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Expedition and Wilderness Medicine     Telephone +44 (0)1297 300503     Email admin@expedition-medicine.com
CME accredited medical expedition to climb Aconcagua presented in association with Andes Mountain Guides

Course Details

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Cost

£5,145.00

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YOU CAN ALSO PAY BY CHEQUE OR BY BANK TRANSFER. CONTACT US FOR OUR BANK DETAILS.
 
If you have any queries, please email us or call +44 (0)1297 20583. Thank you.
 
The full balance must be paid 8 weeks before the course. If you are booking after this point, you must pay the balance in full.

Mountain Medicine | Aconcagua 16 CME Argentina

07 January 2018 to 26 January 2018

Aconcagua is the highest point on the American continent and the tallest peak in the world outside of Asia. Rising approximately 4,000 ft above its surrounding peaks, Aconcagua, 'The Stone Sentinel', dominates the rugged Andean landscape. The ascent to its summit offers spectacular views of the Andes mountain range.

Our medical expedition will be following the Horcones Glacier, with our attempt on the summit being made on the northeast aspect of the mountain.

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More Information

Highlights of this CME-accredited medical training include pathophysiology, and treatment and prioritization of care for a variety of medical problems commonly encountered in wilderness environments and settings remote from hospital / definitive care. Physicians and allied health care providers who counsel patients traveling to remote areas will be interested in the topics covered during this unique CME event.

If you are not a medic and therefore will not be claiming CME credits a discount will be given.

Curriculum includes altitude safety, altitude risk reduction, recent recommendations on altitude-related illnesses prophylaxis, rescue strategies and ethics, as well as real Everest war stories, uncovering what it really takes to deliver health care in the high mountain environment. This will be achieved through didactic lectures, small-group discussions and hands-on training.

Length: 20 days    Climber/guide ratio: 3:1    Capacity: 20 

Included

  • Certified Mountain Guides (bilingual)
  • 2 nights 5* Hotel accommodations in Mendoza and Penitentes. 2 nights Hosteria in Penitentes
  • Assistance obtaining the permits (permit's fee not included)
  • All meals while in the mountain
  • Restaurant meals in Mendoza and Penitentes (as seen on the Itinerary)
  • Camping and cooking gear for the group
  • Base camp services: dining tent, WC, hyperbaric chamber, emergency oxygen
  • Satellite phone service (minutes not included)
  • Mules
  • Porters for group gear (tents, cookware, food, etc)
  • Private ground transportation throughout the trip.
  • 24/7 assistance in the US before and during the program.
  • AMG Cap
  • Real time online dispatches.

Not included

  • Plane tickets
  • Park Fees
  • Restaurant meals not listed in the itinerary
  • Restaurant drinks
  • Personal equipment
  • Personal Insurance (Global Rescue or Travel Ex)
  • Personal expenses
  • Cost of personal porters if desired or necessary.
  • Rescue costs and extra expenses caused by abandoning the expedition.

Accreditation statement

The Wilderness Medical Society designates this educational activity for a maximum of 16 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Wilderness Medical Society and Andes Mountain Guides. The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

Itinerary

Expedition & Wilderness Medicine is teaming up with Andes Mountain Guides to provide this CME accredited medical expedition.

Timetable subject to change.

Day 1 Flight to Mendoza. You should arrange your flight in order to arrive in Santiago (Chile) in the morning on January 7, 2018 and connect to Mendoza the same day.  

Mendoza (2,428 ft). We'll be waiting for you at the airport and then we'll drive to the Hotel. After an introductory meeting the guides will check all of your gear and we'll be ready for our first CME lecture. Later we'll go out for a welcome dinner in one of the best restaurants in town.

CME, 2 hours
EXPEDITION MEDICINE
Planning for expedition medics: common expedition problems, treatment and evacuation strategies. 
 
BACKCOUNTRY MEDICAL KITS 
Detailed discussion of medical supplies needed in remote environments. 

Day 2 Mendoza - Penitentes. We'll get up early and obtain the mandatory permits and then drive to Penitentes (8,860 ft) where we'll arrange the loads for the mules. Night at the Hotel.

CME, 2 hours
ADVANCES IN PREVENTION AND TREATMENT OF ACUTE MOUNTAIN SICKNESS (4 Hours)
Pathophysiology, diagnosis, and treatment of altitude illness 
 
ASSESSING THE UNWELL AND RETURNED TRAVELLER
Assessing the unwell traveller, Diagnosis of febrile traveller and returned traveller, Laboratory testing and patient history. 

Day 3 Penitentes - Confluencia. We'll drive to the entrance of the Park and after check-in and a quick meeting with the park ranger we'll hike about 3 hours to Confluencia Camp (11,010 ft).

CME, 2 hours
AVALANCHE RESUSCITATION
Treatment and avoidance of avalanches 
 
BACKCOUNTRY PODIATRY AND GENERAL FOOT CARE DURING AN EXPEDITION
Treatment and avoidance of trench foot and other common foot problems during and expedition

Day 4 Plaza Francia Acclimatization Trek. After a 3-4 hour hike, we'll reach the lookout of the impressive South Face of Aconcagua (13,400 ft). Return to Confluencia Camp.

CME, 1 hours
FROSTBITE AND OTHER COLD INJURIES
Pathophysiology, diagnosis and treatment of cold injury

Day 5  Confluencia - Plaza de Mulas. We'll hike for about 6-8 hours to Plaza de Mulas base camp (14,300 ft) crossing "Playa Ancha" and then climbing "Cuesta Brava". After arriving at base camp, we'll just get comfortable and relax after a long hike.

