Of the 9 total Tibetan villages located inside the park boundaries, 7 of these are still active. Because the park is now a nationally protected treasure these villages no longer practice agriculture but most of these villagers make their money off tourism in the park.
Sometimes referred to as the “Yellowstone National Park of China” Jiuzhaigou is one of the most beautiful national parks in all of China. But please be aware that in 2016 the park hosted 5.14 million visitors and most of these are Chinese nationals. June, July, August, and October Holiday (October 1-8) is especially the tourist high season and you can expect to encounter large crowds and long lines at the park in these times. As an American I feel these crowds take away from the natural wonder of the park and would try to avoid visiting the park in peak season times if at all possible.
The fall foliage in September and October is spectacular in the park, with dramatic leaf colors of yellow, orange, and red, and we recommend visiting Jiuzhaigou in the off season between September 1 to May 15.
After recovering from an August 2017 earthquake the park is restored and tourism is alive and active in this region.
If you are looking to view the blue lakes, dramatic waterfalls, and pristine forests of Jiuzahigou you can view a sample tour here that travels from Xining to Chengdu:
You can also contact us anytime at: firstname.lastname@example.org
The History of Jiuzhaigou
Jiuzhaigou is full of history and whimsy across its 9 villages and its breathtaking alpine lakes. According to legend, a goddess accidentally dropped a mirror and the mirror immediately broke into 108 pieces, forming 108 colorful lakes across the park’s ecosystem. 108 also happens to be a holy number in Tibetan Buddism as there are 108 teachings of Buddha and each Tibetan prayer rosary contains 108 beads to help practitioners remember these teachings. Each scenic spot here has it’s own unique legends and we recommend spending some time with a translator to hear some of these amazing stories from local villagers inside the park.
Here is one of the nine villages
The Culture of Jiuzhaigou
Despite the high number of tourists that visit this park, the total population of the Tibetan villages in Jiuzhai Valley remains only at 1,000, with just over 110 families. While the valley was officially discovered by the government in 1972, the record of earliest human activities here dates back to the Yin-Shang Dynasty, somewhere in the period of the 16th – 11th Century B.C. Before the 1960s, Tibetans in Jiuzhaigou lived a fully self-sufficient life and were almost completely cut off from the outside world. Then in the 1970s, Chinese loggers discovered these rich forests and the park was soon throttled into the national spotlight as a mystical Shangri-La and a place of impressive wonder.
The nine Tibetan Villages
Most Tibetans in Jiuzhaigou mainly believe in the animistic religion that predates Buddhism known as Bon or Bonpo. Bon bears some similarities to Tibetan Buddhism but also separates itself from Buddhism as an official religion. Most notably, Bon followers will walk around a monastery or a holy pilgrimage counter-clockwise, unlike Buddhist pilgrims who will always circumambulate a holy site in a clockwise direction. Much of Tibetan Buddism actually incorporated the teachings of the original Buddha with the animistic practices of Bon and
Jiuzhaigou is one of the few areas on the Tibetan Plateau where this native form of Shamanism is still regularly practiced.
There are over 60 Bonbo monasteries in the Aba Tibetan and Qiang Autonomous Prefecture and Jiuzhaigou is right in the heart of this uniquely religious area.
With religion deeply planted at the center of every Tibetan life, do not be surprised to find Tibetans practicing worship in the form of lighting butter lamps or hanging colorful prayer flags in auspicious locations to appease local deities and spread good karma. Tibetans will often make a pilgrimage to important spiritual locations in the mountains and rivers and will throw up small square white pieces of paper that in Tibetan are called Lungta. Lungta literally translates to “wind horse” and it is thought that these paper horses carry the prayers of those who throw them as they float on the wind across the landscape. If you see Tibetans spreading these lungta at holy sites you will also hear them cry, “Victory to the gods!” in Tibetan as they whoop and holler and celebrate these beautiful places. Part of the attraction of Jiuzhaigou is not only the beautiful scenery but the idea that this culture has remained so faithful to these teachings and practices for so many centuries.
The Bonbo and Tibetan Buddhists worship and make sacrifices to spirits of the water and the land.
You may also find vertical prayer poles in Jiuzhaigou. These colorful banners are called “Geda” in Tibetan which means the banner on the gate. These banners draw from a Mizong tradition from the central plains of China and are often seen dotting road to Jiuzhaigou as a symbol of peace and prosperity.
The banners, clad in the 5 colors of the earth, can vary in length from 7 meters to 25 meters depending on the particular intention of the banner. Some of these banners are used as prayers for the yearly barley harvest while other banners are for instruction on the teachings of the Buddha Sakyamuni. But all the banners contain prayers which are thought to release prayers into the wind for the benefit of villagers who hoist them across the park .
Another popular spiritual symbol you will find throughout the park is the Tibetan prayer wheel. Prayer wheels can be seen everywhere within the region. Some of these wheels are turned by water features like flowing rivers while others are turned by wind and still others (large and small alike) are turned by human hands. These wheels contain many small pieces of paper containing scriptures and it is thought that by spinning the wheels prayers of compassion are released for all sentient beings.
The Customs of Jiuzhaigou
About five hundred years ago, the father of Jiuzhaigou migrated to here from Ngari, Tibet. Since that time until now, the Tibetan villagers have coexisted peacefully next to many diverse peoples including the local Qiang, Huis and Hans. Today, the original Tibetan traditions are still a major part of village daily life, including traditions in marriage, funeral arrangements, and clothing, and dance. Seeing the colors and rhythms of a Tibetan circle dance is definitely one of the highlights of the visit to Jiuzhaigou.
A Colorful Tibetan dance in a local square
Yak butter tea
Tibetans also still consume traditional foods in Jiuzhaigou. In particular you may get to sample some yak meat or freshly roasted lamb meat along with Tsampa, a powder made from barley flour and rolled into a playdough like ball and usually eaten for breakfast. You may also get to sample homemade Tibetan barley wine, know as Qiang, or fresh yak yoghurt depending on the season.
We hope you enjoy your visit to Jiuzhaigou National Park!
Here are the top 20 team building event outcomes that most clients value:
每个群体都是不同的, 你独特及混合的个性和项目要求带来了特定的需求, 以确保你的员工能够尽可能富有成效地工作。团队建设的真正价值在于你的员工将体验到的活动应用到工作中, 以及他们如何团队建设被用作一个愉快、难忘和有影响力的工具, 将你的团队需要内化的关键想法或信息带回生活和工作中。
ཚོགས་པ་རེ་རེའི་ངོ་བོ་དང་ཁྱད་ཆོས་སོགས་མི་འདྲ་བས་ཚོགས་པའི་དགོས་མཁོ་རེ་རེ་ཡང་མི་འདྲ་བ་ཆགས་ཡོད། ཁྱོད་ཀྱི་ལས་ཁུངས་ཀྱི་་ལས་མི་དག་གིས་ལས་ཆོད་ཡོད་པའི་སྒོ་ནས་མཉམ་ལས་བྱེད་པའི་ཆེད་དུ་བྱ་འགུལ་བྱེ་བྲག་པ་དང་དམིགས་བསལ་བ་མཁོ་སྤྲོད་བྱེད་ཐུབ། ཚོགས་པའི་སྒྲིག་འཛུགས་དང་མཉམ་ལས་ཀྱི་རིན་ཐང་གཙོ་བོ་ནི་ཁྱོད་ཀྱིས་ལས་མི་དག་གིས་བྱ་འགུལ་འདི་དག་བརྒྱུད་ནས་འཚོ་བ་དང་ལས་ཀའི་ཁྲོད་དུ་སྦྲོ་སྣང་དང་བརྗེད་པར་དཀའ་བ། ཤུགས་རྐྱེན་ཆེན་པོ་སྤྲོད་ཐུབ་པའི་བསམ་ཚུལ་དང་རྩལ་ནུས་གང་རུང་ལས་ཀ་དང་འཚོ་བའི་ཁྲོད་དུ་འཁྱེར་རྒྱུ་ཡོད་པ་དང་། དེ་ཡིས་ཀྱང་ཁྱོད་ཀྱི་ལས་ཁུངས་དང་ཚོགས་པའི་ནང་དུ་ཕན་ནུས་ཆེན་པོ་བསྐྲུན་རྒྱུ་དེ་ཡིན།
1.) Exposes existing team dynamics, issues, and behaviors
༡ ཁྱོད་ཀྱི་ཚོགས་པའི་གནས་སྟངས་དང་གནད་དོན། ཚོགས་མའི་འབྲེལ་བ་སོགས་གསལ་བོར་བཟོ་བ།
2.) Improves group morale and promotes team bonding amid adversity
2. 在逆境中提高团队士气, 促进团队合作
༢ དཀའ་ངལ་དང་གནད་དོན་ཀྱི་ཁྲོད་དུ་གནུས་པའི་ཚོགས་པའི་སྤུས་ཀ་་ཇེ་མཐོར་གཏོང་བ་དང་། ཚོགས་པའི་མཉམ་ལས་ཀྱིས་སྤུས་ཚད་ཇེ་མཐོར་གཏོང་བ།
3.) Increases appreciation of roles, purpose, and group-established expectations
༣ ཚོགས་མིའི་ལས་བགོ་དང་དམིགས་ཡུལ། ཚོགས་པ་སྤྱིའི་མངོན་འདོད་སོགས་གོང་མཐོར་གཏོང་བ།
4.) Accelerates process of team roles and forming of a shared vision
4 加快团队角色的过程, 形成共同的愿景。
༤ གནས་སྐབས་ཀྱི་ཚོགས་མིའི་ལས་བགོའི་གོ་རིམ་དང་། ཡུན་རིང་གི་ཕུགས་འདུན་གཅིག་གྱུར་ཡོང་བ།
5.) Inspires an appreciation of individual strengths and weaknesses
6.) Develops creative problem solving along with time and crisis management skills
6. 随着时间和危机管理技能的提高, 开发创造性的问题解决方案
༦ གསར་གཏོད་ཀྱི་ཁྱད་ཆོས་ལྡན་པའི་གནད་དོན་ཐག་གཅོད་ཐབས་དང་། དུས་ཚོགས་དང་འགལ་རྐྱེན་ཐག་གཅོད་སྟངས་གོང་མཐོར་གཏོང་བ།
7.) Illustrates advantages of cooperation over competition
8.) Ignites an increase in efficiency and emphasis on sharing resources
9.) Enhances Communal support and encouragement and boosts team productivity
10.) Inspires better conflict resolution skills and communication
11.) Improves decision making and individual leadership skills
12.) Increases appreciation of leveraging talents and creating a work / life balance
༡༢ འཇོན་ཐང་ཅན་གྱི་མི་སྣ་བེད་སྤྱོད་ཡག་པོ་དང་། ལས་ཀ་དང་འཚོ་བ་དོ་མཉམ་ཡོང་བར་བྱེད་པ།
13.) Relieves stress levels through activities that inspire laughter and learning
14.) Replaces of limiting beliefs with possibility thinking
15.) Inspires ownership and accountability for results in all team members
16.) Increases Self-confidence and problem solving skills
17.) Reduces turnover of high-performing talent by forging interpersonal trust
18.) Develops ability to find opportunities in change and overcome challenges
19.) Increases commitment to defined goals at all levels of your organization
20.)Promotes individual and group growth with fun and memorable experiences
Look back at the top 20 list above, note the outcomes that you feel are most relevant to your organization, and contact Elevated Trips to discuss how we can transform your group into a more productive team.
