Challenges in the management of high-altitude illnesses and emergencies in Bhutan and Nepal
Many popular tourist attractions and trekking routes in Bhutan and Nepal are situated between 3000 and 6000 m in elevation. High-altitude emergencies are becoming more common and medical providers must be aware of the practical and medical issues in managing these disorders. We reflect on the challe...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Travel Medicine and Infectious Disease |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1477893923001205 |
| _version_ | 1797398706175082496 |
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| author | Thinley Dorji Sweta Giri Ugyen Tshering Shankar LeVine Ugyen Tshering Sunit Chhetri Narayan Dhakal Someshwar Narayan Gaikwad Gerard T. Flaherty Don Eliseo Lucero-Prisno, III Scott McIntosh |
| author_facet | Thinley Dorji Sweta Giri Ugyen Tshering Shankar LeVine Ugyen Tshering Sunit Chhetri Narayan Dhakal Someshwar Narayan Gaikwad Gerard T. Flaherty Don Eliseo Lucero-Prisno, III Scott McIntosh |
| author_sort | Thinley Dorji |
| collection | DOAJ |
| description | Many popular tourist attractions and trekking routes in Bhutan and Nepal are situated between 3000 and 6000 m in elevation. High-altitude emergencies are becoming more common and medical providers must be aware of the practical and medical issues in managing these disorders. We reflect on the challenges in providing high-altitude emergency medical services in Bhutan and Nepal. |
| first_indexed | 2024-03-09T01:29:21Z |
| format | Article |
| id | doaj.art-65351da306fe403ba326a1e193193f4d |
| institution | Directory Open Access Journal |
| issn | 1873-0442 |
| language | English |
| last_indexed | 2024-03-09T01:29:21Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Travel Medicine and Infectious Disease |
| spelling | doaj.art-65351da306fe403ba326a1e193193f4d2023-12-10T06:14:00ZengElsevierTravel Medicine and Infectious Disease1873-04422023-11-0156102660Challenges in the management of high-altitude illnesses and emergencies in Bhutan and NepalThinley Dorji0Sweta Giri1Ugyen Tshering2Shankar LeVine3Ugyen Tshering4Sunit Chhetri5Narayan Dhakal6Someshwar Narayan Gaikwad7Gerard T. Flaherty8Don Eliseo Lucero-Prisno, III9Scott McIntosh10Department of Internal Medicine, Central Regional Referral Hospital, Gelephu, Bhutan; Corresponding author. Department of Internal Medicine, Central Regional Referral Hospital, Gelephu, 31101, Bhutan.Faculty of Postgraduate Medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan; Department of Emergency Medicine, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan; Bhutan Emergency Aeromedical Retrieval, Ministry of Health, Thimphu, BhutanFaculty of Postgraduate Medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan; Department of Emergency Medicine, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan; Bhutan Emergency Aeromedical Retrieval, Ministry of Health, Thimphu, BhutanFaculty of Postgraduate Medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan; Department of Emergency Medicine at Dartmouth, Geisel School of Medicine at Dartmouth, NH, USADepartment of Health Services, Ministry of Health, Thimphu, BhutanDepartment of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Internal Medicine, Shree Birendra Hospital, Kathmandu, NepalDepartment of Internal Medicine, Military Hospital Ahmednagar, Ahmednagar, IndiaSchool of Medicine, University of Galway, Galway, IrelandDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United KingdomDepartment of Emergency Medicine, University of Utah Health, Salt Lake City, UT, USAMany popular tourist attractions and trekking routes in Bhutan and Nepal are situated between 3000 and 6000 m in elevation. High-altitude emergencies are becoming more common and medical providers must be aware of the practical and medical issues in managing these disorders. We reflect on the challenges in providing high-altitude emergency medical services in Bhutan and Nepal.http://www.sciencedirect.com/science/article/pii/S1477893923001205AcclimatizationAir ambulanceAltitude sicknessEnvironment and public healthHyperbaric oxygenation |
| spellingShingle | Thinley Dorji Sweta Giri Ugyen Tshering Shankar LeVine Ugyen Tshering Sunit Chhetri Narayan Dhakal Someshwar Narayan Gaikwad Gerard T. Flaherty Don Eliseo Lucero-Prisno, III Scott McIntosh Challenges in the management of high-altitude illnesses and emergencies in Bhutan and Nepal Travel Medicine and Infectious Disease Acclimatization Air ambulance Altitude sickness Environment and public health Hyperbaric oxygenation |
| title | Challenges in the management of high-altitude illnesses and emergencies in Bhutan and Nepal |
| title_full | Challenges in the management of high-altitude illnesses and emergencies in Bhutan and Nepal |
| title_fullStr | Challenges in the management of high-altitude illnesses and emergencies in Bhutan and Nepal |
| title_full_unstemmed | Challenges in the management of high-altitude illnesses and emergencies in Bhutan and Nepal |
| title_short | Challenges in the management of high-altitude illnesses and emergencies in Bhutan and Nepal |
| title_sort | challenges in the management of high altitude illnesses and emergencies in bhutan and nepal |
| topic | Acclimatization Air ambulance Altitude sickness Environment and public health Hyperbaric oxygenation |
| url | http://www.sciencedirect.com/science/article/pii/S1477893923001205 |
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