Wilderness Medical Education Conference: Aconcagua CME

TRIP DETAILS

• LOCATION: Aconcagua Park, Mendoza, Argentina

• 2020 DATES: January 5th to Jan 24th

• $6,575 Including (16 hours AMA/PRA Category 1 CME credits)

• Additional Non-Physician Wilderness Medical Education: $500.00
(Wilderness Education Diploma from The Everest ER and AMG)

• DIFICULTY: Non-technical ascent. 4 to 12 hours hikes

• DURATION: 20 days

• CLIENT/GUIDE RATIO: 3:1

  • Certified Mountain Guides (bilingual)
  • 2 nights Hotel accommodations in Mendoza and Penitentes. 2 nights Hosteria in Uspallata
  • 7 nights full board at Mulas. Free wifi and showers
  • Assistance obtaining the permits (permit fee not included)
  • All meals while in the mountains
  • Restaurant meals in Mendoza and Penitentes (as seen on the Itinerary)
  • Camping and cooking gear for the group
  • Base camp services: dining tent, WC, hyperbaric chamber, emergency oxygen
  • Satellite phone service
  • Mules
  • Porters for group gear (tents, cookware, food, etc)
  • Private ground transportation throughout the trip
  • 24/7 assistance in the US before and during the program

Not included

  • Plane tickets
  • Park Fees
  • Restaurant meals and those not listed in the itinerary
  • Restaurant drinks
  • Personal equipment (Aconcagua Normal Route Equipment List)
  • Personal Insurance
  • Personal expenses
  • Sat Phone calls.
  • Rescue costs and extra expenses caused by abandoning the expedition.

ITINERARY

DAY 1

FLIGHT TO MENDOZA. You should arrange your flight in order to arrive in Santiago (Chile) in the morning and connect to Mendoza the same day. It is much easier to fly through Santiago then Buenos Aires, but BA is still a viable option.

MENDOZA (2,428 ft). We’ll be waiting for you at the airport and then we’ll drive to the Hotel. After an introductory meeting the guides will check all of your gear and we’ll be ready for a welcome dinner in one of the best restaurants in town. D.

CME, 2 hours
EXPEDITION MEDICINE
Planning for expedition medics: common expedition problems, treatment and evacuation strategies.

BACKCOUNTRY MEDICAL KITS
Detailed discussion of medical supplies needed in remote environments.

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DAY 2

USPALLATA. We’ll get up early and obtain the mandatory permits and then drive to Uspallata(8,860 ft) where we’ll arrange the loads for the mules. Night at the Hotel. B, D.

CME, 2 hours
ADVANCES IN PREVENTION AND TREATMENT OF ACUTE MOUNTAIN SICKNESS (4 Hours)
Pathophysiology, diagnosis, and treatment of altitude illness

ASSESSING THE UNWELL AND RETURNED TRAVELER
Assessing the unwell traveler, Diagnosis of febrile traveler and returned traveler, Laboratory testing and patient history.

DAY 3

CONFLUENCIA. We’ll drive to the entrance of the Park and after check-in and a  meeting with the park ranger we’ll hike about 3 hours to Confluencia Camp (11,010 ft). B, LB, D.

CME, 2 hours
AVALANCHE RESUSSITATION
Treatment and avoidance of avalanches

BACKCOUNTRY PODIATRY AND GENERAL FOOT CARE DURING AN EXPEDITION
Treatment and avoidance of trench foot and other common foot problems during and expedition

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DAY 4

SOUTH FACE LOOKOUT. After a 3-4 hour hike, we’ll reach the lookout of the impressive South Face of Aconcagua (13,400 ft). Return to Confluencia Camp. B, LB, D.

CME, 1 hours
FROSTBITE AND OTHER COLD INJURIES
Pathophysiology, diagnosis and treatment of cold injury

Aconcagua
Aconcagua expeditions with Andes Mountain Guides

DAY 5

PLAZA DE MULAS. We’ll hike for about 6-8 hours to Plaza de Mulas base camp
(14,300 ft) crossing “Playa Ancha” and then climbing “Cuesta Brava”. After avviving to base camp, we’ll just get confortable and relax after a long hike. B, LB, D.

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DAY 6

REST DAY. We’ll just relax and enjoy the surrounds. Plaza de Mulas is a quite interesting place to hang out, with its international atmosphere and little town feeling. B, L, D.

CME, 2 hours
MANAGEMENT OF FRACTURES & DISLOCATIONS
Diagnosis and treatment of orthopedic injuries in the backcountry

LIGHTNING: PREVENTION AND INJURIES
Prevention/avoidance. Epidemiology, pathophysiology, evaluation, treatment

DAY 7

CERRO BONETE. We’ll attempt our first summit Cerro Bonete (16,500 feet). This will be a great chance to test our overall fitness, refine our hiking skills and check out our gear. From the its summit we’ll have a superb view of the entire Aconcagua normal route. 5/6 hours roundtrip. We’ll return to Plaza de Mulas. B, LB, D.