回顾上面的Top 20列表, 记下您认为与您的组织最相关的结果, 并联系Elevated Trips, 讨论我们如何将您的团队转变为更高效的团队。
+ 86 13734685336
With a 1.5 hour drive from Lanzhou, the capital of Gansu, this is a very accessible day trip from Lanzhou. You could also do this trip as a larger itinerary that continues onto Labrang monastery or Hezuo and Langmusi as well which are in southern Gansu Province.
The Bingling Caves were a work in progress for more than a millennium. The first grotto was begun around 420 AD at the end of the Western Qin kingdom. Work continued and more grottoes were added during the Wei, Sui, Tang, Song, Yuan, Ming, and Qing dynasties. The style of each grotto can easily be connected to the typical artwork from its corresponding dynasty. The Bingling Temple is both stylistically and geographically a midpoint between the monumental Buddhas of Bamiyan in Afghanistan and the Buddhist Grottoes of central China, such as the Yungang Grottoes near Datong and Longmen Grottoes near Luoyang.
Sadly, over the centuries, earthquakes, erosion, and looters have damaged or destroyed many of the caves and the artistic treasures within. Altogether there are 183 caves, 694 stone statues, and 82 clay sculptures that remain. The relief sculpture and caves filled with buddhas and frescoes line the northern side of the canyon for about 200 meters along the reservoir. Each cave is like a miniature temple filled with Buddhist imagery. These caves culminate at a large natural cavern where wooden walkways precariously wind up the rock face to hidden cliff-side caves as if visiting an ancient civilizaiton. It is here at the top of these steps that you can view the giant Maitreya or Future Buddha that stands more than 27 meters, or almost 100 feet tall.This 100 foot tall Buddha is the main attraction to visit Bingling Temple and is certainly worth the trip from Lazhou. As you loop around past the Maitreya cave, you might consider hiking 2.5km further up the impressive canyon to a small remote Tibetan monastery. If you do this extra hike, be aware than there may also be 4Wheel drive ATV’s There might also be 4WDs running the route.
The sculptures, carvings, and frescoes that remain are outstanding examples of Buddhist artwork and draw visitors from around the world. The site is extremely remote and can only be reached during summer and fall by boat via the Liujiaxia Reservoir. Boats leave from near the Liujiaxia Dam in Liujiaxia City (Yongjing County’s county seat), and sometimes also from other docks on the reservoir. The rest of the year, the site is inaccessible, as there are very few roads in the area because of the rocky landscape.
You can hire a covered speedboat (which seats 9 people in total) for 700 RMB per boat for the one-hour drive across the Liujiaxia Resevoir. Boats do not run unless the boat is full of the required 9 people, so you may have to wait for other guests or you may have to pay the difference to cover the empty seats. In the peak seasons from May to October it should be no problem to find other willing Chinese tourists who will want to share the boat with you. In low season, though, you may have to wait 30 minutes or more for your boat to fill up.
From Liujiaxia you can also hire a private car for around 300 RMB to take you to the other side of the reservoir, although most people opt for the boat since this gives a very nice view of the cliffs from the expansive reservoir. Out of Liújiāxiá, the road ascends the rugged hills of southern Gansu and winds above the reservoir. While the drive is quite scenic, if you are prone to motion sickness this is not the option for you as the drive is about 1.5 hours and twists and turns through terraced fields. The final descent to the turquoise reservoir, with its craggy canyon backdrop, is well worth the trip.
You can also opt to stay overnight in Liújiāxiá if you want the overnight experience. Most people do Bingling Si as a full day trip, but the Dorsett Hotel at the north end of town is a good option with huge rooms overlooking the Yellow River.
Most people hire a private car from Lanzhou, but if you are feeling more adventurous (and have some extra free time) you can take one of the frequent buses from Lanzhou’s west bus station that cost 20 RMB and take 2.5 hours to get to the Liújiāxiá bus station. From there, you will need to take a 10-minute taxi ( to the boat ticket office at the dam (大坝; dàbà). Try to catch the earliest buses possible from Lánzhōu (these start at 7am) to avoid missing the bus on the way back to Lanzhou. The last returning bus to Lánzhōu leaves Liujiaxia at 6.30pm at night.
According to legend, in 366 AD a monk named Yuezun had a vision of a thousand radiant Buddhas on the cliff face. This powerful vision inspired him to begin excavating the caves. From the 4th to the 14th century, hundreds of caves were then hand carved out of the rock cliff face containing scriptures, statues, and vibrant Buddhist paintings.Today almost 500 caves remain and there are more than a thousand painted and sculpted Buddhas within the caves which contain the world’s largest collection of Buddhist art.
Excavated into a mile of cliff face outside Dunhuang, an oasis town at the edge of the Gobi Desert, the site’s Chinese name Mogao Ku means “peerless caves.” Indeed, these caves are “peerless” and are one of the largest and best preserved artifacts in all of Asia. The decorated caves’ walls and ceilings, have a total area of 500,000 square feet and are covered by elaborate paintings depicting stories of the Buddha, Buddhist sutras, portraits of cave donors, ornamental designs, and scenes of social and commercial life. The caves also contain more than 2,000 brightly colored clay sculptures of the Buddha and other important Buddhist scholars, the largest sculpture being over 100 feet tall.
The settlement of Dunhuang was one of the first places where Buddhism entered China, through a steady stream of meditation, monks, and merchants who moved north and east from India along the Silk Road. As a major stop on the Silk Road, Dunhuang was a crossroads of Buddhist, Muslim, Hindu, and even Christian thought. Although this is an area of specifically Buddhist worship, the art and objects found at Mogao reflect the meeting of cultures along the Silk Road, the collection of trade routes that for centuries linked China, Central Asia, and Europe. Discovered at the site were Confucian, Daoist, and Christian texts, and documents in multiple languages including Chinese, Sanskrit, Tibetan, and Old Turkish. Even Hebrew manuscripts were found there.
After the 15th Century, the caves lay forgotten and were buried by the sand of the Gobi Desert for many centuries until they were rediscovered by a monk. In the 1890s a Daoist monk named Wang Yuanlu appointed himself guardian of the caves. In 1900 he discovered a cache of manuscripts, long hidden in a small sealed up cave, coming upon one of the great collections of documents in history. Despite their great age, the sculptures and wall paintings in the Dunhuang caves remain remarkably well preserved, thanks in part to the dry desert climate and their remote location.
As more and more archeologists investigated the cave over 50,000 ancient documents were found there. The Library Cave (Cave 17), which was unsealed by Wang Yuanlu, contained nearly 50,000 ancient manuscripts, silk banners and paintings, fine silk embroideries and other rare textiles dating from before the early 1000s, when this cave and all its contents were concealed for reasons still unknown. Shortly after this discovery, many of the objects from the cave were acquired at the site by explorers and archaeologists from the West and Japan.The materials found in the Library Cave offer a vivid picture of life in medieval China. Accounting ledgers, contracts, medical texts, dictionaries, and even descriptions of music, dance, and games were among the finds.
Many of the objects found in the Library Cave can actually be viewed online now. Museums and libraries across Europe and Asia with objects from the Library Cave in their collections have digitized them and made them searchable for free via the International Dunhuang Project, based at the British Library.
