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It was a fantastic dream that came true!! I miss you all here in Nepal, but I hope to see you again!! The adventure will continue ♥ !
2nd day back at work – still glowing !! Thanks everyone for an amazing time. It was quite incredible. Miss you all!
What a fantastic adventure! Thank you everyone for making it so enjoyable! Now back to reality…
Photo’s (c) Ian Quigley
Assembling a rope stretcher
Dr Luane Freer demonstrated the use of the Kenrick Splint

Following the Everest Base Camp Trail from Lukla, the Wilderness Mountain Medicine course will run over a total of 16 days. 13 days will be spent trekking at an easy pace, staying in Nepalese teahouses along the route and enjoying the spectacular scenery along the route.
The Wilderness Mountain Medicine course will count for 22.5 CME points
A donation is made from the proceeds of the Wilderness Mountain Medicine Course in Nepal to the Everest ER organisation (a US based nonprofit charity org) to help continue its life saving work at Everest Base Camp. Everest ER T-shirts and 2011 patches for your rucksack can be gained by making a small donation.
To find out when the next CME accredited Mountain Medicine course is running visit the Expedition & Wilderness Medicine website
Of interest Extreme Medicine Conference
Sheltering the shadow of Brandberg Mountain, Namibia’s highest, EWM’s Desert & Wilderness Medicine course really is something different as Mark Hannaford explains
Developed for medical professionals and advanced medics working in hot or arid climates, the Desert and Wilderness Medicine medical training course aims to introduce participants to the skills required for working in hot, arid and sub Saharan areas, and to care for and treat injuries and illness likely to occur in this fascinating environment.
Book your place on Desert Medicine now …..www.expeditionmedicine.co.uk
Of interest - Conservation ‘Wild Medicine’ in Namibia
Its been a hectic few weeks at Expedition and Wilderness Medicine with the launch of the Extreme Medicine Conference in London April 2012 at the Royal Society

of Medicine but we haven’t been sitting still and we are proud, and pleased as punch, to announce a collaboration with National Geographic and Linblad Expeditions aboard their stunning expedition ship for 2012.
Join us from 7-19 December 2012 aboard the National Geographic Explorer, a state of the art expedition ship. Dr Freer is a former Medical Director of Yellowstone National Park, ex President of the Wilderness Medical Society and subject of the documentary ‘Everest ER’ which features her work running the field hospital at Everest Base Camp.
The ship will also have its own Expedition Leader, a National Geographic staffer, who are amazing experts in their own right and consequently offer a superb environment from which to explore this incredible region.
‘It’s humid, hot, muddy and sometimes cold at night, but it’s exactly this which makes the beautiful elements of the jungle just that bit more fantastic. Hidden waterfalls, incredible rivers, primary rainforest and then of course the chance of seeing elusive wildlife, jaguars, jaguarondis, monkeys and the plethora of ants, scorpions, spiders and snakes. The course is based on the Pacuare River, four hours by raft into the jungle.
The base camp has all the luxuries you don’t expect, with even a raised lecture theatre looking over the river. Expect to work hard in the jungle during the day, getting used to travel and life in the jungle and then relax in comfy chairs listening to a few evening lectures. Towards the end of the week you will have the opportunity to trial your new skills and travel into the jungle, sleeping in hammocks, cooking on fires and navigating through the jungle.
The directing staff will guide you through all of this and allow you to work and learn at your own speed, allowing you to feel safe and gain the most out of your experience and this incredible adventure. This course aims to give you the confidence to look after yourself in the jungle, hence allowing you to focus on the care of a sick patient.
See you in November!’
Jungle Wilderness Medicine Training Course – Spaces on this course are limited secure your place now
13 November 2011 to 19 November 2011
Feedback on our recent Polar Medicine training course in Norway has clearly affected some of the course delegates by creating a need for ‘biggles-speak’…
PapaFoxtrot calling Red Leaders AlphaHotel, AlphaCharlie, DeltaBravo, Bravo and Delta
Congrats on recent Operation Polar Bear
Wizard week
No prangs
Best ever
Location stunning
Bunks and chow excellent
Red Leaders all SPLENDID
Hope all returned to base safely
Please pass on to all members of Polar Bear as don’t have call signs
Do you read me ?
Over
Prospective, Double-Blind, Randomized, Placebo-Controlled Comparison of Acetazolamide Versus Ibuprofen for Prophylaxis Against High Altitude Headache: The Headache Evaluation at Altitude Trial (HEAT)
High altitude headache (HAH) is the most common neurological complaint at altitude and the defining component of acute mountain sickness (AMS). However, there is a paucity of literature concerning its prevention. The researchers sought to compare the effectiveness of ibuprofen and acetazolamide for the prevention of HAH.
Three hundred forty-three healthy western trekkers were recruited at altitudes of 4280 m and 4358 m and assigned to receive ibuprofen 600 mg, acetazolamide 85 mg, or placebo 3 times daily before continued ascent to 4928 m. Outcome measures included headache incidence and severity, AMS incidence and severity on the Lake Louise AMS Questionnaire (LLQ), and visual analog scale (VAS).
Two hundred sixty-five of 343 subjects completed the trial. HAH incidence was similar when treated with acetazolamide (27.1%) or ibuprofen (27.5%; P = .95), and both agents were significantly more effective than placebo (45.3%; P = .01). AMS incidence was similar when treated with acetazolamide (18.8%) or ibuprofen (13.7%; P = .34), and both agents were significantly more effective than placebo (28.6%; P = .03). In fully compliant participants, moderate or severe headache incidence was similar when treated with acetazolamide (3.8%) or ibuprofen (4.7%; P = .79), and both agents were significantly more effective than placebo (13.5%; P = .03).
Fascinatingly the authors demonstrated that Ibuprofen and acetazolamide are similarly effective in preventing HAH. This adds another medication to the useful arsenal to use in the treatment of AMS and in particular is especially useful when you have a patient who can’t take acetazolamide (diabetics or sulphur allergies) .
Learn more about Altitude Medicine by joining Expedition and Wilderness Medicine’s CME accredited Mountain Medicine course in Nepal headed up by Everest ER founder Dr Luanne Freer
Across the Divide one of the markets leaders in the charity treks and challenges, the first company of its type to employ medics on its charity challenges has some rare vacancies within its medical support team and is looking for expedition doctors with previous Kilimanjaro or high altitude experience.
All expedition doctors at Across the Divide are salaried, reasonable expenses are covered and a full high altitude medical kit provided along with full risk assessments, casualty evacuation plans and satellite communications.
In order to make the most of this rare opportunity please contact Steve Clark – steve@acrossthedivide.com but experience is essential.