CME, 2 hour
SIMULATED MOUNTAIN RESCUE
Andes Mountain Guides will demonstrate “packaging” a patient on the mountain, crevasse rescue techniques and rigging for raising and lowering

BACKCOUNTRY WATERBORNE ILLNESSES and WATER DISINFECTION
How to disinfect surface water effectively. Participants may have the opportunity to test different water treatment devices and learn about chemical and natural water disinfection techniques. Discussion of giardiasis and other diseases contracted by ingestion of microorganisms commonly found in wilderness water sources

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DAY 8

ACTIVE REST DAY. This day we move to the closest glacier to practice crampon techniques, self arresting and pacing. We also do the last gear check before moving up to the high camps. B, LB, D.

CME, 2 hours
PAIN MANAGEMENT IN REMOTE AREAS
How to manage pain in wilderness austere, and operational environments without many resources. What medications should be carried by expedition and operational medics

HYPOTHERMIA: CLOTHING SELECTION FOR WILDERNESS SURVIVAL
Pathophysiology, diagnosis, treatment and prevention of hypothermia emergencies that may occur in an urban or wilderness environment. Clothing selection and use to prevent a hypothermia emergency

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DAY 9

CANADA CAMP CARRY. We’ll climb for 3-4 hours from Base Camp to Canada Camp where we’ll stash some food, gear, and other supplies. If weather permits we will climb above higher towards Nido de Condores to help with our acclimatization process before we return to Base Camp. 4-6 hours round trip. B, LB, D.

CME, 1 hours
CASE STUDIES IN EVEREST BASE CAMP and ACONCAGUA:
Special considerations in diagnosing and treating medical problems that develop in a mountaineering population.

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DAY 10

REST DAY. We just relax at base camp and get packs ready before moving to high camps. B, L, D.

CME, 1 hour
SOLAR INJURIES:
Diagnosis, treatment and prevention of solar injuries, specifically solar injuries to the skin and the eyes .

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DAY 11

CANADA CAMP. We’ll climb back to Canada Camp where we’ll set up our camp with the help of our porters. B, LB, D.

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DAY 12

NIDO DE CONDORES. We’ll climb for 5-6 hours to reach camp, which is at 17,500 ft. From here we’ll be able to see one of the best sunsets ever! B, LB, D.

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DAY 13

NIDO REST DAY. We’ll have a full rest day and get ready for the next push. B, LB, D

DAY 14

COLERA CAMP. We’ll climb for 3-5 hours to reach our high camp at 19,600 ft and get prepared for summit day. B, LB, D.

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DAY 15

ACONCAGUA SUMMIT (22,841 ft). We’ll begin climbing early in the morning and make our summit push. After reaching Independencia shelter at 21,476 ft and crossing the “big traverse” we’ll start climbing the groove “Canaleta”. After this strenuous section we’ll traverse the Guanaco’s ridge, which will take us straight to the highest point in the Western Hemisphere. After some time on the summit for pictures and celebration we will begin our decent back to camp. 10-13 hours roundtrip. B, LB, D.

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Aconcagua CME experdition with Andes Mountain Guides
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DAY 16

EXTRA DAY. We have include an extra day in case of inclement weather or for further acclimatization if needed. B, LB, D.

DAY 17

PLAZA DE MULAS. We’ll wake up late and hike down to base camp, where we’ll arrive for lunch. In the evening we’ll prepare the mule’s to go down. B, LB, D.

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DAY 18

PARK ENTRANCE/USPALLATA. We’ll put on our hiking shoes again and go all the way down to the Park entrance and then to our hotel in Upallata where we’ll spend the night. Coditions permitting, we’ll have the option of taking a 20 minutes helicopter ride all the way down (optional). B, LB, D.

DAY 19

MENDOZA. After breakfast we’ll drive to Mendoza and check-in to our hotel, then have a free afternoon to do some shopping and walk Mendoza’s streets. In the evening we have our last dinner together and celebrate our climb. B, D.

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DAY 20

FLIGHT BACK HOME. Transfer to the airport. End of the program. B.

FULL DISCLOSURE STATEMENT

Faculty member has disclosed no real or apparent conflict of interest related to the content of this presentation. Faculty has no financial conflicts of interest related to this presentation.

ACCME Statement:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Wilderness Medical Society and Andes Mountain Guides. The Wilderness Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

The Wilderness Medical Society designates this educational activity for a maximum of 16 AMA PRA Category 1 Credits TM. Each physician should only claim credit commensurate with the extent of their participation in the activity.