The Buddha himself meditated in caves before achieving Enlightenment, and sacred cave sites are found throughout the Buddhist world, including in Thailand, Myanmar, and Sri Lanka. India is home to some 1,200 cave-temple sites, China 250. The Mogao site at Dunhuang is the largest of these.
- NOLS Wilderness First Aid (WFA) training
- The NOLS Wilderness First Responder (WFR) handbook
- Wilderness Medical Associates’ field protocols for Wilderness First Aid certified professionals
This article is obviously not a substitute for proper medical training, and you shouldn’t be used in place of good judgment. If you’re interested in leaning more I’d highly suggest taking a full Wilderness First Aid (WFA) or Wilderness First Responder (WFR) class.
Here is a quick look at the six injuries that are most common in the backcountry:
- Wounds & Infections
- Knee & Ankle Injuries
Wounds & Infections
With lots of sharp tools, jagged edges and rough surfaces, there are all sorts of hazards that can lead to cuts, scrapes and puncture wounds in the backcountry. Knowing how to treat a serious wound and prevent it from getting infected is an extremely useful first aid skill.
Anytime you have substantial blood loss there’s an immediate risk of “bleeding out.” The average adult human has 5-6 liters of blood in their body – picture 5 nalgenes. When you donate blood, they take half a liter (500ml) which the body can easily handle. If you lose one to two liters of blood, you’re going to go into shock (more below). Anything more than two liters of blood loss and you’re in dire straits.
Most forms of bleeding can be stopped with a combination of direct pressure onto the wound and elevation of the wound above the heart. Always make sure you put on gloves before touching someone else’s blood, I carry a few pairs of these in my first aid kit.
Hand the patient a piece of clean gauze and tell them to put pressure on their own wound as you put your gloves on. If the gauze is getting saturated, add more gauze on top but do not remove any existing gauze that’s already in the wound.
If the situation requires your hands to be free, or you’re having trouble keeping pressure on the wound, you can make a pressure bandage. Place gauze over the wound and wrap it tightly with something like an ace wrap or bandanna. Your goal is not to make a tourniquet, you should be able to slide two fingers under the wrap and the patient should have no tingles or loss of feeling in the extremities.
Once the bleeding has been successfully controlled, the next steps to think about are preventing infection and promoting healing, especially if your plans call for you to still be out in the backcountry for several more days.
The first step is to wash, or “irrigate” the wound with at least half a liter of clean water. The goal is to flush out any dirt and germs that have already made their way into the wound and under the skin. Ideally you use something with high pressure like a syringe or the backwash pump that comes with the Sawyer Mini Filters. If there are any large pieces of dirt that you can see in the wound, be sure to pull those out carefully with tweezers.
Most first aid kits have alcohol wipes, which should be used to wipe the skin around the wound, but should not be used to clean inside the wound, since they can damage good tissue. Now that the wound is relatively clean, you can cover it with antibiotic ointment and then clean gauze and a wrap to hold it all securely in place. Note that antibiotic ointment is not a substitute for good wound cleaning, so make sure you get things nice and clean before applying it.
You’ll want to check on the wound once or twice a day to reapply the ointment and monitor it for signs of infection. A little bit of swelling, warmth, redness and puss is normal to see as the body fights off bacteria. But if the symptoms get more extreme – hot to the touch, bright red, hardening skin, painful and itchy – then that’s a sign that the body is losing its battle against an infection and you need to step in.
You’ll need to open the wound back up and re-clean it very thoroughly with at least a full liter of water. It also helps to soak the wound in the warmest water that the patient can tolerate (without causing burns). If you have pain killers or antibiotics, ask the patient about them and consider using those as directed.
If a wound is going to get infected, it will usually show up in the first 24-48 hours. You should stop the trip and evacuate any patient where you can’t control the bleeding or there are persistent signs of a bad infection.
On camping trips, you’re likely to be handling fire, boiling water and hot pots with primitive tools. Burns are another common risk that you should be aware of in the backcountry. This also includes sunburns, since those are also burns, albeit much more minor.
The very first step for treating any burn is to stop the burning process. Remove whatever the source of heat is and immediately cool the affected area with cold, clean water. Depending on the thickness of the burn, it may take several minutes of soaking in cold water before the burning process has stopped.
Once the burned area has cooled off, you may want to scrub the area with clean water and a bit of mild antibacterial soap, if it’s available. The goal is to prevent infection if the burn goes deep into the skin.
Next you should cover the burned area with antibiotic ointment and clean gauze or clothing. This will help protect the burn site, and also help reduce the patient’s pain. Feel free to offer the patient ibuprofen as well, as there will usually be substantial pain.
For burns in extremities, keep the burned area elevated to reduce swelling. For more long-term care, it’s important to keep the patient warm and well-hydrated since the major risks to life are fluid loss (see dehydration and shock, below).
Evacuate any burn patient if the burn:
- exposes deep layers of skin or bone
- is circumferential, going completely around a limb
- is on sensitive areas like the face, groin, armpit, hands or feet
- covers a significant part of a patient’s arm, leg or torso
Knee & Ankle Injuries
According to a Reddit AMA with search and rescue volunteers, soft tissue injuries are the most common things that people need to be rescued for. And while an injured wrist, elbow or shoulder might be inconvenient, lower body joints like knees and ankles can have a serious impact on your ability to hike out on your own.
Whether they’re chronic injuries that flare up from over-use or sudden injuries from a bad step on steep or uneven terrain, it’s important to stop and address soft tissue injuries. Trying to “tough it out” can lead to permanent, lifelong injuries that require ongoing physical therapy.
I can speak from personal experience on that, I took a bad step on a mountaineering expedition years ago and kept hiking down the mountain on it – it still bothers me to this day, whenever I do too much hiking on it. 😢
As a lay-responder, your job isn’t to diagnose whether it’s a strain, sprain, tear, fracture or other specific injury. Your goal should simply be to diagnose whether the injured joint is usable or unusable.
If the patient still has most of the mobility in their joint and can comfortably put weight on it, then you can support the injury by wrapping it with athletic tape or an ace bandage.
There are also special-made wraps you can buy for various joints at stores like Walgreens or CVS. If you have a chronic injury in a knee or ankle, it’s a good idea to strap one of these on before you head out into the woods at all.
If you’re able to keep hiking on it, albeit gingerly, make sure you take sufficient time to address it when you get to camp.
The common RICE acronym is your guide:
- Rest – especially if each use causes pain, which is a sign of tendinitis
- Ice – alternate 20-30 minutes of cooling with 15 to naturally rewarm
- Compression – wrap securely with an ace wrap, making sure circulation is preserved
- Elevation – have the patient lie down on a sleeping pad and elevate their feet on a backpack or two
If your schedule allows you to take a day to rest the injured joint, this can go a long way to preventing complications and letting it heal. If you can keep the injury cold, compressed and elevated, this will help reduce swelling and make it more likely you’ll be able to continue hiking on it again shortly.
If the patient can’t easily move the joint through its full range of motion or feels pain when putting their weight on it, then the joint should be considered “unusable” and treated as such. Note that an injury that starts out as usable may become unusable if the patient continues to hike on it, or swelling starts to set in.
For treating unusable joints, you want to splint the joint in a comfortable position:
- For ankle injuries, keep the foot at 90 degrees to the lower leg
- for knee injuries, bend the knee about 5 degrees from straight
You want to pad the injured joint with whatever is available – jackets, sleeping pads, clothing, etc. You also want to add something stiff like a hiking pole or canoe paddle to keep the joint from moving at all. Finally, wrap everything with something wide like a belt or webbing, and cinch it all tight. Remember this equation:
padding + compression = rigidity
Keeping it tied tightly will help hold everything together firmly as you begin your long, slow hike out. You will likely need to stop and readjust things often, whenever the patient is sufficiently uncomfortable.
Remember that you never want to tie anything so tight that the patient loses feeling in their extremities. Check periodically to make sure you can slide two fingers into the splint and that the patient can still wiggle their toes and has feeling in their toes when you touch them.
If the injury is so bad that there’s no way the patient will be able to hike out on it – like if bone is protruding through the skin – you’ll need to send someone to fetch professional help.
Note that even the fastest search and rescue teams will take a few hours to reach you, and that being packed and carried out in a litter is generally a pretty terrible experience for everyone involved. Don’t expect most local SAR agencies to send a helicopter, you should encourage the patient to hike out in a splint if you don’t think it will complicate the injury.
While not technically a medical emergency, blisters are one of the most familiar backcountry injuries to many people, and can certainly go a long way to ruining your trip if they’re not handled well. Blisters are also one of the most misunderstood backcountry injuries, and there are a lot of conflicting tips on what to do – the NOLS mythcrushers even tackled the issue:
A blister is formed when thick skin – like on your palms or feet – is rubbed, and it begins to separate from the softer, more sensitive skin beneath. Blisters are especially likely to form when the skin that’s being rubbed is warm or sweaty, which is exactly the conditions you’ll find inside most hiker’s boots.
With blisters that don’t occur on the foot, your best bet is just to leave them be. But if you have a firm, fluid-filled blister is on your foot you don’t really want to “tough it out” and risk having the blister pop inside your dirty, sweaty sock – leading to an infection (and a gross sock). It may also be too painful to continue hiking at all if the blister has grown too large.
To treat blisters, the best option is to carefully and slowly drain it, and then treat it like a minor wound. This will relieve the pressure and allow you to continue on your way.
Begin by washing the area around the blister thoroughly with water and then an alcohol pad. Sterilize a sharp point with either alcohol or by holding it over a flame.
