{"id":1167,"date":"2026-08-19T10:00:00","date_gmt":"2026-08-19T10:00:00","guid":{"rendered":"https:\/\/medycyna-gorska.pl\/?p=1167"},"modified":"2026-08-19T10:00:00","modified_gmt":"2026-08-19T10:00:00","slug":"mera-peak-medical-brief","status":"publish","type":"post","link":"https:\/\/medycyna-gorska.pl\/en\/mera-peak-medical-brief\/","title":{"rendered":"Mera Peak (6476 m) \u2014 First 6000-er After EBC Trek"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Mera Peak (6476 m)<\/strong> is classified as a Nepal &#8220;trekking peak&#8221; \u2014 technically the simplest 6000-er in the Himalayas, achievable without fixed lines and rope climbing. It&#8217;s popular as a &#8220;first 6000-er&#8221; for trekkers after EBC or Annapurna. Medically, however, it is still 6476 m with all risks of HAPE, HACE, hypothermia, and glacier crossing. This brief: 18\u201322 day acclimatization profile, what differs Mera Peak from EBC trekking, 6000-er medical kit.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Mera Peak by the numbers<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Altitude:<\/strong> 6476 m (Mera Central)<\/li>\n<li><strong>Location:<\/strong> Solukhumbu, Nepal, south of Everest<\/li>\n<li><strong>Typical length:<\/strong> 18\u201322 days (from Lukla)<\/li>\n<li><strong>Summit success:<\/strong> 70\u201380% (highest among Nepal 6000-ers)<\/li>\n<li><strong>Technical difficulty:<\/strong> PD (peu difficile) \u2014 gentle glacier, last 200 m with fixed lines<\/li>\n<li><strong>Required permit:<\/strong> NMA (Nepal Mountaineering Association) \u2014 ~$250<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What differs Mera Peak from EBC trek<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Higher maximum altitude:<\/strong> 6476 m vs 5643 m (Kala Patthar) \u2014 significant HAPE\/HACE risk jump<\/li>\n<li><strong>Overnight at 5800 m<\/strong> (High Camp) instead of 5364 m (EBC) \u2014 longer extreme altitude exposure<\/li>\n<li><strong>Summit push on glacier<\/strong> \u2014 requires crampons, ice axe, team rope<\/li>\n<li><strong>Three nights above 5000 m<\/strong> (Khare 5000, High Camp 5800, possibly Thuli Kharka 4300)<\/li>\n<li><strong>Less crowded<\/strong> \u2014 trail less popular than EBC, more solitude<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Specific medical threats<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>HAPE \u2014 elevated risk<\/strong> due to 5800 m overnight (High Camp); ~5\u20138% of participants<\/li>\n<li><strong>HACE<\/strong> in 1\u20132% of climbers \u2014 usually after ignoring AMS signs at Khare (5000 m)<\/li>\n<li><strong>Finger frostbite<\/strong> \u2014 night\/pre-dawn summit push, \u221215 to \u221225\u00b0C<\/li>\n<li><strong>Energy exhaustion<\/strong> \u2014 summit day 10\u201314 h moving, +700 m and \u2212700 m<\/li>\n<li><strong>Glacier accidents<\/strong> \u2014 rare, but crevasse falls do happen on final stretch to summit<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">20-day standard acclimatization profile<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Day 1:<\/strong> Kathmandu \u2192 Lukla (2860 m), trek to Chutanga (3100 m)<\/li>\n<li><strong>Day 2\u20134:<\/strong> Over Zatrwa La (4600 m) to Kothe (3700 m), Thuli Kharka (4300 m)<\/li>\n<li><strong>Day 5\u20137:<\/strong> Thangnag (4350 m), acclimatization days<\/li>\n<li><strong>Day 8\u201310:<\/strong> Khare (5000 m), 2 acclimatization nights with rotation to Mera Glacier<\/li>\n<li><strong>Day 11:<\/strong> Khare \u2192 Mera La (5415 m) \u2192 Base Camp (5300 m)<\/li>\n<li><strong>Day 12:<\/strong> Base Camp \u2192 High Camp (5800 m)<\/li>\n<li><strong>Day 13:<\/strong> <strong>Summit push<\/strong> (5800 \u2192 6476 \u2192 5800) \u2014 10\u201314 h<\/li>\n<li><strong>Day 14\u201318:<\/strong> Descent to Lukla<\/li>\n<li><strong>Day 19\u201320:<\/strong> Reserve + flight Lukla \u2192 Kathmandu<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-q-mera-en-1\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Mera Peak for post-EBC trekker?