Ann occup hyg-2011-küpper-369-86.pdf hypoxia (medical) altitude anoxia villosa

B y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g .


O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g .Anoxia villosa o x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s .Anoxia villosa o r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g .Anoxia villosa o x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m b y g u e s t o n N o v e m b e r 3 , 2 0 1 3 h t t p : / / a n n h y g . O x f o r d j o u r n a l s . O r g / D o w n l o a d e d f r o m

For health and safety at altitude . Apart from pure tech- nical aspects, expedition, doping, environmental pro- tection, and others, which are all covered by specific commissions, the medical commission (UIAA med- com) focuses on preventive aspects of high-altitude expos ure. This tradi tiona lly incl udes the effe cts of hypoxia on humans. With more and more employees exp ose d to hyp oxia in int ern ati ona l bus ine ss and oth ers wo rk in g in hy pox ic ro om s fo r fir e pr ot ect io n or al ti tu de training, the commission expanded its field to include occupational aspects of altitude or hypoxia exposure.Anoxia villosa in total, the UIAA represents 69 countries worldwide (delegates and corresponding members) with a total of 77 or ga ni za ti ons , 37 of wh ic h ha ve jo in ed th e medical commission (for details see www .Theuiaa.Org/ organization.Html ). The rec omm enda tio ns gi ven by UIAA medcom are regularly updated and based on consensus from the entire commission. The recommendations are based on intensiv e liter- ature research which include the most important sub- ject matter: 1. The guid elin es of those eur opean co untri es (and USA), where hypoxic chambers are in industrial use. The list of countries was obtained by the manufacturers of such equipment. 2. A detail ed resear ch of inte rnati onal me dical da ta- base s (e.Anoxia villosa g. Medl ine) wi th the foll ow ing key wor ds: hyp obar ic hyp oxi a, iso bar ic hyp oxi a, alt itu de, dis – orders , occupa tional safety , acute mountain sick- ness (AMS) , occupa tiona l health , occupa tional medicine, and altitude training. All prev ious recommend ations conducted by the UI AA me dc om , wh ic h ar e re le va nt to th is to pi c, ha ve been refere nced. These inte rnatio nal recom menda- tions are supported by a detailed literature research, which is therefore indirectly included in this report. The literature research was performed in international liter ature databases (e.G. PubMed , DIMDI , etc.) with an extensive list of keywords [e.G. Altitude, hypoxia, isob ari c hypo xia , occu pat ion al med ici ne, avi ati on, pas- sengers, AMS), high-alt itude diseases, high-al titude pulmonary oedema (HAPE), chronic mountain sick- ness (CM S), mong e’ s dise ase, se ver al key wor ds for pre- exi sti ng dise ases , and man y othe rs) .Anoxia villosa for olde r lit er- ature, the reference list of the papers as well as the per- sona l lit era ture kno wle dge of the spec ial ists were used . As there is a total of

1000 papers, which are poten- tially of interest for the topic, the consensus group had to select those which were considered to be most im- por ta nt fo r the ac tu al rec om me nda ti on. It mu st be pointed out that this is not a pure physiological paper: the mul tit ude and var iabi lit y of infl uenc ing fac tor s forces one to categorize these factors, which in conse- quence meant that not every detail can be discus sed in- dividually. Otherwise, the recommendation would be unmanageable. As most of the recent papers add only min ima l and very det ail ed fac ts to old er and well- established literature, the consensus group considered that it is fair to refer to the original (older) literature whe re ver poss ibl e.Anoxia villosa thi s als o unde rsc ore s tha t thes e respective statements are internationally well accepted. There are no exact data available that how many employees are exposed to altitude or isobaric hyp- oxia, mainly because the group is extremely hetero- geneous (mountain rescue, maintaining, service for tourists, mining, astronomers, mountain guides, pi- lot s, peo ple on bus ine ss flig hts , coa che s for alt i- tude /hypo xia trai ning, etc. ). Ku ¨ pper (2006 ) gives a survey of some data: there are