To reduce the risk of cutting a jumpy, antsy patient, hold the sharp point so that it’s nearly parallel with the skin of their foot, and slide it up into the bottom of the blister’s roof. The skin of the blister should be dead, so the patient should only feel the tug of your point lancing the outside of the blister, not any sharp pain.
Once you’ve lanced a hole in the blister, leave the rest of the roof intact to protect the inner layers of skin. Give the blister at least a few minutes to drain, applying light pressure to help squeeze out the fluid. Then cover the area with antibiotic ointment to prevent your lanced hole from getting infected.
Some people use a donut of moleskin around the blister to hold the ointment in place, and then another piece of moleskin or tape over top to keep it all together. There are also products like 2nd Skin Blister Pads that you can slap over a lanced blister to help protect it.
Some people really don’t like the idea of another person sticking a knife into their foot, but the relief that comes after the blister has been drained is usually well worth the anxiety involved in lancing it. There’s no need to evacuate a patient with a friction blister, unless you’re starting to see signs of infection.
Like blisters, dehydration isn’t often a major, life-threatening situation, but it can certainly create issues if people aren’t watching out for it. Being well hydrated helps keep joints lubricated, muscles healing and your digestive system chugging along. Water also supports crucial brain function. Letting yourself or those in your group get dehydrated can make all sorts of other issues more likely.
Mild dehydration is something that we’re all familiar with – dry lips and a mild thirst. More severe dehydration can lead to fatigue and joint soreness, and eventually to irritability, frustration and poor decision making as the brain begins to shut down. This is especially likely if you’re also suffering from heat-stroke, but even in cold environments, dehydration can sneak up, so it’s important to know the signs.
I always think of dehydration like those Snickers commercials – you’re not you when you’re dehydrated.
To ensure everyone in your group stays hydrated, remind them of these simple rules:
- If you’re not peeing every 4-5 hours on the trail, you’re probably dehydrated
- If your urine isn’t clear, copious and bubble-free, you’re probably dehydrated
It’s also important to remember that dehydration also comes from a loss of key electrolytes like sodium and chloride. Ideally, someone in your group brought powdered sports drink mix to share, and everyone is consuming salty snacks like peanuts.
Shock is the body’s response to a sudden drop in blood pressure, in order to prioritize blood flow to the brain and other vital organs. Shock is a common response to major trauma or bleeding, or it could also be an issue with the heart not pumping enough, or blood vessels dilating and not maintaining high enough pressure.
Imagine that you’re trying to take a shower in a cabin on top of a mountain, and the shower is fed with lake water from the base of the mountain. If you turn on the shower head and nothing comes out, there could be three potential issues:
- The pump at the bottom of the hill (ie, your heart) isn’t putting out enough force to move the water adequately
- The water itself (ie, your blood) is leaking out of the pipe, or there just isn’t enough of it
- The pipes between the pump and the cabin (ie, your blood vessels) are too wide to maintain good pressure
In this analogy, you can think of the flow of water from the shower head as the flow of blood to your body’s various tissues. While a non-functioning shower is a big annoyance, if your tissues aren’t getting the blood flow they’ll need, that can cause life-threatening issues.
The various causes of shock are outside the scope of an article like this, but as a responder, you should look for signs of shock whenever there’s major injury or someone is feeling really off. Symptoms include:
- anxiety or confusion
- rapid pulse and rapid, shallow breathing
- cool, pale clammy skin
- weakness, dizziness, lightheadedness
- nausea and vomiting
If you are able, you want to focus on treating whatever is causing the person to be in shock. But also keep these treatments in mind for any patient that’s exhibiting signs of shock:
- keeping the person calm and reassured – by staying calm yourself – helps lower their heart rate
- try to reduce their pain and discomfort by having them lie down on a sleeping pad in a comfortable position
- elevate their feet on a backpack (unless you suspect a back injury) to keep blood in their core
- even if it’s not freezing cold, wrap them in a sleeping bag and try to keep the patient warm and dry
- if the patient is able to drink on their own, make sure to keep them hydrated – but never force them to drink if they might choke
Any patient who is exhibiting signs of shock will likely need to be evacuated with professional help. As you’re waiting for help to arrive, it’s a good idea to keep a log of the patient’s heart rate and mental status every 10 to 15 minutes. You will be able to hand this information off to rescuers to help their evaluation when they arrive.
Well that’s 3500 words to get you started with the basics of wilderness medicine. Want to learn what I always carry in my first aid kit?
Check out this blog on Essential items to carry in your backcountry first aid kit.
If you love learning about this stuff, I’d highly recommend checking out a local Wilderness First Aid class. Some reputable companies that teach wilderness medicine include:
- NOLS’ Wilderness Medical Institute
- Wilderness Medical Associates
The wilderness medicine community is full of some of the smartest, most interesting people I’ve ever met, and taking a class is also a great way to meet up with like-minded adventurers in your area.
If you can’t find a class near you, or if you want a handy reference or some not-so-light bedtime reading, I’d definitely recommend picking up a copy of Wilderness First Responder: How To Recognize, Treat, And Prevent Emergencies In The Backcountry.
Make sure you share this information with other people you often head out into the wilderness with. You never know when it could save their life – or yours.
Article by: Hartley Brody
Be sure to check out this awesome adventure blog for more great content:
Malatang (simplified Chinese: 麻辣烫; traditional Chinese: 麻辣燙; pinyin: málàtàng; literally: “spicy numbing hot [soup]”), is a common type of Chinese street food that is especially popular in Beijing but can be found all over China. It originated in Sichuan Province, but the regional varieties differ mainly from the Sichuanese version in that the Sichuanese version is more similar to what in northern China would be described as hot pot.
Malatang is named after its key ingredient, mala sauce, which is flavored with a combination of Sichuan pepper (which represents the “ma” or the numbing flavor) and dried chili pepper (which represents the “la” or the spicy sauce) . The word málà is composed of the Chinese characters for “numbing” (麻) and “spicy (hot)” (辣), referring to the feeling in the mouth after eating the sauce.
Malatang is said to originate from the Yangtze River near Sichuan. In ancient times, boating was a big industry and many people made a living by towing boats. Working under the damp and foggy weather made boat trackers feel very sick. And when they were hungry, they cooked herbs in a pot and put Sichuan pepper and ginger into the soup to eliminate dampness. Malatang was created, then vendors discovered the business opportunity, and spread it throughout China. And now it is becoming an international food sensation.
Unlike hot pot, which is made to order and shared only by diners at a private table, malatang originates from street food cooked in a communal pot. Diners can quickly pick their raw veggies and noodles and meats, and either eat on the spot or take away. In addition to largely being considered a street food in China, there have been many excellent chain restaurants that have sprung up in the last 10 years and these restaurants offer a great variety of sauces and ingredients (as you can see in the video above).
All skewers normally cost the same. In Beijing as of June 2012 they cost one RMB each (or about 1/6 of a US dollar). Customers keep the used wooden sticks by their plates, and when a customer finishes eating, the price to pay is determined by counting the number of empty sticks.
In the mid-2010s malatang shops became popular in North China, especially Beijing. In these shops the ingredients are usually displayed on shelves, and customers put their desired ingredients into a bowl, like choosing food from a buffet. Behind the counter the selected ingredients are cooked in a spicy delicious savory broth, usually at very high temperature for 3–4 minutes. Before serving, malatang is typically further seasoned with lots of garlic, black pepper, Sichuan pepper, chili pepper, sesame paste, and crushed peanuts (and these condiments can also be prepared in a separate side dish that makes for very enjoyable dipping ). The price is calculated based on the weight of the self-selected ingredients (just as you would weigh a frozen yoghurt and pay based on weight at the counter). In Beijing, one person’s bowl might weigh half a kilogram usually costs between 15-20 RMB as of November 2015. And most malatang bowls outside of Beijing also cost around 15 RMB, making this a very affordable and interesting option for lunch or dinner. And- if you are feel like sharing, you and 1-2 other friends can lump all your ingredients in one huge communal bowl and can eat the same soup out of one pot. That is what all the besties and couples in China do, anyway 🙂
Here is the stuff you usually get to pick from in this “Choose Your Own Adventure” soup:
- bean curd
- beef (chunks)
- fish balls
- other mixed greens (including cilantro, cabbage, and onions)
- lotus root
- all sorts of mushrooms
- fresh and instant noodles
- pork liver
- pork lung
- fresh seaweed
- potato slices
- quail eggs
- Chinese yam
- sheep intestines
- numerous types of dried and frozen tofu (chunks, squares, balls, etc.)
- various flat and long noodles made from potato and rice powder
- nian gao rice cakes
So there you go! I hope you get out into some local markets and try this amazing culinary delight!
A picture is worth a thousand words. So we have put together this video so you can see what it is like to live like a Tibetan nomad in the grasslands:
西宁 Xīníng (Standard Tibetan: ཟི་ལིང་། Ziling) is the capital of Qinghai province in western China and the largest city on the Tibetan Plateau. As of the 2010 Chinese census, Xining had 2,208,708 inhabitants and, as such, is a modern city that offers plenty of fast food restaurants and shopping including H&M, Sephora, UniQlo, Kentucky Fried Chicken, Pizza Hut, and Burger King restaurants (not to mention a fair share of knock off brands that imitate these same restaurants).
