The Chief wrote:Catamount wrote:I hope Chief does blow a gasket over this question, but every time I see him bring up the incident with his client, I find myself asking what would prevent a "professional guide" from carrying a portable defibrillator in a warm weather guiding situation. No they're not cheap, but they're also not heavy and can certainly save lives in backcountry situations. Guides work with folks of all fitness levels and it only stands to reason that there will be occasional heart problems. Don't know if it would have worked in that particular situation ...
In my line of work, I always have one handy.
Good question.
Unfortunately, with this particular HAPE incident, or any other involving HAPE, it would have served absolutely no good as his lungs were completely filled with liquid when I initiated Pulmonary Resuscitation as he did have a faint HB. After a minute of initiating PR, I no longer felt any signs of a HB and then engaged in full on CPR.
We discussed this option during the ensuing investigation and it is actually in the consideration/planning stages.
And Kevin Trieu, as soon as myself and my fellow guide observed the initial and obvious AMS symptoms indicating a potential onset of HAPE, I immediately turned him and myself around, began the process of descending quickly and took measures of returning to the P/L in order to him down to LP immediately. Unfortunately, his HAPE had progressed at such a high rate, that time was not on his side.
Thanks for the informative response.
The Chief wrote:PellucidWombat wrote:If I don't go straight up from sea level, I almost always start my climbs by sleeping at ca. 10,000 ft, and found 12,000 ft to be my limit for a good night sleep for my first night up at altitude.
This practice does not allow for anyone's body time to acclimate properly, regardless how they "feel".
I live at 7200' and I will not go any higher than 12K my first night, never. In most if not all cases, I go no higher than 10K for my first night. Prior to my moving up here permanently, I would never go any higher than 4-5K the first night and then no higher than 8K the 2nd. I learned my lesson 20 some years ago when I went high too fast and came down with some severe AMS symptoms and started to cough up a red froth uncontrollably. All this at 9K on my 2nd eve.
What is the Service's standard acclimatization schedule? I understand that 1st night is in LP, 2nd night at the LBSL which is around 10k'. Do you agree with this schedule? Based on your response above, you don't.