You can find an incredibly rich set of resources here that includes articles, curriculum materials, videos, Blogs from industry experts, online discussion forums, Job Postings, Training Listings, the most detailed listing of outdoor adventure providers on the Web and more! Thanks for being a part of the Outdoor Ed Community
Outdoor Ed Store
Outdoor Ed Community
The Recreation Law Center
The Outdoor Ed Community is the online Social Networking site for outdoor professionals where you can interact colleagues and peers from around the world.
Outdoor Ed offers the best source for outdoor professionals to find careers and for employers to find great staff. We also host the largest online directory of companies and schools offering outdoor and experiential education programs and degrees. You can search for specific jobs, companies or schools.
From Wilderness First Aid courses to rock climbing certifications, this is your source for finding professional training.
The Outdoor Ed Community is where you can interact with other outdoor professionals.
In a past issue of Wilderness and Environmental
Medicine (Volume 20, Number 2, 2009), Andrew Luks and colleagues
published an article entitled “Can People with Raynaud’s phenomenon
Travel to High Altitude?” The purpose of their inquiry was to determine
whether high altitude travel adversely affects mountain enthusiasts with
Raynaud’s phenomenon (RP).
RP is constriction of tiny blood
vessels in the fingers and/or toes after exposure to cold or an
emotionally stressful situation. The initial appearance is one of
severely blanched (whitened) or bluish skin, often with a sharp
“cut-off” margin in the midportion of the digit(s). This is caused by
decreased circulation. The episode ends with vigorous reflow of blood
into the digit, which causes it to become warm and reddened. This
phenomenon is different and much more pronounced than the normal
mottling or diffuse and persistent discoloration sometimes seen in hands
and feet exposed to cold. RP is usually symmetrical, involving both
hands or both feet, and is usually apparent in sufferers by the age of
40 years. Because RP can be associated with a number of underlying
diseases or anatomic abnormalities, a first-time sufferer should seek
medical evaluation. Prevention in the outdoors involves primarily
protecting the hands and feet and keeping them warm, avoiding drugs that
cause blood vessel constriction, and prohibiting tobacco use. Many
drugs have been recommended at one time or another to treat RP, but at
the currrent time the calcium-channel blockers (such as nifedipine) and
drugs that block the sympathetic nervous system (which causes blood
vessels to constrict) are most in favor as therapies for use outside of
the hospital. Blood vessel dilators, such as nitroglycerin or niacin,
have not been proven effective.
Volunteers with RP were recruited
to complete an online anonymous survey, which addressed aspects of
their RP and mountaineering activities. Eighty-nine percent of
respondents engaged in winter sports, but only 22% reported changing
their mountain activities because of Raynaud’s phenomenon. Only 12% used
prophylactic medications to attempt to prevent or mitigate their RP.
Fifteen percent of respondents reported an episode of frostbite
following a RP attack at high altitude.
The conclusions were that
motivated individuals with primary RP, employing various prevention and
treatment strategies, can engage in different activities, including
winter sports, at altitudes above 2440 meters. Frostbite may be common
in this population at high altitude, and care must be taken to prevent
image courtesy of www.clevelandclinic.org
I am wondering if any of the volunteers suffered debilitating pain. It can be so bad that the individual can not function during re warming. This could be a bad thing at the wrong time.
Connect & Share