Mountain Medicine

Field

Mountain medicine

Mountain Medicine is an interdisciplinary field addressing the physiology, pathologies and health risks arising from exposure to high altitudes — above approximately 2,500 m (8,200 ft). It covers acclimatisation, altitude illnesses, extreme-environment injuries, frostbite, hypothermia and medical support of mountaineering and trekking expeditions.

It is an internationally recognised field developed, among others, within the UIAA Mountain Medicine Society, ISMM (International Society for Mountain Medicine), and the Canadian Society of Mountain Medicine.

Expedition doctor

Role on an expedition

An expedition doctor accompanies participants of high-altitude expeditions, providing medical support in conditions of limited access to hospital infrastructure. Scope of responsibility:

  • Assessing participants’ health before and during the expedition
  • Prevention and treatment of altitude sickness (AMS, HACE, HAPE)
  • Management of injuries, wounds, frostbite and hypothermia
  • Decisions on descent or medical evacuation
  • Managing the expedition medical kit
  • Coordination with mountain rescue centres
  • Educating participants on health and safety

Medical areas

Key topics

Acute Mountain Sickness (AMS)

A mild form affecting up to 30% of people above 2,500 m. Symptoms include headache, nausea and insomnia.

High-Altitude Pulmonary Edema (HAPE)

A potentially fatal condition, typically above 2,500 m. Requires immediate descent and medical treatment.

High-Altitude Cerebral Edema (HACE)

The most severe form of altitude sickness. A direct, life-threatening emergency.

Acclimatisation

The body’s adaptation to reduced partial oxygen pressure. A process that determines the success and safety of expeditions.

Cold injuries

Frostbite, hypothermia, sunburns and snow blindness.

Expedition medical kit

Medication and supplies tailored to the type, duration and exposure of the expedition.

Practice scope

What I do

I hold a Diploma in Mountain Medicine (Canadian Society of Mountain Medicine) and a postgraduate degree in Extreme and Travel Medicine from the Jagiellonian University. In 2022 I served as an expedition doctor for Elite Exped on Everest, Lhotse and Lobuche East Peak, spending two months in the Himalayas.

Within my medical practice I offer consultations on:

  • Individual health risk assessment before high-altitude expeditions
  • Altitude sickness prevention strategies and acclimatisation plans
  • Assembling the expedition medical kit
  • Preparation for expeditions for people with chronic conditions
  • Medical support during expeditions

I also deliver lectures and talks on mountain medicine at mountain film festivals, medical conferences and for medical students.

Contact: medycynagorskapl@gmail.com

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