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Yes, classic next step after EBC. First 6000-er with minimal technical difficulty (crampons, ice axe, team rope on glacier), but 6476 m altitude means higher AMS\/HAPE\/HACE risk than EBC 5364 m. Requirements: weekend alpine course minimum, physical fitness (10 km run in 1 h), prophylactic Diamox from 24 h before 4000 m.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-q-mera-en-2\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Mera Peak vs Island Peak \u2014 which to choose?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Mera Peak (6476 m) \u2014 easier technically, longer approach, higher summit, higher altitude. Island Peak (6189 m) \u2014 harder technically (permanent ice and rock section at summit), shorter approach, lower summit. For first 6000-er after EBC: Mera Peak (simpler technique). For experienced climber: Island Peak (more adrenaline).<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-q-mera-en-3\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Is guide required on Mera Peak?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Since 2023 in Nepal guide is MANDATORY for foreign tourists on all treks and climbs. Cost: guide ~$30\/day + porter ~$20\/day. On Mera Peak an NMA-qualified guide knows the route, glacier conditions, and has rescue contacts. Solo climbing is illegal.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-q-mera-en-4\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Pharmacological prophylaxis on Mera Peak?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Standard: acetazolamide 125 mg twice daily from 24 h before 4000 m (Thuli Kharka), continued until descent. For HAPE history: additionally nifedipine retard 20 mg twice daily from Khare (5000 m). Dexamethasone: only in rescue kit (tablets + ampoule), not prophylactically. Kit also must: ibuprofen, paracetamol, azithromycin, loperamide, ORS.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-q-mera-en-5\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Most common Mera Peak failure causes?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>1) Bad summit-day weather (winds, snowstorm) \u2014 15\u201320% abandonment. 2) AMS\/HAPE forcing descent \u2014 10\u201315%. 3) Physical exhaustion summit day \u2014 5\u201310%. 4) Finger frostbite halting progress \u2014 3\u20135%. Total success rate 70\u201380% (highest among Nepal 6000-ers), mainly thanks to long acclimatization and low technical difficulty.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nepal Mountaineering Association \u2014 Mera Peak climbing statistics.<\/li>\n<li>Luks AM, Auerbach PS, Freer L, et al. <em>Wilderness Medical Society Clinical Practice Guidelines: 2019 Update<\/em>. Wilderness Environ Med. 2019;30(4S):S3\u2013S18.<\/li>\n<li>Basnyat B. <em>Mountain medicine in Nepal<\/em>. Travel Med Infect Dis. 2004;2(3-4):171\u2013174.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em><strong>Disclaimer:<\/strong> Since 2023 climbing in Nepal requires NMA guide. Emergency: Himalayan Rescue Association +977-1-4427044.<\/em><\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>Mera Peak 6476 m \u2014 medically simplest 6000-er in Nepal. 70-80% success, 20-day profile, 5800 m overnight, 6000-er medical kit.<\/p>\n","protected":false},"author":2,"featured_media":1259,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1167","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aktualnosci"],"_links":{"self":[{"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/posts\/1167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/comments?post=1167"}],"version-history":[{"count":1,"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/posts\/1167\/revisions"}],"predecessor-version":[{"id":1317,"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/posts\/1167\/revisions\/1317"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/media\/1259"}],"wp:attachment":[{"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/media?parent=1167"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/categories?post=1167"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medycyna-gorska.pl\/en\/wp-json\/wp\/v2\/tags?post=1167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}