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RELIABILITY TRIAL Medical Notes |
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High
Altittude affects everyone in different ways and to a different extent.
A young 25 year old who is a regular gym goer may be flat on his back at
16000ft and the man smiling down at him as he regains conciousness may
be the fat, balding 45 year old on the seat next to him. When High
Altitude Sickness hits, you feel a dull headache, nausea, shortness of
breath and complete lack of appetite. However there are a few things one
can do to avoid, or to at least lessen the effects of High Altitude on
your body. Blood
Pressure Get
your BP checked by your doctor. If it is even slightly higher than
normal this will get exaggerated as the ambient pressure drops once you
start climbing above 12000 ft. Once we reach 16000 ft your heart will be
most unhappy trying to pump against the backpressure. Consult your
doctor before the event and tell him where you are going......to a bit
above 17000 ft! Maybe he needs to readjust some medicinal dosages for
the event. Normally
taking a Disprin after eating something in the morning will be good for
even those not suffering
from anything. This is dangerous for haemophilics and others with
similar disorders so you must consult your physician before
trying the Disprin fix incase of any adverse side effects. Disprin thins
the blood and keeps the headaches away for most of the day!!! But the
downside is it also slows blood clotting incase of an injury. Asthma Asthmatic
people are advised against coming for the event. However if you are only
mildly so, you may consult your doctor. It is true that as a participant
you will require great amounts of oxygen as you will be exerting hard.
Carrying an oxygen cylinder on board your vehicle is compulsory for all
- participants, media persons and organisers. Most of the army points
have oxygen and the raid is carrying along two pressurised oxygen
chambers. Though this may make you feel comforted you must decide for
yourself in consultation with your physician. You
should carry your own puffs etc and inform the organisers immediately if
you feel any discomfort. Asthalin or some other broncho dilator too may
need to be carried by you if you are an asthmatic. This is advised to
be taken under qualified medical supervision. Pulmonary
and Cerebral Oedema The major High Altitude problems manifest themselves as Pulmonary or Cerebral Oedema. Pulmonary Your
lungs start filling up with water secreted by your own body and the
already "starved for air body" now has less lung space
for air as the water fills up! Some
medicines like Diamox prevent this by being diuretics. You need to go to
the bathroom more often but you get rid of the excess water anyway!!
However as this medication once again differs from person to person you
need a medical OK before you try it. Cerebral Cerebral Oedema manifests itself as water retention in the brain. Speech slurs and the person walks as if drunk. ( A good reason to lay off the alcohol during the rally, as no one will have any doubts as to what the cause of your motor disorder is.) Dangerous if not treated immediately. The
cure for "Cerebral and Pulmonary oedema" is to bring the
patient down to a lower altitude very very fast. Dont panic. Ask
informed people which way is the best to lose altitude. Inform a Raid
official immediately as he will know best the quickest route to safety. The
organisers will have access to Pressure chambers and they will be the
fastest recovery method in both cases. Dehydration Because the weather will be cold and extremely dry you will tend to dehydrate extremely rapidly without realising it. The first indication is a dryness of the lips. You have to guard against this everyday as it hastens the onset of High Altitude Sickness.
Drink
lots and lots of water. Carry a bottle all the time. Carry
a moisturiser and use it often Dark
Glasses to be worn for UV protection at all times. Put
on that warm jacket before the sun goes down. Dress
in layers ..not just one fat jacket. Eat
whenever the opportunity presents itself. You will not feel hungry but
you may be very short of calories. Carry
chocolates or dry fruit all the time. Enjoy
whatever comes your way
Dont
exert unnecessarily or suddenly. Avoid running till you are fully
acclimatised. By Day 6 ..maybe! Dont
smoke too much. Dont
drink alcohol at all !!!!! Dont
dress lightly just because it seems hot in the sun. The difference
between sunburn and frostbite is only 30 minutes ...after the sun goes
down. Dont
wander off in your vehicle alone. Always inform someone before you do.
Better still, take another team with you. Dont
stand close to the edge of a road while taking pictures. The tail of a
rally car looks great sliding out but it can hurt if you get hit. Use
that expensive zoom to good effect from a safe distance ! Don't think that you can beat the cold, high altitude and the Himalayas - remember they have been here a lot longer than you...respect your adversary.. it is Mother nature herself ! Plan everything in great detail and you will survive. Finally, try not to crib when the going gets tough...
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