The city was a commercial hub along the Northern Silk Road’s Hexi Corridor for over 2000 years, and was a stronghold of the Han, Sui, Tang, and Song dynasties’ resistance against nomadic attacks from the west. Although long a part of Gansu province, Xining was added to Qinghai in 1928. Xining holds sites of religious significance to Muslims and Buddhists, including the Dongguan Mosque and the Kumbum Monastery (aka Ta’er Monastery 塔尔寺 ）. The city lies in the Huangshui River valley and is surrounded by 3,500 meter mountain ridges on both the north and the south. Owing to its high altitude, Xining has a cold semi-arid climate. It is connected by rail to Lhasa, Tibet and connected by high-speed rail to Lanzhou, Gansu and Ürümqi, Xinjiang. The Xining XNN Caojiapu airport does not directly serve international destinations but this airport can easily be reached, often in 2 hours, from Beijing, Shanghai, Guangzhou, Chengdu, Xian, Lhasa, and most other Chinese cities.
A popular route through Xining is fly to Xining XNN from Chengdu CTU airport and then take the train to Lhasa (the highest railroad in the world) for the stunning landscapes and to aid in the acclimatization to altitude. Because few people have ever heard of Qinghai Province most people use Xining as a gateway city to get into Lhasa and spend little time in and around Xining city itself. This means that there are still many astounding, wild places in and around Xining and most of these places have never been seen by western or Chinese tourists. There are, in fact, several 5,000 and 6,000 meter mountains in Qinghai Province that have never even been climbed or named. This makes Xining a perfect destination for people looking for authentic Tibetan culture without all the hassle of Tibet Travel Permits and the bureaucracy of Lhasa, Tibet.
To acclimate to any adventure into the Tibetan Plateau, we recommend spending a night in Xining, at 2,300m above sea level, and this will help partially in your acclimatization process. To truly do your health and wellbeing a favor, it is best to spend 3-5 days in Qinghai’s capital and surroundings so that you are ready to tackle Lhasa’s 3,600m of elevation with greater ease.
While Xining is a typical medium-sized Chinese city with cement high rises and dime-a-dozen convenience stores that all sell the same products, it also offers a whole lot more character than your average all-Han Chinese city. After over 8 years of travel on the Tibetan Plateau, I have three suggestions for day tours from Xining that will not only take your breath away but will give you the time and space to help you acclimatize properly before you head into the high regions of Tibet.
Here are some of the top 3 day trips you can take from Xining (these can make for a great day trip if you are in a hurry but you can easily spend at least 3-5 days in all of these magnificent areas) :
1. Zhangye Danxia Landforms
Located just a 45 drive from Zhangye town, one of the most impressive landscapes you will ever see is that of the Zhangye Danxia Landforms (elevations range from 1,500 – 2,500m), one of China’s many UNESCO sites. Usually a 6 six hour drive in a private car, I recommend taking the 2 hour high speed train from Xining 西宁 to Zhangye West station 张掖西 and spend a day in the area. The Danxia Landforms, also known as the Rainbow Mountains or 七彩山 , is a mountain range layered with almost all the colors of the rainbow （or at least distinct shades of reds, yellows, purples, greys, and oranges). The magnificent patterns in the hills were formed from the land’s red sandstone bedrock and the passing of time with erosion and uplift. Danxia is perfect for photography enthusiasts and lovers of hiking. Take the afternoon to soak in the scenery and admire this UNESCO World Heritage Site. Just a 20 minute drive from the Zhangye Danxia National Park is the lesser visited (but equally as beautiful) BingGou National Park.
The small monastic town of Rebkong (Tongren 同仁 in Chinese) sits 2.5 hours from Xining at 2,500m above sea level and is a great option for a one to three day trip outside of Xining. Rebkong is home to some of the most famous thangka paintings in Tibet and its artwork is highly valued not only on the Tibetan Plateau but by Buddhist practitioners around the world. After a stroll through Rebkong’s two most famous temple complexes, Rebkong Longwu Monastery and Wutun Monastery, you can watch 17-year old teenagers painstakingly produce some of Tibets’ most colorful and detailed paintings.
3. Qinghai Lake
Qinghai Lake (3,200m), China’s largest inland lake, is one the first landscapes you will spot from the train to Lhasa, but to truly experience it, take a day trip or multi-day trip from Xining. The lake is famous for its sweeping natural scenery, abundant birdlife and nearby grasslands that are home to traveling nomadic Tibetan tribes and roaming yaks. You can go biking (though take it slow at the high altitude) or have a champagne picnic by the lake’s shores as you watch the waves lap against the beach shore. Qinghai Lake is 150km (80 miles) from Xining and about a 2.5hr drive. But please be aware: in the summer months (June, July, August) this is a MADHOUSE of Chines tourism and if you go in these months you are sure to see 1,000’s of Chinese tourists descending upon the lake every day and you are likely to spend a few more hours sitting in traffic than normal because of the immense amount of visitors this spot receives. I personally recommend if you are going to visit Qinghai Lake – do it in the winter. There is no one else around for miles, the hotels are much more affordable, and the slowly crashing chunks of frozen ice, circling the lake for over 300km, hold an enchanting beauty in the eerie quiet of the winter.
The Tibetan name Zö/Hzö གཙོས། is pronounced Dzoi in Standard Tibetan and pronounced Hdzoi/Hdzu in the local dialect. Zö is the traditional name for a Tibetan Ibex and you can see statues of this animal throughout the town.
Today the city has been named Hezuo or 合作
Hezuo is the capital city of Tibetan Autonomous Prefecture in southern Gansu Province. Standing at the junction area of Gansu, Qinghai and Sichuan provinces, it is the hub of nomadic activity of the central plains region and the Amdo Tibetan region. And it is also the center of commerce between historical Tibetan and Chinese trading.
Located at the northeast edge of the Tibetan Plateau, Hezuo is 276 kilometers south of Lanzhou. The city contains many large hotels and every sort of restaurant you could hope to find in a middle-sized Chinese city. There is no railway running from Lanzhou to Hezuo, however, regular buses are available every day from Lanzhou every 35 minutes from 05:50 to 16:04. It takes about 4 to 5 hours by bus to get to Hezuo and the ticket fee ranges from 37.5 RMB to 49.5 RMB depending on the departure time.
Hezuo’s main attraction is the 9-story Milarepa Temple. It is said that there are only two temples of this kind in the whole Tibetan area, and the one in Hezuo is the only one which has nine floors and is dedicated to a primary founder of Tibetan Buddhism, Milarepa. Milarepa is one of the few saints who is thought to have attained enlightenment in one lifetime. He is often pictured as very thin and bony (as he was meditating and fasting in a cave for most of his latter years) and with his hand to his mouth as he would often sing his lessons and teachings to his disciples so they could better remember his ideas.
The Milarepa Temple is about 40 meters high and was originally built in the Qing dynasty. There are perennial resident monks and lamas studying here and if you have the time, spend an afternoon watching them perform their ritual duties, including burning juniper and lighting incense. There is also a very nice pilgrimage around the entire monastery that can take around 30-45 minutes to complete if you are up for a leisurely stroll with Tibetan Buddhist pilgrims. Once you have finished this walk, you can also meander over to Folk Street and Century Square which are a short walk from the monastery complex.
It’s worth a rickety climb up the steep wooden steps of the nine floors not only for the artifacts but also for the decent view of the city from the top. A nice monk who oversees the grounds may invite you into his office for tsampa and tea if you speak a bit of Chinese or Tibetan and have a little free time.
The Old Town of Lijiang is located on the Lijiang plain at an elevation of 2,400 meters in southwest Yunnan Province, China. The Jade Dragon Snow Mountains are to the northwest and this incredibly scenic and snowy range is easily viewed as you take a leisurely stroll through time in the old quarters of Lijiang. These mountains are the source of much snowmelt that supplies the rivers and springs which water the plain and supply the nearby Heilong Pool (Black Dragon Pond) and the classic canals that wind through the old town of Lijiang .
The Old Town of Lijiang contains 3 main areas and you could easily spend 1-2 days getting lost amidst the cobblestone streets and antique coppersmiths that give this area its characteristic charm. These 3 areas include: Dayan Old Town (including the Black Dragon Pond), Baisha Old Town, and Shuhe Old Town. Dayan Old Town was established in the Ming dynasty as a commercial center and includes the Lijiang Junmin Prefectural Government Office; the Yizi pavilion and the Guabi Tower. Numerous two-storied timber-framed houses combine elements of Han and Zang dynasty architecture and decoration in the arched gateways, screen walls, courtyards, tiled roofs, and carved roof beams are representative of the Naxi culture and are built in rows following the contours of the mountainside. Wooden elements are elaborately carved with domestic and cultural elements – pottery, musical instruments, flowers and birds.
Baisha Old Town, though, was established earlier than the Dayan Old Town sector. Baisha was built during the Song and Yuan dynasties and is located 8km north of the Dayan Old Town. Houses here are arranged on a north-south axis around a central, terraced square. The religious complex includes halls and pavilions containing over 40 paintings dating from the early 13th century, which depict subjects relating to Buddhism, Taoism and the life of the Naxi people, incorporating cultural elements of the Bai people. Together with the Shuhe housing cluster located 4km north-west of Dayan Old Town, these quaint mountain settlements reflect the blend of local cultures, folk customs and traditions over several centuries. You can even see the local tile work depicted on the courtyard floors of the homes representing bats, cats, and other animals thought to scare away local spirits. The local Naxi people still walk barefoot over these intricate tile floorscapes, feeling every ridge and crest of the hand laid tilework in what they call “a free foot massage”.
