High Altitude Medicine and Physiology

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Ward, Michael P., CBE, MD, FRCS(Society of Apothecaries of London); Milledge, James S., MD, FRCP(Northwick Park Hospital); West, John B., MD, PhD, FRCP(UCSD)

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1989 Cloth First Edition New/Unused/Unmarked. Not a Remainder, Return, or Previously Owned, but may have very light dings to the dust jackets spine, not affecting the text or ... binding. Books/Dust Jackets are Intact. NEW/UNUSED/UNMARKED from the Publisher. HARDCOVER. Not a Remainder, Return, or Previously Owned, but may have very light dings to the dust jackets spine, not affecting the text or binding. Books/Dust Jackets are Intact. U.S. Domestic Tracking/Confirmation Included. Will Ship International, APO/FPO, PO Boxes, all US 50 States/Territories, and Priority. All orders are packed carefully/securely, with packing materials for quality control, so your order is received as described or better. We do our best to ship before expected shipping date and provide honest descriptions. Please contact us anytime for assistance. Thank you for your business! [Product Description: Millions of people live at high altitude and large numbers visit it for both recreational and work-related reasons. The diminished oxyge Read more Show Less

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Overview

Ward, Michael P., CBE, MD, FRCS(Society of Apothecaries of London); Milledge, James S., MD, FRCP(Northwick Park Hospital); West, John B., MD, PhD, FRCP(UCSD)

The book contains black-and-white illustrations.

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Editorial Reviews

Kathy J. Rinnert
This is an exhaustive text detailing the physiologic principles surrounding common medical and surgical conditions at high altitude. The purpose is to provide ""a rigorous scientific basis for the main topics in high altitude medicine and physiology, including the management of common medical and surgical conditions in the mountains."" The objectives of this book are worthy; however, there are a limited number of practitioners needing an analysis this detailed. Although the objectives are met, this extremely complete text may intimidate novices. This book targets a narrow spectrum of physiologists and physicians involved in high-altitude excursions. This is by nature a reference text and is digestible in chapter-sized pieces only. Each chapter is complete enough to stand alone. The authors are well-known investigators and participants in high-altitude trekking. Rare pictures result in chapters of dull, endless text. Many simple, clear line graphs lend to easy understanding of physiologic principles. Copious, extensive reference lists end each chapter, giving the reader ample material for self-study. An excellent table of contents and index make finding specific topics easy. The book's appearance is austere, lacking color pictures. Black-and-white line graphs serve as the only relief from sometimes excessive dissertations on physiologic principles. I recommend this book for library use because only a few of the chapters will be of interest to practicing emergency physicians. Although extremely comprehensive, this book will not find a place in the personal library of many practitioners.
Booknews
Striking a balance between an academic text and a vade mecum for doctors accompanying trekking groups, provides a rigorous scientific basis for the main topics in high altitude medicine and physiology, including the management of common medical and surgical conditions in the mountains, but doesn't necessarily deal with all the practical details of climbing and skiing accidents or trekking. This revised and updated edition (1st ed., 1989) adds new chapters on high altitude populations and on medical and surgical emergencies. Annotation c. Book News, Inc., Portland, OR (booknews.com)
Doody's Review Service
Reviewer: Lawrence D. Longo, MD (Loma Linda University)
Description: This revision of the classic work by three authoritative figures in mountaineering, high altitude medicine, and physiology is a welcome update of the second edition published in 1995. In 32 chapters with over 1,400 references, it covers a wide range of subjects including the atmosphere and geography, hematology and blood gas transport, high altitude pulmonary and cerebral edema, acute and chronic mountain sickness, and so forth. The work distills the wealth of experience each of the three authors has as first-rate clinician-scientists and experienced members of high altitude expeditions.
Purpose: The purpose of this new edition is to compile and synthesize recent developments in knowledge and understanding of this field. The work is authoritative and presents an excellent description of complicated issues with a logical flow of ideas.
Audience: The book is written for physiologists and other biologists interested in high altitude hypoxia, students, and nonmedical mountaineers, as well as other sojourners to higher elevations. It serves well these various audiences.
Features: The book contains a wealth of information on every conceivable aspect of physiologic, metabolic, endocrinologic, and other biologic aspects of mountain medicine. Particularly notable are the figures that illustrate the various points and help to sort out mechanisms, such as the decrease in cerebrospinal fluid bicarbonate ion concentration and electrical potential difference (Fig 5.8), and acute mountain sickness (Fig 18.3).
Assessment: This is a unique, rich source of every conceivable aspect of mountain medicine, and the biologic exigencies with which climbers, trekkers, and short stay sojourners have to deal. There is nothing else like it in the literature. The deep knowledge and personal experience the authors have with the various factors of high altitude medicine make this an invaluable resource for all students of life above the flatland.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780812281729
  • Publisher: University of Pennsylvania Press
  • Publication date: 3/28/1989
  • Pages: 534

Table of Contents

Preface
Acknowledgments
Conversion tables
List of abbreviations
1 History 1
2 The atmosphere 22
3 Geography and the human response to altitude 33
4 Altitude acclimatization 44
5 Ventilatory response to hypoxia and carbon dioxide 50
6 Lung diffusion 65
7 Cardiovascular system 81
8 Hematology 97
9 Blood gas transport and acid-base balance 107
10 Peripheral tissues 119
11 Exercise 130
12 Limiting factors at extreme altitude 142
13 Sleep 156
14 Nutrition and intestinal function 168
15 Endocrine and renal systems at altitude 178
16 Central nervous system 191
17 High altitude populations 202
18 Acute mountain sickness 215
19 High altitude pulmonary edema 232
20 High altitude cerebral edema 247
21 Subacute and chronic mountain sickness 252
22 Other altitude related conditions: neurovascular disorders, eye conditions, altitude cough, anesthesia at altitude 259
23 Thermal balance and its regulation 271
24 Reaction to thermal extremes: cold and heat 284
25 Hypothermia 294
26 Frostbite and nonfreezing cold injury 306
27 Medical conditions at altitude 322
28 Women, children and elderly people at altitude 329
29 Commercial activities at altitude 336
30 Athletes and altitude 345
31 Clinical lessons from high altitude 350
32 Practicalities of field studies 357
References 365
Index 417
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