Fitness and health play a major role for the enjoyment of your outdoor activities. For freeriding and trekking expeditions in the high mountains of the Himalayas, the organizer and the participants must pay particular attention to the following risks:
In order to minimize the risk of accidents and illnesses, a sensible physical and mental preparation for the ski, snowboard or trekking trip to the Himalayas is a must for all participants. A few basic points with corresponding training examples can be found here: Fit for the Himalaya
Most accidents happen because of participants who are challenged beyond their skiing ability. Free Ski Himalaya organizes the groups according to the physical conditions of the participants and thus ensures that no one is overstretched. p>
In addition to the measures to prevent accidents, we have made the necessary arrangements that guests can be quickly treated for injuries by competent physicians or if needed can be hospitalized. Depending on the severity of the injury the patient will either be brought to the hospital Srinagar or, in the case of complicated injuries, to a hospital in Delhi. Private Hospital in Delhi. p>
At FSH we take special care to ensure that our clients do not have to worry about stomach problems. Our lodging partner and local restaurants recommended by FSH make sure that their products are stored in a clean environment and that meals are prepared in a hygienic manner. Furthermore, we advise our guests to follow local eating habits and to avoid the typical "tourist meals" based on western recipes.
In India you will be exposed to health risks if you move outside the lodging partner's infrastructure and FSH's recommended restaurants . Food preparation in most restaurants is inadequate. Do not eat food from stalls on the street or food served on the train.
In the event of an accident injured participants will be moved to a hospital in the area where competent doctors are usually available. Should further medical care be needed patients will be transferred to the Private Hospital in New Delhi http://www.privathospital.org/ or depending on the terms of the participants' travel insurance an evacuation to another hospital or to their home country is also possible. Swiss participants are also advised to become a sponsor of REGA.
The most effective trauma management is a good physical training before the trip, stretching and warm up exercises before skiing and not to ski or snowboard outside one's ability.
Other health matters such as contagious diseases are best managed preventatively. In the hills of India the fresh air, cooler weather, and smaller population ensure that health conditions are better than in the rest of India. After registration for a program with FSH the participants will receive information concerning the recommended vaccinations you should have before coming to India.
The impact of sports activities at high altitude is one of the most common concerns of our guests. The following are some facts about skiing or trekking at altitude. Acute Mountain Sickness or Altitude Sickness can occur but is not a serious concern for our participants as outlined below.
AMS is the term used for a number of symptoms associated with the physiological reactions to altitudes above 2500m. The cause of AMS is lower air pressure, which means that there is less oxygen available for you to breathe in. The low air pressure makes it harder for your body to get the oxygen out of the air and into your bloodstream, and it also hinders your body to fully recover within the usual relaxation periods.
You may notice symptoms of altitude sickness about six to 24 hours after you have arrived at an area of high altitude. These symptoms need to be taken seriously and present themselves as follows: headache, feeling tired, feeling sick or vomit, losing appetite, increased heart rate, feeling dizzy, having difficulties in sleeping or having irregular breathing when sleeping.
There are certain factors that may make you more likely to develop altitude sickness including if you: have had altitude sickness before, do strenuous activity or exercise at high altitude, rapidly ascend to high altitude, are younger than 50, are unfit or have a lung infection.
If you have heart or lung disease, you should consult your GP before travelling above 4,000m.
High Altitude Pulmonary Edema (HAPE) and High Altitude Cerebral Edema (HACE) are two extreme forms of AMS. These are caused by a complex series of physiological changes that occur when we ascend and sleep above 2500 meters.
Altitude induced headaches are a concern to skiers and trekkers. The air at altitude is much drier than at sea level. This means that the simple act of breathing dehydrates the body. To counter this, we strongly recommend that guests drink frequently, in the morning for breakfast and during the day regularly from their drinking bottles.
Certain cardiac conditions may pose a risk at altitude. This is rare, and guests should consult their doctor if they have any cardiac problems.
The reduction in available oxygen at altitude will mean that people will ski fewer turns or walk shorter distances before they feel tired.
The altitude is not a concern for reasonably fit people without cardiac problems.