The colorful village space, the delightful sounds of the water, the outstanding folk art and calligraphy and the old style of the local architecture all make for a very pleasant environment that will leave you with a deep feeling of peace in this gem hidden among the mountains.
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Contest Rules: Contest is giving away one Hydro Flask 32 oz Double Wall Vacuum Insulated Stainless Steel Leak Proof Sports Water Bottle, Wide Mouth with BPA Free Flex Cap (in any color of your choice)
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K2 is perhaps the most dangerous mountain in the world. One in every four people who makes an attempt to summit it dies, and nobody has ever climbed it in winter. Only 300 or so people have ever even reached the peak of K2, and its relatively northern location on the Pakistan/China border makes it a particularly unpredictable mountain to tame.
With the height of 8611 meters, K2 is the 2nd highest peak in the world after the Mount Everest, which has the height of 8848 meters. K2 is also known as Mount Godwin-Austen or Chhogori and it was referred as “Savage Mountain” by the famous American Climber George Bell. He referred it savage because of its unmatched difficult terrain. When asked about his experience for making an attempt to climb the K2, George Bell noted, “It’s a savage mountain that tries to kill you.”
In 1956, when it was first measured by a British surveyor, TG Montgomerie, it was given the temporary designation- K2 (for Karakoram 2). The K2 was so remote that no other suitable name could be found!!
Unlike other eight-thousanders, K2 has never been climbed in the winters. The best weather to climb the K2 is from April to October. Among the eight-thousanders, K2 has the 2nd highest fatality rate with one death for every four successful ascents (first being the Annapurna (191 summits and 61 fatalities). The peak climbers say that it is due to the extreme difficulty of ascent.
And, on July 22, 2018, a man just skied down from the summit for the first time in history. Polish adventurer Andrzej Bargiel first tried to make the historic descent last year in 2017, only to call the expedition off because of falling rocks and the high avalanche danger. This year, with better weather and less unstable snow pack, Andrzej made it all the way from the K2 summit to base camp in 7 hours. The majority of mountaineering accidents occur during descents, and skiing on near 90 degree snow slopes with 2000 meter drops obviously increases that risk dramatically.
Andrzej is not the first person to attempt skiing the savage mountain, though. Italian alpinist Michele Fait died trying to ski K2 in 2009. This was just a year before his friend Fredrik Ericsson fell to his death near the K2 summit. In 2001, Hans Kammerlander stopped after just a quarter mile when he witnessed a Korean climber fall to his death. And climber Dave Watson actually made it through the infamous bottleneck section all the way to base camp in 2009, though he didn’t start from the summit.
Bargiel reached the summit around 11:30 a.m. Sunday morning on July 19, and he made it to base camp eight hours later after being forced to wait out cloudy weather a few times.
When Bargiel finished up, he was greeted with hoops and cheers from his Red Bull crew. Upon his epic descent, he said he was pretty much all done with K2 for the rest of his life. “I feel huge happiness and, to be honest, it was my second attempt, so I’m glad that I won’t be coming here again.”
The Silk Road was a network of trade routes connecting China and the Far East with the Middle East and Europe. Established when the Han Dynasty in China officially opened trade with the West in 130 B.C., the Silk Road routes remained in use until 1453 A.D., when the Ottoman Empire boycotted trade with China and closed them. Although it’s been nearly 600 years since the Silk Road has been used for international trade, the routes had a lasting impact on commerce, culture and history that resonates even today.
From July 15-17, 2018 we took out an amazing couple from America to explore the Silk Road of Zhangye in Gansu Province of Western China. These incredible mountains are surrounded by the 6,000 meter peaks and the glaciers of the Qilian Mountains and offer one of the most unique and authentic insights into the amazing history of trade and culture of great empires that once were.
Have you ever wanted to see the Silk Road?
Venture with Elevated Trips to see the incredible Hexi Corridor of the Silk Road and walk through 1,500 years of history as you..
- Get to sleep in a Mongolian Yurt Camp right at the base of Danxia National Park
- Sample the local cuisine
- Explore 33 Buddhist cave grottoes on the side of a Monastery tucked high up on a cliff face
You can see a possible itinerary HERE.
Built in the 17th century by the fifth Dalai Lama on the site of the surviving Buddhist meditation caves first built by Tibetan King Songtsen Gampo in the 7th Century A.D., the Potala Palace is composed of two parts: the central Red Palace at the top, which is used for religious affairs, and the secular White Palace at the bottom, which houses the former affairs of government and daily life. This is something like the White House in Washington D.C. combined with the Vatican in Rome – the seat of historical religious and political power all in one.
The top of the Potala Palace is 119 meters above the courtyard below and the palace itself contains 1,000 rooms-including assembly halls, government offices, and temples- and has over 10,000 altars and 200,000 statues. Amazingly, the whole structure was fastened together without steel or nails and was fully constructed of wood, stones and mud bricks using perfectly carved interlocking blocks. At one point in history before the Industrial Revolution, this hand built architectural marvel was the tallest building in the known world. The roofs are covered with gilded bronze tiles that glitter in the sun and can be seen miles away.
In almost every chapel, red robed lamas collect donations and sit on a cushions sipping tea and chanting scriptures. Murals and thangkas are illuminated with flickering wax candles and you will see many pilgrims offering butter in thermos containers as offerings to the holy site. The gold-embossed tombs of former religious rulers contain the mummified bodies inside and these are the central attraction of the 1 hour tour that marches from the bottom to the top of the palace and winds through many dimly lit and sacred rooms .
The Potala is now a UNESCO World Heritage Site and most Tibetans will try to visit this holy site at least once in their lives. You can find a link to the UNESCO World Heritage Site Map here.
A seven-year $43.9 million renovation of Potala Palace and Norbulingka Summer Palace was completed in August 2009. The aim of the renovation was to foster tourism and promote Tibetan culture.
In August 2006, the number of people allowed to enter the Potala Palace was increased from 1,500 to 2,300 people per day. Because there are so many people that go through the palace in one day, tour times are scheduled and are limited to one hour once you are inside the palace gates. This is enough time, but it does not allow for a lot of time to just “float around” and meditate. So you can expect to be rushed a little and “herded” through crowds in the palace in order to make your time slot. Your guide (who is required to bet with you for the tour) will schedule in a specific time to enter the Potala Palace, so your day schedule will generally revolve around whatever time your tickets say that you are allowed in.
To see a possible tour itinerary that includes the Potala Palace, Jokhang Monastery, Sera Monastery, and Everest Base Camp check here.
May 1 – Oct. 31: CNY 200
Nov.1 – Apr. 30: CNY 100
Free for children under 1.3m and the elderly above 70 (also free for Tibetans, Mongolians, and Nepalese who practice Tibetan Buddhism)
Ticket Purchase Procedure: Your guide will have to purchase the ticket 1 day in advance before your visit using your original ID card or Passport. Once the ticket is purchased, you will then be given a certificate with your specific visit time to the Potala Palace for the following day’s tour.
Tips when visiting the Potala Palace
1. There is no heat inside this ancient building. So be aware that it can be very cold inside the Potala Palace. It would not be a bad idea to take a coat with you even on the sunny Lhasa summer days.
2. As this is a religious site, it is hard to find an adequate bathroom during your tour. So make sure you try to take care of business before you leave your hotel in Lhasa. If you do end up finding one of the few bathrooms along the tour, it is said the bathroom at the right side of the White Palace Square is the most beautiful one on earth with an excellent view out onto Lhasa :). Lucky you if you make it here!
3. As we mentioned before, the tour time in the Potala Palace is limited to 1 hour. So don’t dilly dally and make sure you stay close to your guide. It might be easy to get lost amidst the many steps and the labyrinth of rooms and holy sites if you were separated from your tour guide.
4. Entering the palace is like entering airport security. You will have to check your bags through a X-Ray machine and lighters and any kind of liquid are forbidden. (You can buy bottles of water inside the palace for about twice as much as they are sold for in Lhasa).
5. The best spot to take pictures of the Potala Palace is Chakpori Hill, across the square from the palace. I highly recommend visiting this place at night because seeing the palace all lit up in the dark is pure magic!
Mount Kailash is a high altitude behemoth in western Tibet and provides some of the most stunning trekking in all of Central Asia. The highest point of the 3 day trek is 5,636 meters.
For this trek you are going to need some serious cold weather gear. But at the same time, because you will be sleeping in tea houses that provide food, beds, and blankets there are definitely some things you will NOT need to bring. Here is the packing list I recommend for anyone doing the trek in 3 days. As always, the less stuff you bring, the more your back and legs will thank you!
Packing list for Mount Kailash
- 2 x Synthetic or merino long underwear top (one of these is for sleeping)
- 1 x long sleeve wicking hiking shirt
- 1 x fleece jacket
- 1 x Goretex rain jacket
- 1 x Down puffy jacket for cold nights or when you are not hiking
- Synthetic or merino long underwear bottoms
- 1 x pair of waterproof rain or snow pants
- 1 x pair of fall or winter weight soft shell pants
Feet and head
- 4 x pair of wool hiking socks (keep one dry pair for sleeping)
- Boots or trail running shoes with a good tread (I wore a low top Salomon trail runner in the first week of May 2018 and was fine but you will need to check weather and snow reports as some years get up to 5 meters of snow on the Dolma La Pass)
- Gaiters for snow and mud (especially if you are wearing low top shoes)
- 1 x synthetic or wool winter hat
- 1 x sunhat (the sun up at altitude is intense!)
