What are the “Screaming Barfies”?
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This recently landed in the Alpinesavvy Inbox . . .
Hi John,
I’m enjoying your regular climbing tips, as always. I have a topic suggestion for your first aid section: the dreaded screaming barfies.
Experienced climbers might get through the throbbing pain and frequent nausea with a mixture of cursing and laughter, but for beginners or anyone who hasn’t experienced this before, it can be a pretty scary experience.
When you consider the chance of this unexpected pain, nausea, and fear leading to a mid-climb mistake or lapse in judgment, the stakes get a little higher. For beginners in steep terrain, who might already be at the edge of their comfort zone, pain, fear, and nausea can spiral downhill pretty quickly.
I haven’t seen this topic mentioned very often in wilderness medicine and climbing education contexts, so I think it’s worth raising some more awareness. Being able to anticipate this can help climbers recognize the need for earlier rewarming, and also be ready to provide the support and psychological first aid their partners or students might need.
David P.
David, excellent suggestion! Let's have a look.
If you like cold weather sports, you’re probably familiar with a not very fun (unless it's happening to your partner and not you) medical condition with a spectacular name, aptly called the “screaming barfies.”
“Screaming”, because that may be your reaction to the few minutes of pain, and “barfies”, because sometimes you throw up!
What causes the screaming barfies?
The condition happens when blood flow to the extremities is restricted due to cold temperatures and physical exertion, such as gripping ice tools tightly or holding hands above the heart for extended periods.
When your circulation improves and warm blood returns, the nerves react sharply, causing a tingling or burning sensation that can be so overwhelming it triggers nausea or even vomiting in some cases. The nausea is believed to be caused by the nervous system's response to extreme pain, which stimulates the brain's emetic center responsible for inducing vomiting.
The good news is the pain doesn't last long (1-5 minutes) and goes away on its own.
How to prevent the screaming barfies?
Do what you can to maintain blood flow and warmth in the hands.
Use a multi-glove system, keeping thicker gloves for belaying and thinner ones for climbing to avoid over-gripping. Regularly shaking out hands below the heart, loosening grip on tools, staying hydrated, and keeping the body core warm can help.
Check out my recent series of posts from Canadian ice climbing expert Wild Gadd on how to keep your hands and feet warm, lots of good general tips in there.
Bad news: it sucks for a few minutes, and it can be distracting to your focus and performance.
Good news: it doesn’t put you in long-term danger, and may provide a few minutes of amusement and possibly entertaining video footage for your climbing partner. =^)
Hopefully, you can laugh about it later. Remember, it doesn't have to be fun, to be fun.
“Schadenfreude” (German) - feeling pleasure in response to another's misfortune. “Schaden” (damage) and “Freude” (joy).
