ADVANCED COURSE IN MOUNTAIN MEDICINE
Program proponent and director: Ev-K 2 -CNR Committee
Introduction
The course is for physicians already enrolled in a basic course in mountain medicine and three local Nepalese doctors wishing to further their knowledge on the subject with practical field experience (Himalayan trekking). The course, comprising practical and theoretical lectures, will be carried out during a trek to / at the Pyramid Laboratory-
Observatory.
Theoretical Lectures
-
Geographic, geologic and environmental features of Himalayan mountains
physiological adaptation to high altitudes
physiology of exercise at high altitude
physiopathology of acute mountain sickness
physiopathology of high altitude cerebral edema
physiopathology of high altitude pulmonary edema
hypothermia and frostbite
preparation and supervision of a trek, including nutrition and sanitary precautions
practical traumatology
Practical Lectures
first aid and use of Gamow bag
-
Visit to Himalayan Alpine Rescue in Pheriche
-
First aid during a trek and in a high altitude environment
-
Exercise test at high altitude (cycloergometer in the Pyramid Lab)
Detailed program
1 st day
2 nd day
3 rd day
4 th day
5
6
7 th th th
day
day
day
Departure from Italy
Arrival in Kathmandu, transfer to Hotel: Course presentation
Kathmandu visit. First visit at Tribhuvan-Kathmandu University
Transfer Hotel-Airport. Flight Katmandu-Lukla (2800 m). Luggage to porters and onset of trekking. Lukla-Phakding (2620 m) - 3-4 hours.
Phakding - Namche Bazar (3440 m) - 6 hours. 2 nd theoretical lecture.
Namche Bazar - acclimatization. Day of rest and acclimatization with 3 rd and 4 th theoretical lectures. First practical lecture and visit to Khunde
Hospital.
Namche Bazar - Tyangboche (3867 m) – 5-6 hours. 5 th theoretical lecture.

8 th day
9 th day
10 th day
11 th day
12 th day
13 th day
14th day
15th day
16 th day
17 th day
Tyangboche - Pheriche (4243 m) - 5 hours. 6 th theoretical lecture and visit to the Clinic of Himalayan Rescue Association in Pheriche.
Pheriche - Lobuche –
Pyramid (5050 m) – 6-7 hours. 7 Th theoretical lecture.
Acclimatization in Pyramid. Visit to the lab: cycloergometer test (2 nd practical lecture) and 8 th theoretical lecture.
Climb to Kala Pattar (5545 m) – 7-8 hours. Excursion to see Mt. Everest via Gorak Shep (5160m). 3 rd practical lecture.
Pyramid - Pangboche (4067 m) — 5/6 hours. 4 th practical lecture (Gamow bag) and 9 th theoretical lecture.
Pangboche - Namche Bazar - 5/6 hours — 10 th theoretical lecture.
Namche - Lukla - 7 hours — 11 th theoretical lecture.
Flight Lukla – Kathmandu. Transfer to hotel — 12 th theoretical lecture.
Visit to Kathmandu. Closure of Course.
Transfer Hotel- Airport. Flight back to Italy.