- 1 x foreign passport
- 1 x day pack (20-30 liters) – If it is bigger than 35 liters you are carrying too much stuff!
- 2 x one liter water bottles (can be refilled with boiled water at the teahouses for a small fee)
- 1x mid-weight winter gloves
- 1 x sunglasses (preferably polarized for the bright snow)
- 1 x chapstick or lip balm
- 1 x suntan lotion
- 1 x small bottle of Tylenol
- Optional: Diamox – for altitude sickness (consult your physician beforehand)
- Optional: 1 x small aerosol bottle of oxygen
- 4 x small packs of tissues (paper is not provided in the rustic “squatty-potties”)
- 1 x cell phone or camera
- 1 x charging cord and external battery charger (the tea houses have solar powered electric outlets but the electricity is spotty)
- 1 x hand sanitizer bottle (there is no running water on the trek)
- 8 x Snickers or Clif Bars
- 500 RMB for food (assuming your lodging is already paid for by your tour agent)
- Optional but recommended: 1 x set of trekking poles (the descent from the high pass can be rather steep and icy)
- Optional: a thin sleeping bag liner to add warmth/sanitation to blankets provided by the tea house
- Optional: “Hot Hands” – single use heat packs for keeping your hands and feet extra warm
Sichuan cuisine is a style of Chinese cuisine originating from Sichuan Province in Southwest China. If you are a newbie to this kind of food, Sichuan dishes will surprise you with their bold flavor and spiciness, mainly from the large use of garlic and chili peppers, as well as the minty and slightly numbing flavor of the famous Sichuan pepper. Our advice is to be bold and give it a try.
In this article we will offer some insight on the most popular and delicious Sichuan snacks!
Liangfen ( 凉粉 )
Liangfen is a common but quite popular Sichuan snack which is served cold. In fact, the name Liangfen simply means “cold noodles”. It is generally a white, almost translucent, thick starch jelly, made from mung bean starch, but it also can be made from pea or potato starch.
The starch is boiled with water resulting in a viscous paste that is spread on a pan in the form of a sheet and then cut into thick strips. The liangfen strips are then served cold in a bowl with sesame paste, soy sauce and chili oil, seasoned with pieces of carrot, chopped green onion, fresh coriander and crushed garlic. This snack although served cold will warm up your body due to its spiciness and rich flavor. It is really an amazing combination of hot and cold in one dish.
Suan La Fen ( 酸辣粉 )
Suan La Fen, aka “Hot and sour sweet potato noodles”, is a well known Sichuan street snack. The main ingredient behind this snack is the thick sweet potato noodles which are much chewier than common flour-based noodles or the instant noodles you may have eaten in college. These noodles are served in a warm stock of either pork bone or chicken bone and is seasoned with tones of pre-fried garlic in chili oil, vinegar, sesame oil, light soy sauce and the Chinese five spices powder. The topping varies from red braised beef, minced pork sauce, or red braised large intestines combined with chopped green onion, fried peanuts and pickled mustard. You can find this snack in almost every city in China, so just give it a go.
La Tiao ( 辣条)
La Tiao is one of the most popular snacks in China and it got its international fame in 2016 when this snack was haphazardly featured in a BBC documentary about Chinese New Year celebrations. Apparently the 2 commentators were eating this snack during the filming of the documentary and the audience picked up on this little detail in a big way! Now it is becoming an international sensation! This snack consists of tofu skins fried in a mixture of water, soy sauce, fresh ginger, sugar, salt, Sichuan pepper, chili powder, myrcia and Chinese fennel species. The end result is similar to potato chips but much richer in taste and pretty spicy. Although very delicious, this snack is rich in gluten, so if you’re gluten sensitive you might want to stay away from this one.
Niu Rou Gan ( 牛肉干 )
This is a very traditional snack that is commonly given as a gift amongst Chinese people. If you are wondering what souvenir to bring your father or uncle – look no further! Niu Rou Gan explained in simple words is a spicy dry beef jerky, however there is more to it. This is so much more than just Jack Links jerky! The beef meat undergoes a three step process: boiling, stir-frying, and drying. During the first two steps the meat will be treated with diverse spices like Sichuan pepper, bay leaves, anise, cinnamon, fennel seeds, cardamom, sesame seeds, chili and many more. Therefore, when slowly chewing on this snack you can slowly taste the full spectrum of flavors derived from the spices. This one is especially good if you can manage to find it made from yak meat! The yak meat is a little richer than cow in taste and usually is 100% grass fed straight from the high open plains of the Tibetan Plateau!
The world knows this as a steamed bun, but China knows this as Baozi. This snack- often eaten as a breakfast staple by most local Chinese- is a simple but delicious bread-like bun, filled with meat or vegetables and then steamed, usually in a wooden wicker basket. The meat baozi is usually filled with a mixture of ground pork and sliced pork belly, as the extra fat ensures that the filling remains mouthwatering and juicy. The vegetarian baozi on the other hand is filled with various combinations of mixed savoy cabbage, shiitake mushrooms, carrots, and rice all seasoned with soy sauce, oyster sauce, sesame oil, salt and sugar. In the end, every one has their own favorite baozi, as there is a wide selection of it.
Personally, I could eat carrot and potato baozi all day long!
Get out of the heat and chaos of Bangkok (a city of 18 million people) and away from the crowds on the beaches and experience the more relaxed pace of life of Northern Thailand through true adventure.
Chiang Mai is a 13th-century ancient city of the Lanna Kingdom with over 700 years of history. This is a great place to experience the spiritual side of Thailand, with over 300 Buddhists temples in the city alone. Chiang Mai is a city of culture and tradition in transition. It has a distinct culture (of the Lanna Kingdom), with more temples than any other city in Thailand, and has a lot of historical sites including portions of an old city that are still intact. The inner city of Chiang Mai is a perfect square that is surrounded by an old dirt and brick wall twith a moat on all sides.
There are at least 10 different hill tribes in Northern Thailand, many of them divided into distinct subgroups. The tribes have sophisticated systems of customs, laws and beliefs, and are predominantly animists. They often have exquisitely colored costumes and dances, though many men and children now adopt Western clothes for everyday wear.
Elevated Trips offers an amazing tour of this northern Lanna Kingdom . During this tour we will hike through the jungle to discover remote hill tribe villages. We will also have the opportunity to spend time with these hill tribe hosts and guides to learn about their unique cultures and to sleep in a local homestay.
Come and experience this amazing landscape as the local people do organically – on foot and through the rivers that are the arteries of life and culture to this still wild land.
Dawu is a great place to launch a road trip into either the Nyenbo Yurtse mountains (to the south) or the glaciers of the Amnye Machen range just to the west. It is one of the last outposts of civilization and with a fantastic monastery on the edges of town, it would be easy to spend 1-2 days here acclimating and filling up with good, hot food.
It used to take about 10 hours to drive the horribly bumpy dirt road from Dawu to Huashixia 花石峡 to drive past the glaciers of Amnye Machen. But now with a brand new highway, the drive takes about 4 hours through 2 new tunnels that pierce right through the heart of the snowy mountains. The tunnels have taken away some of the rustic beauty of the formerly adventurous drive whereas you used to drive over 4,500 meter mountain passes covered with prayer flags just at the base of the Amnye Machen glacier. But they have also made the drive much more reachable and certainly much safer than the dangerous icy passes used to be. Be warned of Chinese construction: it happens fast and when it does it is not always marked well. In driving from Huashixia and Maduo to Dawu in November 2017, it took me about 1 hour to find the entrance to the highway to Dawu just 15km north of Huashixia among a confusing new construction site of circling “cloverleaf” highway ramps. Also note that as of November 2017 that none of the off ramps between Dawu and Huashixia were open, in particular Xueshan 雪山, which leaves the traveller with few options for lunch stops or gasoline. Make sure you fill up your gas tank as you depart Dawu because you might not be able to get gas for another few hours along this beautiful, high altitude road.
Golog (or Guoluo) Tibetan Autonomous Prefecture (Chinese: 果洛藏族自治州; Tibetan: མགོ་ལོག་བོད་རིགས་རང་སྐྱོང་ཁུལ་), is an autonomous prefecture occupying the southeastern corner of Qinghai province, in western China. The prefecture has an area of 76,312 km2 (29,464 sq mi) and its seat is located in Maqen County in Dawu.
Golog Prefecture is located in the southeastern part of Qinghai, in the upper basin of the Yellow River. Gyaring Lake and Ngoring Lake on the western edge of the prefecture are considered to be the source of the Yellow River. However, these lakes do receive water from rivers that flow from locations even further west, in Qumarleb County of the Yushu Tibetan Autonomous Prefecture.
The lay of the land of the prefecture is largely determined by the Amnye Machen mountain range (maximum elevation 6,282 m), which runs in the general northwest- to-southeast direction across the entire prefecture, and beyond. The existence of the ridge results in one of the great bends of the Yellow River, which first flows for several hundreds of kilometers toward the east and southeast along through the entire Golog Prefecture, along the southern side of the Amnye Machen Range. The Yellow River continues until it reaches the borders of Gansu and Sichuan Province and then turns almost 180 degrees and flows toward the northwest for 200–300 km (120–190 mi) through several prefectures of the northeastern Qinghai, forming a section of the northeastern border of the Golog prefecture.
