Nepal Everest Basecamp Altitude Medicine Trek

Clinical Preceptors:
Dr. Jessica Gehner

Prerequisite(s):
Clearance by primary doctor, approval of institution

Duration:
3 weeks

Course Objectives:
Demonstrate knowledge of physiologic changes occurring at altitude, including the pathophysiology of acute mountain sickness and related conditions
Prepare for a trek into high altitude terrain including compiling gear and a medical kit which includes items to treat and prevent altitude related conditions in the backcountry.
Teach Nepali Medical students from Tribhuvan Institute of Medicine as well as Sherpa mountain guides and porters basic wilderness medical first aid in a hands on workshop.
Discuss the Nepali rural medical system and the limited resources available at these remote location, this includes evacuation from the backcountry.

Detailed Course Description:
This course will be a totally immersive high altitude experience in which participants will learn about Altitude Physiology, Pathophysiology and Prevention of Acute Mountain Sickness. Students will prepare for a trek to Everest Base Camp (elevation ~5400m) in which they will travel 70 miles on foot in the gorgeous and rugged Himalayan Mountains of the Khumbu Valley. They will learn about expedition preparation, medical kit compilation, medical prophylaxis of acute mountain sickness, and management of medical emergencies in the backcountry.
On this trek, students will visit Lukla Hospital, Khunde Hospital, the Medical Clinic at Namche Bazaar, the Himalayan Rescue Association Medical Clinic at Pheriche and of course Everest ER. While in Kathmandu, students will also have the opportunity to participate and teach portions of a hands on Wilderness Medicine workshop with Medical Students from Tribhuvan Institute of Medicine.
Requirements for this rotation include clearance by the student’s primary physician, international travel insurance with evacuation insurance, and provision of basic backpacking and cold weather gear.