Altitude Sickness Notes PO2 = 2/3rd at 9800ft ½ at 18000ft 1/3rd at Everest summit HIF-1a – sensing master switch in the cell that detects lack of oxygen and modifies 5000 genes Hematologic Acclimatization Increase Oxygen carrying capacity by increasing red blood cell count 1. Decreased plasma volume in hours 2. Increased Red Blood Cell count in days to weeks a. *Not efficient for mountaineering, destroyed after descent* Circulatory Effects Cerebral Circulation: o Increased blood flow to the brain Pulmonary Circulation o High blood flow and pressure in the lungs Systemic Circulation o Heart rate raises Time vs Mountain Sickness 1 day to travel to 15000ft = 40% chance of mountain sickness // 5 days to get to 15000ft decreases to 10%