Kirima Gutirí Jaba – in my mother-tongue it means that no matter your prowess out in the wilderness when you get hit, you get hit.
We care for you that’s why we ask you to fill those Client Information Forms especially before embarking on an extreme activity like High Altitude Mountains. Clients think it’s so that we can eliminate them so they lie and hope for the best. The tour operators who ask their clients to fill them out are shunned by potential clients for being too bossy and intrusive, but that is not the only thing, they are considered ‘expensive’. Expensive because everyone loves to save an extra coin not knowing that the qualified medic accompanying the team goes the extra mile to take care of you including not sleeping the nights just to watch over everyone (story of another day), their pay package, the medical supplies, and other logistical costs like that ambulance porter. Some of the pre-qualifications before a professional tour operator takes you up includes evidence of workout activities you have been engaged in and if you are a local at least take part in prep-activities/hikes so that we help build your endurance and skills level. Those moments also help us work with your potentials and challenges.
Here is an extract for the love of you about “The boy who got sick skiing” extract from Readers Digest,2013.
“I was working the overnight shift in a remote hospital in the Rocky Mountains. Late in the evening, a young black teenager was brought into the ER. He lived at sea level and had never been in the mountains. After skiing all day, he felt really ill. Everyone assumed it was altitude sickness.

He was sweating and had abdominal pain and nausea. His heart rate was elevated. We sent off his lab work, and his blood sugar came back at almost 600-normal is less than 100. His platelets, necessary for clotting, came in at 10,000; they should have been over 150,000. He was extremely anemic too. I did an ultrasound of his abdomen, and it looked like his belly was full of blood. This wasn’t altitude sickness. And in the short time I’d been trying to figure out what was wrong, he was getting sicker. The friends he was travelling with were terrified, and rightly so.
The mystery was finally solved with an old-fashioned microscope. When we looked at his blood, we saw some sickled red blood cells. That’s how we were able to diagnose sickle cell trait. If you have sickle cell trait-which means you got the sickle gene from just one parent instead of two-you have no symptoms at low altitude, but high altitude can sometimes cause the red blood cells to warp into sickle shapes and deprive vital organs of oxygen. This teenager didn’t know he had it, but the effect of the altitude on his blood cells was so extreme that after just a short time in the mountains, his spleen had ruptured when its blood supply had been compromised.
He needed platelets immediately, but we didn’t have enough at the remote hospital. And there was a blizzard, so the medical helicopters couldn’t fly. It was a scary night. We met an ambulance that drove halfway up from the city with blood products and transferred him to the city hospital for emergency surgery. The story has a happy ending. He recovered fully.”
Given our health systems, our Search and Rescue (SAR) status for wilderness, the percentage of professional and skilled tour operators in this part of the world what do you think the outcome would have been?

Dear Outdoor Enthusiast,
-
Know your health status: the annual checkups are for your well-being
-
Keep fit
-
Be truthful in your client information forms
-
Take care of your existing medical conditions and get your doctor’s counsel before embarking on extreme activities
-
Get your medical cover & evacuation covers upto date
Dear TO, Guide, Safari Driver,
-
Take the time to get skills in Client Relations and a Wilderness First Aid training at minimum
-
Client information is confidential and use it for the well-being of the client
-
Take the C-19 break to redesign your systems which includes client information forms with medical data

“If you don’t sacrifice for what you want, what you want will become the sacrifice”
Unknown author




















