When climbers, skiers, and other backcountry adventurers have an accident, they often aren't the only ones to suffer an injury. Partners, rescuers, and witnesses at the crag can feel the affects of "stress injuries" for years to come. In this episode, Ashley speaks with Laura McGladrey, a mental health nurse practitioner and veteran health provider in wilderness and humanitarian settings, about the importance of psychological first aid for outdoor adventurers and rescuers.

The Sharp End is presented by Mammut, with additional support from Colorado Outward Bound School, Suunto, and Prival USA. This podcast is produced by the American Alpine Club.

Brad Carter had started up a very difficult climb at Index Town Wall in Washington state. In the first 50 or 60 feet, this route has three widely spaced bolts for protection. When Carter decided to rest at the third bolt, he got the shock of his life. This incident occurred almost a decade ago, but the lessons about bad bolts are extremely relevant today!

The Sharp End is presented by Mammut, with additional support from Colorado Outward Bound School and Suunto. This podcast is produced by the American Alpine Club.

Patrick Stefanik and a friend headed to Clear Creek Canyon, Colorado, on a beautiful Saturday in April. Crowds at the busy Creekside area forced them to change their plans, and Patrick started up an unfamiliar 5.9. When it came time to lower from the anchor, Patrick's fun day out went very, very wrong.

The Sharp End is presented by Mammut, with additional support from Colorado Outward Bound School and Suunto. This podcast is produced by the American Alpine Club.

Kris Nova and a friend were attempting Mt. Rainier's remote and difficult Liberty Ridge when a boulder pulled loose and sent her on a tumbling fall, badly injuring one hand. In this episode, Kris describes her preparation for the climb, what happened on Liberty Ridge, and what she learned about calling for help after a mountain accident.

The Sharp End is presented by Mammut and co-sponsored by Colorado Outward Bound School and Suunto. This podcast is produced by the American Alpine Club.

Hans Florine was attempting his 110th ascent of the Nose of El Capitan in Yosemite Valley. He and a partner were doing the Nose in a Day (an elite climb), but were not attempting any speed records. Yet Hans still took a bone-breaking fall, despite all of his experience. Learn what went wrong for the man who literally wrote the book on climbing the Nose.

The Sharp End Podcast is presented by Mammut and co-sponsored by Suunto and Colorado Outward Bound School. This podcast is produced by the American Alpine Club.

It was October 2017, and Alex Doria and Jonathan Wachtel were starting up a dream climb: the Regular Northwest Face of Half Dome, high over Yosemite Valley. Alex was in the lead on the third pitch, and he felt good. Too good, as it turned out. He ran it out a long way between protection, and just as he was getting ready to place his next piece, he lost his balance and fell. Alex, Jonathan, and Ashley discuss what happened next and the lessons they learned.

This episode of the Sharp End is presented by Mammut, with additional support from Gnarly Nutrition, Colorado Outward Bound School, and Health IQ. This show is based on Accidents in North American Climbing, an annual publication of the American Alpine Club (AAC), and is produced by the AAC.

Greg Smith was 10 feet above his last piece of protection on a moderate climb in Calico Basin, outside Las Vegas, when he fell unexpectedly. His only piece pulled out and he hit the ground. At least that's what his climbing partner tells him, because he has very little memory of the day. In this episode, Greg and Ashley talk through the accident and the painful aftermath.

Find more details about this incident report in Greg's report for Accidents in North American Climbing: https://bit.ly/2rdN8Kj.

The Sharp End Podcast is presented by Mammut, with additional support from Colorado Outward Bound School and Health IQ. This podcast is produced by the American Alpine Club.

Ryan Bowie, 34, was ice climbing with a friend in the remote backcountry near their home in Tumbler Ridge, British Columbia. When Ryan set up a rappel from the top of a vertical ice wall, the highly experienced climber made a series of bad judgments, resulting in a terrifying plunge that could have ended a lot worse. In this episode, Ryan reflects on what went wrong that day.

The Sharp End is presented by Mammut, with additional support from Colorado Outward Bound School and Health IQ. This podcast is produced by the American Alpine Club.

In October 2017, well-known climber Quinn Brett fell over 100 feet while attempting a speed ascent of the Nose of El Capitan. She now lives with paralysis. For this very special episode of the Sharp End, Quinn spoke with Ashley about her climbing, the accident in Yosemite Valley, and the painful aftermath in front of a live audience at the American Alpine Club's Annual Benefit Dinner in February.

This episode of the Sharp End podcast was made possible by Mammut, Petzl, Health IQ, and Colorado Outward Bound School, and was produced by the American Alpine Club. Thanks to Chris Kalous for assistance in Boston and to Vince Schaefer / Cold House Media for photography.

Steve Smith was glissading down from Aasgard Pass, gateway to the Enchantments in Washington State, when he plunged into a deep hole caused by a waterfall of melting snow. This was a dangerous mistake: Several hikers and climbers have died falling into this same hole. Steve is now the climbing education manager for the Mountaineers and owner of Experiential Consulting, a risk-management consulting firm for outdoor programs. In this riveting episode, he shares the many lessons from that day on Aasgard Pass.

The Sharp End podcast is made possible by Mammut, Health IQ, and Colorado Outward Bound School, and is produced by the American Alpine Club.