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Case Report
Acute mountain sickness: an unexpected management problem
  1. F Bellis
  1. Accident and Emergency Department, Treliske Hospital, Royal Cornwall Hospital Trust, Truro, UK
  1. Correspondence to:
 Dr Bellis, Accident and Emergency Department, Treliske Hospital, Royal Cornwall Hospital Trust, Truro, Cornwall TR4 8LT, UK;
 fionnbellis{at}compuserve.com

https://doi.org/10.1136/bjsm.36.2.147

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    The Everest Marathon in the Nepal Himalayas has been run every 18 months since 1987, from Gorak Shep near Everest Base Camp to Namche Bazaar. This is a 26.2 mile marathon run from a starting altitude of 5184 m above sea level down to 3664 m over exceptionally difficult terrain. The route is predominantly downhill, although there are two steep uphill sections, with the ground underfoot varying from snow and ice and stony scree to boulders on glacial terminal moraine. To acclimatise properly there is a 17 day trek up to the starting point.

    A team of medical staff …

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