Brants Anne, Metcalfe Tracee
1 Department of Emergency Medicine, Canisius Wilhelmina Hospital , Nijmegen, the Netherlands .
2 Department of Medicine, Vail Valley Medical Center , Vail, Colorado.
High Alt Med Biol. 2017 Sep;18(3):193-198. doi: 10.1089/ham.2016.0158. Epub 2017 Jun 12.
Brants, Anne, and Tracee Metcalfe. Practical tips for working as an expedition doctor on high-altitude expeditions. High Alt Med Biol. 18:193-198, 2017.-With the explosion of adventure travel over the past decade, there has been a concurrent increase in mountaineering expeditions to extreme elevations, including many of the 8000-m peaks. This trend has created an increased demand for qualified expedition doctors to provide specialized medical advice and care to climbers and expedition staff. This review is intended to help physicians prepare for work on such expeditions. The authors rely heavily on their own experience and discuss the types of work available on high-altitude expeditions; how to identify a safe and reputable guiding company; personal and medical preparation; priorities in selecting or building an appropriate medical kit; and medical conditions commonly encountered on expeditions. The review concludes by considering ethical dilemmas and other difficult issues unique to this work.
布兰特斯、安妮和特蕾西·梅特卡夫。在高海拔探险中担任探险医生的实用技巧。《高海拔医学与生物学》。2017年第18卷，第193 - 198页。——在过去十年冒险旅行激增的同时，攀登至极端海拔高度的登山探险活动也同步增加，其中包括许多8000米高峰。这一趋势使得对合格的探险医生的需求增加，以便为登山者和探险工作人员提供专业的医疗建议和护理。这篇综述旨在帮助医生为此类探险工作做好准备。作者主要依据自身经验，讨论了高海拔探险中可从事的工作类型；如何识别一家安全且声誉良好的向导公司；个人及医疗准备；选择或配备合适医疗装备的优先事项；以及探险中常见的医疗状况。综述最后考虑了此类工作特有的伦理困境和其他难题。
