America is a big country with a lot of small local guides and individual land owners all doing what they do. Most are very proficient, so aren't.

(This post was edited by guangzhou on May 22, 2008, 7:17 AM)


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