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World’s highest ER battles to save lives on Everest
EVEREST BASE CAMP, Nepal, June 1, 2018 (BSS/AFP) – As word came over the
radio that a Sherpa had been struck on the head by a falling rock high on
Everest, the three doctors at base camp jumped into action, fully aware that
saving him would be a life-or-death race against the unpredictable mountain.
Wary of the fading light that would ground the medevac helicopter
overnight, they administered emergency treatment on the helipad where the
chopper brought him in — enough, they hoped to give him a fighting chance of
surviving the 20 to 30 minute onward flight to a hospital in Lukla, down the
valley.
“He was bleeding, so we had to stop that and then get him down,” said
Suvash Dawadi, one of three doctors who has spent the last two months at the
Everest ER.
The doctors staffing the sole emergency room on the roof of the world
battle high altitude, freezing conditions and violent weather every climbing
season to save the lives of sick and injured mountaineers.
Medics running the tent clinic at 5,364 metres (17,600 feet) must compete
with medicines freezing overnight, winds that threaten to blow the clinic’s
tent away and a cardiac monitor that gives up due to the cold.
Countless foreign climbers who have run into trouble on Everest’s
unforgiving slopes have been saved from the brink by the rudimentary clinic
since it was set up 15 years ago.
But the ER has served a higher purpose: providing affordable medical care
for Nepali Sherpas, the guides who are the backbone of the lucrative Everest
industry.
“Before Everest ER was set up the Sherpas didn’t have any proper
coverage,” explained Subarna Adhikari, an orthopaedic surgeon.
– Risky business –
Established by an American doctor and now run by the Nepal-based Himalayan
Rescue Association, the ER charges foreign climbers for treatment and in
return provides subsidised care to the Sherpas.
MORE/MR/ 1043 hrs
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The ER has helped chip away at the stark imbalance between the foreigners
who pay a small fortune to summit Everest and Sherpas who take on much of the
risk to get them there.
A Sherpa can earn up to $10,000 — more than 14 times the average annual
salary in Nepal — during the brief two-month climbing season that runs from
early April to late May.
But that means many ignore medical issues for fear of being forced out of
a season’s work.
“For them to lose that job, for them not to complete the season, is
disastrous,” said Dawadi.
A routine morning at the ER was shattered as an injured sherpa was rushed
into the clinic — he had fallen 60 metres into a crevasse in the treacherous
Khumbu icefall.
Doctors quickly assessed him for internal bleeding — a life-threatening
injury so far from a fully equipped hospital.
But the Sherpa’s sobs of pain gradually gave way to relief as doctors
confirmed no bleeding or broken bones.
A few days’ rest, and he would be back at work.
– Changing attitudes –
Doctors say attitudes are changing among Sherpas and other Nepalis working
on the mountain.
More are seeking early intervention for health conditions, ensuring their
problems don’t worsen and cost them a season’s work.
More than 60 percent of the nearly 400 patients treated at the clinic this
season were Sherpas or other locals working on Everest.
Despite its life-saving work the clinic scrambles to stay afloat, reliant
on the $100 fee it charges foreign patients and donations, mostly in the form
of medical equipment.
Attempts to persuade the Nepal government to fund the clinic through the
hefty $11,000 permit paid by every climber heading for Everest’s summit has
fallen on deaf ears.
– Beyond help –
Sometimes, emergencies are beyond the doctors’ reach. News came over the
clinic’s radio that a Russian climber was stranded at 7,250 metres, alone and
disorientated.
Teams heading for the summit had passed Rustem Amirov and radioed for
help, but none would turn back and aid the stricken man.
The doctors tried to persuade climbers on the mountain to help Amirov.
Someone gave him water, another a steroid that alleviates altitude
sickness.
“You feel quite frustrated and useless. You’re standing by. Help is
potentially available if these teams get their act together,” said Australian
doctor Brenton Systermans.
Eventually two climbers dragged Amirov to the nearest tent, just 100
metres away. They radioed down to the doctors and then left him.
“If he was evacuated within an hour he would have survived,” said
Adhikari. But no help came for the lone mountaineer. He died on 17 May.
BSS/AFP/MR/ 1043 hrs