This work presents a comprehensive, up-to-date account of high altitude medicine and physiology. The authors have extensive experience dealing with the hazards of high altitude through participation in a number of expeditions to Mount Everest and Tibet. Early chapters discuss historic aspects of mountain climbing, ballooning and pressure-chamber work, as well as studies of the atmosphere and the geography of mountain regions. The text then deals with the effects of hypoxia on the body. This clinically-orientated section includes coverage of acute and chronic mountain sickness, high altitude pulmonary and cerebral oedema, effects of hypothermia and frostbite, fitness for altitude, accidents, emergencies, anaesthesia and practicalities of field studies.
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978-0-412-54610-5 (9780412546105)
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Schweitzer Klassifikation
History. Atmosphere. High altitude, geography and human responses to altitude. Ventilatory response to altitude. Lung diffusion. Cardiovascular system. Haematological changes and plasma volume. Blood gas transport and acid base balance. Peripheral tissues. Exercise. Limiting factors at extreme altitude. Sleep. Nutritional and intestinal function. Endocrine and renal systems. Central nervous system. Permanent high altitude residents. Acute mountain sickness. High altitude cerebral oedema and retinal haemorrhage. Chronic mountain sickness. Thermal balance and its regulation. Reaction to cold. Hypothermia. General cold injury. Local cold injury. Mountain performance. Accidents, evacuation, management of surgical conditions at altitude, anaesthesia. Management of medical conditions at altitude. Clinical lessons of high altitude. Practicalities of field study.
