One of our expedition participants, Dr Stephan Thaele, produced this amazing video along the way by working a little on it each day on his phone as the expedition unfolded. What a great source of memories!
I’ve created a fixed page for this presentation and the reference materials, so that I can add to the thoughts and resources over time. You can access the permanent page with all the references here.
Living on the Edge
Presentation for SASA Western Cape Anaesthesiology Update in April 2017, and a repository for materials on the topic.
Access the presentation here if it is not displated above.
- Bailey, D. M., C. K. Willie, R. L. Hoiland, A. R. Bain, D. B. MacLeod, M. A. Santoro, D. K. DeMasi, A. Andrijanic, T. Mijacika, O. F. Barak, Z. Dujic and P. N. Ainslie (2016). “Surviving Without Oxygen: How Low Can the Human Brain Go?” High Alt Med Biol.
- Berger, M. M. and M. P. W. Grocott (2017). “Facing acute hypoxia: from the mountains to critical care medicine.” British Journal of Anaesthesia 118(3): 283-286.
- Cannon, B. and J. Nedergaard (2004). “Brown adipose tissue: function and physiological significance.” Physiol Rev 84(1): 277-359.
- Dunn, J. O., M. G. Mythen and M. P. Grocott (2016). “Physiology of oxygen transport.” BJA Education 16(10): 341-348.
- Fenzl, A. and F. W. Kiefer (2014). “Brown adipose tissue and thermogenesis.” Horm Mol Biol Clin Investig 19(1): 25-37.
Grocott, M., A. Richardson, H. Montgomery and M. Mythen (2007). “Caudwell Xtreme Everest: a field study of human adaptation to hypoxia.” Crit Care 11(4): 151.
- Grocott, M. P., D. S. Martin, D. Z. Levett, R. McMorrow, J. Windsor, H. E. Montgomery and G. Caudwell Xtreme Everest Research (2009). “Arterial blood gases and oxygen content in climbers on Mount Everest.” N Engl J Med 360(2): 140-149.
Grocott, M. P., S. D. Martin, M. H. Wilson, K. Mitchell and S. Dhillon (2010). “Caudwell Xtreme Everest Expedition.” High Alt Med Biol 11(2).
- Gustafsson, I. M., A. Lodenius, J. Tunelli, J. Ullman and M. Jonsson Fagerlund (2017). “Apnoeic oxygenation in adults under general anaesthesia using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) – a physiological study.” Br J Anaesthesia 118(4): 610-617.
- Mythen, M. “‘Everest in Utero’ – Lessons for critical care.”
- Mythen, M. “The oxygen trail: measurement.”
- Patel, A. and S. A. Nouraei (2015). “Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE): a physiological method of increasing apnoea time in patients with difficult airways.” Anaesthesia 70(3): 323-329.
- Tan, P. C. and A. T. Dennis (2016). “High-flow humidified nasal pre-oxygenation in pregnant women.“ Anaesthesia 71(7): 851-852.
- van der Lans, A. A. J. J., J. Hoeks, B. Brans, G. H. E. J. Vijgen, M. Visser, xEb, G. W. lle, M. J. Vosselman, J. Hansen, xF, J. A. rgensen, J. Wu, F. M. Mottaghy, P. Schrauwen and W. D. van Marken Lichtenbelt (2013). “Cold acclimation recruits human brown fat and increases nonshivering thermogenesis.” The Journal of Clinical Investigation 123(8): 3395-3403.
- West, J. B. (1993). “Acclimatization and tolerance to extreme altitude.” J Wilderness Med 4(1): 17-26.
More info at www.wildmedix.com or ping me in the comments!
As promised, open access to my two talks from the Mountain Medicine Workshop hosted at the MCSA in Cape Town, 2 May 2016. Please feel free to use for reference, or direct questions to me!
Austere & Confined Space Airway Management:
Practical Wilderness Analgesia:
A few photographs from the 2016 WildMedix Kilimanjaro Mountain Medicine Expedition, courtesy of our expedition photographer, Chanel Rossouw (@chanel_r). More to follow!
Ross demonstrating the PAC at 4700m on Kilimanjaro
Mawenzi at sunset from Kibo Camp (4700m)
Ultrasound training at Snow Cap Lodge, Kilimanjaro
Ocular ultrasound training on Kilimanjaro
Lung ultrasound training at 3500m on Kilimanjaro
WildMedix Kilimanjaro Mountain Expedition 2016 on the summit
On the 4500m saddle between Mawenzi (in background) and Kibo, Kilimanjaro
Returning from the summit of Kilimanjaro, with the Rebmann Glacier visible below
Emergency dentistry at 4715m (Photo with permission)