There are many risks associated with trekking and climbing in Nepal, including altitude associated illnesses.
There are health centres at:
- Health Centre, Khunde 3,840m
- Macherrmo Resue Post, Macherrmo 4,400m
- First Aid Post, Himalayan Rescue Association, Pheriche 4,280m
They deal especially with the prevention and treatment of:
- Acute Mountain Sickness (AMS),
- High Altitude Pulmonary Edema (HAPE),
- High Altitude Cerebral Edema (HACE).
These First Aid posts have foreign doctors besides other volunteers. They help trekkers to help identify problems early, to render aid to those in trouble, to help evacuate people by whatever means are available, and also provide information on their prevention. Every centre has a Gamow bag, an inflatable pressure bag large enough to accommodate a person inside for treating severe cases of altitude sickness.
Climb High Himalaya is associated with Ciwec Clinic, a travel medicine centre in Kathmandu, Nepal. Those trekkers who return due to altitude related sickness is treated here. The clinic has a modern and well equipped facility. They acknowledge medical insurance from any country.
For rescue during emergency, Climb High Himalaya is also associated with Mountain Helicopters. The sick will be airlifted either from Pheriche, Machhermo or Khunde and brought to Ciwec Clinic in Kathmandu. Every trekker or climber must have insurance which also covers helicopter evacuation in case of an emergency and is valid for the whole period of the trek/climb/expedition. This policy must be shown to Climb High prior to departure from Kathmandu.
In addition, the trekking/climbing guide will carry as appropriate:
- First Aid Kit including medicines for AMS, HAPE, HACE
- Portable Oxygen canisters
- Satellite phone
Prior to departure from Kathmandu each participant must leave a bond with Climb High in the form of an authorisation letter. This enables Climb High, in the event of an emergency, to initiate emergency services and any other services necessary without delay.