Day 6 Plaza de Mulas. CME day. Between lectures we'll just relax and enjoy the surrounds. Plaza de Mulas is a quite interesting place to hang out, with its international atmosphere and little town feeling.

CME, 2 hours
MANAGEMENT OF FRACTURES & DISLOCATIONS
Diagnosis and treatment of orthopaedic injuries in the backcountry 
 
LIGHTNING: PREVENTION AND INJURIES
Prevention/avoidance. Epidemiology, pathophysiology, evaluation, treatment 

Day 7 Cerro Bonete. We'll attempt our first summit Cerro Bonete (16,500 feet). This will be a great chance to test our overall fitness, refine our hiking skills and check out our gear. From the its summit we'll have a superb view of the entire Aconcagua normal route. 5/6 hours roundtrip. We'll return to Plaza de Mulas.

CME, 2 hour
SIMULATED MOUNTAIN RESCUE
Andes Mountain Guides will demonstrate “packaging” a patient on the mountain, crevasse rescue techniques and rigging for raising and lowering 
 
BACKCOUNTRY WATERBORNE ILLNESSES and WATER DISINFECTION 
How to disinfect surface water effectively. Participants may have the opportunity to test different water treatment devices and learn about chemical and natural water disinfection techniques. Discussion of giardiasis and other diseases contracted by ingestion of microorganisms commonly found in wilderness water sources

Day 8 Plaza de Mulas. Active rest day. Late in the morning we'll do some technical training; we'll get into some moderate snow field to practice classic crampon techniques on diferent kinds of slopes and terrain. Hiking efficiently is not as easy as it seems, so this morning we'll try to find the most energy-saving way. Later, we'll have our CME class and we'll get ready for the next day.

CME, 2 hours
PAIN MANAGEMENT IN REMOTE AREAS 
How to manage pain in wilderness austere, and operational environments without many resources. What medications should be carried by expedition and operational medics 
 
HYPOTHERMIA: CLOTHING SELECTION FOR WILDERNESS SURVIVAL
Pathophysiology, diagnosis, treatment and prevention of hypothermia emergencies that may occur in an urban or wilderness environment. Clothing selection and use to prevent a hypothermia emergency

Day 9 Canada Camp Acclimatization Carry. We'll climb for 3-4 hours from Base Camp to Canada Camp where we'll stash some food, gear, and other supplies. If weather permits we will climb above Canada Camp to help with our acclimatization process and then we will return to Base Camp. 4-6 hours roundtrip.

CME, 1 hours
CASE STUDIES IN EVEREST BASE CAMP and ACONCAGUA (5:00 - 7:00 pm):
Special considerations in diagnosing and treating medical problems that develop in a mountaineering population.

Day 10  Plaza de Mulas. Rest Day. We'll just relax and get packs ready for moving to high camps.

CME, 1 hours
SOLAR INJURIES (11am-12pm):
Diagnosis, treatment and prevention of solar injuries, specifically solar injuries to the skin and the eyes .

Day 11.   Canada Camp. We'll climb back to Canada Camp where we'll set up our camp with the help of our porters.

Day 12.   Nido de Cóndores Camp. We'll climb for 5-6 hours to reach camp, which is at 17,500 ft. From here we'll be able to see one of the best sunsets ever!

Day 13.  Nido de Condores Camp. We'll have a full rest day and get ready for the next push.

Day 14.  Berlin Camp. We'll climb for 3-5 hours to reach our high camp at 19,600 ft and get prepared for summit day.

Day 15.  Aconcagua summit (22,841 ft). We'll begin climbing early in the morning and make our summit push. After reaching Independencia shelter at 21,476 ft and crossing the "big traverse" we'll start climbing the groove "Canaleta". After this strenuous section we'll traverse the Guanaco's ridge, which will take us straight to the highest point in the Western Hemisphere. After some time on the summit for pictures and celebration we will begin our decent back to camp. 10-13 hours roundtrip.

Day 16.  Extra day. We have include an extra day in case of inclement weather or for further acclimatization if needed.

Day 17.   Berlin Camp - Plaza de Mulas. We'll wake up late and hike down to base camp, where we'll arrive for lunch. In the evening we'll prepare the mule's to go down.

Day 18.   Plaza de Mulas - Penitentes. We'll put on our hiking shoes again and go all the way down to the Park entrance and then to our hotel in Penitentes where we'll spend the night. Coditions permitting, we'll have the option of taking a 20 minutes helicopter ride all the way down (optional).


Day 19.   Penitentes - Mendoza. After breakfast we'll drive to Mendoza and check-in to our hotel, then have a free afternoon to do some shopping and walk Mendoza's streets. In the evening we'll visit a "bodega" to taste some local wines, have our last dinner together and celebrate our climb.
 

Day 20.  Flight back Home. Transfer to the airport. End of the program.

Restaurant meals included: day 1 (D), day 2 (L, D), day 18 (D) and day 19 (D).
Hotel includes breakfast.

Testimonials

"All the guides did a splendid job in organizing and adapting to every twist from lost baggage to frozen bathroom water. The technical teaching was exceptional and all the guides were helpful, kind, funny and responsive to each concerned voiced by the group.The bottom line is you guy are great and it was a pleasure to be part of the expedition..."
Dr. Scott Unice, Idaho, USA

"I may not have summited but I had an amazing adventure lead by some lovely people. Thanks!"
Dr. Lynne Tracey, London, UK.

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