Several sections of the Sanjiangyuan (Source of the Three Rivers) National Nature Reserve are within the prefecture.
Guoluo Airport Or Golog Airport (Chinese: 果洛机场) is a small airport that has been recently under construction in southeastern Qinghai Province outside of Dawu town. The airport is in the Caozichang (草子厂) on the Dawutan Grassland (大武滩草原). Construction Began on 14 September 2012 with an estimated total investment of 1.24 billion yuan and the airport was expected to start operation in 2015. I personally have not heard of this airport being open as of 2017 but I am sure that when it does its flights will not be terribly cheap but will allow those with a good traveling budget to avoid the 10 hour drive it takes from Xining to Dawu.
The airport will have a 4,000 meter runway (Class 4C), and a 3,000 square meter terminal building. It is projected to handle 150,000 passengers and 375 tons of cargo annually by 2020.
“I believe that there is a subtle magnetism in Nature, which, if we unconsciously yield to it, will direct us aright.” –Henry David Thoreau
“In the presence of nature, a wild delight runs through the man, in spite of real sorrows.” –Ralph Waldo Emerson
“Forget not that the earth delights to feel your bare feet and winds long to play with your hair.” –Kahli Gibran
“Keep close to Nature’s heart… and break clear away, once in a while, and climb a mountain or spend a week in the woods. Wash your spirit clean.” –John Muir
“I go to nature every day for inspiration in the day’s work.” –Frank Lloyd Wright
“Nature gives to every time and season some beauties of its own.” –Charles Dickens
“Wilderness is not a luxury but necessity of the human spirit.” –Edward Abbey
“Choose only one master – Nature” –Rembrandt
“The richness I achieve comes from Nature, the source of my inspiration.” –Claude Monet
“The sun does not shine for a few trees and flowers, but for the wide world’s joy.” –Henry Ward Beecher
“We do not see nature with our eyes, but with our understandings and our hearts.” –William Hazlett
“Afoot and lighthearted I take to the open road, healthy, free, the world before me.” –Walt Whitman
“There is pleasure in the pathless woods. There is rapture on the lonely shore. There is society where none intrudes, by the deep sea and music in its roar. I love not man the less, but Nature more.” –Lord Byron
“I go to Nature to be soothed and healed, and to have my senses put together.” –John Burroughs
“You don’t have to sit outside in the dark. If, however, you want to look at the stars, you will find that darkness is necessary. But the stars neither require nor demand it.” –Annie Dillard
“The earth has music for those who listen.” –William Shakespeare
“There is a way that nature speaks, that land speaks. Most of the time we are simply not patient enough, quiet enough, to pay attention to the story.” –Linda Hogan
“Look deep into nature, and then you will understand everything better.” –Albert Einstein
“He is richest who is content with the least, for content is the wealth of nature.” –Socrates
“Come forth into the light things, let nature be your teacher.” –William Wordsworth
“It is not so much for its beauty that the forest makes a claim upon men’s hearts, as for that subtle something, that quality of air that emanation from old trees, that so wonderfully changes and renews a weary spirit.” –Robert Louis Stevenson
“Earth and sky, woods and fields, lakes and rivers, the mountain and the sea, are excellent schoolmasters, and teach of us more than we can ever learn from books.” –John Lubbock
“Like music and art, love of nature is a common language that can transcend political or social boundaries.” –Jimmy Carter
“Woodland in full color is awesome as a forest fire, in magnitude at least, but a single tree is like a dancing tongue of flame to warm the heart.” –Hal Borland
“Perhaps the truth depends on a walk around the lake.” –Wallace Stevens
The historic town of Dege makes up one of the five former great kingdoms of the Kham Tibetan area and many describe this town as the “heart of Kham”. Dege sits in a narrow valley at 3100 meters (10,170 ft) surrounded by mountains and the Sèqū River色曲河 that runs through the town. The city is famous for its Tibetan lamasery which hosts an invaluable treasury of wooden printing blocks with Tibetan Buddhist texts. About 70% of all Tibetan scriptures used across the Tibetan Plateau are produced in this very important printing press. A cultural center (more like a high end gift shop) has opened near the Printing Press & Monastery. Nevertheless the surrounding quarters on the valley’s slopes still preserve the old Tibetan traditions including the temple complex that contains a maze of wonderful old style Tibetan buildings made from rammed earth and logs. If you come here for nothing but the old log-cabin style buildings the trip would be absolutely worth it! This is one of the only places in all of Tibet where you can find such unique architecture, mainly because it is one of the only places that actually had any sizable forest.
If driving from the north, from Yushu, Serxu, Ganzi, or from Qinghai Province, Dege can be reached via the incredible, infamous Trola Pass.. The road between Ganzi and Dege is beautifully paved with the exception of the 5050 m high Tro-la Pass which is in disrepair with many potholes. Also be warned that this high road over the Trola Pass can be very dangerous in the snow or ice so check weather conditions before you set out on your trip. Parts of the pass also wind up the mountain and have no shoulder or railing with a drop of several 100 meters below. So this is not a drive for the fainthearted or inexperienced. But the incredible views from Ganzi over the Trola Pass (5050 m elevation) make the grueling day trip over Trola pass worthwhile.
Coming from the south, one can enter Dege from a route from Chengdu to Kangding. Reconstruction work on the Kangding (Dartsedo) to Ganzi highway (G317 / S303) is complete as of 2014 and the road from Kangding to Dege is now well paved. Dege to Kangding is now a one day journey by bus. You can leave Dege on a public bus at 6am and then arrive in Kangding around 8 or 9 pm. If you have your own 4WD car, Chengdu to Dege can also be driven in one long, epic day, but this is a very good way to get altitude sickness with a very quick ascent from Chengdu at 500 meters to Dege at 3,100 meters . It is recommended to stop at least one night in Kangding to acclimatize.
A new airport called Ganzi Gesar Airport(甘孜格萨尔机场) is about 60 km from Garze; 15 km from Manigango village. As of Spring 2016 this airport was almost finished and certainly presents the quickest (albeit not the cheapest) way to get from Chengdu to Ganzi to Dege.
Derge Gonchen monastery
Derge Gonchen monastery was founded in 1446 by Yogis Hang Stong Rgyal Po and the first local king Bo. It doubled as a palace for the kings, but is most famous for being one of the cradles of Tibetan Buddhist study and practice. Unfortunately, there are only a few old buildings remaining and the newer ones aren’t all that attractive in a sense of ancient architecture. Head farther uphill from the Printing Yard along the river following a road lined with Stupas. The entrance to the main temple is in the big red building on the left.
Dege Buddhist Scriptures Printing House
The Dege Buddhist Scriptures Printing House (Tibetan: Derge Parkhang) is independent from the monastery and is the first substantial building you’ll encounter walking south from the town’s center along the river. The Printing House is in a beautiful traditional temple which was restored in 1991. It is constantly circumambulated by townspeople and pilgrims. Here the admission fee is ¥50/person, and normally photography of the sections with the printing blocks is not allowed, though you can take pictures of the printing process. It is always worth asking your guide if it’s allowed to take a particular photograph as the rules change from time to time. The institution was founded in 1729 by Chogyal (dharma king) Denba Tsering. There are more than 140,000 printing blocks, a large collection of national cultural relics and a library comprising 830 books consisting of 10000 volumes. The last surviving copy of an old history of Indian Buddhism is amongst them. Inside you can wander the corridor lined with shelves accommodating the printing blocks and their protruding wooden handles. On the 3rd floor there is the workshop where 6 or 7 pairs of workers ink the blocks and press the paper on them with amazing speed. This is truly a glimpse into the printing techniques of a bygone era. On the next floor, the prints are dried and then assembled into books. In an extra chamber, large format pictures and scripts are printed on cloth. Once you make your way to the top of the printing press the roof offers nice views over the surrounding Tibetan neighborhood and the new town. A tour of the dark temple concludes the visit.
From the Printing House head west into the old quarter and follow a path leading down to the river. Hidden within a maze of traditional houses you will find the Tangtang Gyalpo Lhakhang, a tiny temple. Most any time of day you can find monks inside chanting scripture.
Dege is certainly worth at least 2 nights stay as a semi-halfway point on a long road trip between Xining and Chengdu. This is a great place to take a rest day along your long journey or to explore the printing press and stroll back through time as you wind through alleys full of handmade red wooden log homes.
Elevated Trips is a tour operator on the Tibetan Plateau.
At Elevated Trips our views are elevated but so are our knowledge and professional care in the mountains.
One thing that defines our business as “Elevated” are our high quality trips to high altitudes.
People ask me all the time, “Is traveling at high altitude safe?”
My answer is: Yes! If you acclimate slowly (which we do on our trips( and do everything you need to adequately prepare before hand. Here are some tips from an article by Dr. Paul Anderson, an expert on high altitude medicine, on how to travel well in altitude and what to do if you should encounter mild to sever altitude sickness…
What is High Altitude? What elevations are we actually talking about?
High Altitude – (1500m-3500m/ 4921-11,483 ft) – this is where most of our Elevated Trips adventures go, with the exceptions to some trips to Everest Base Camp region
Very High Altitude – (3500m-5500m/ 11,483 – 18,045)
Extreme Altitude – (>5500m/ >18,045ft)
Preparing for Safe Travel to High Altitude
By Paul Anderson, M.D. Co-investigator – ASAP study
Millions of people travel to high-altitude every year for recreation and for work. Twenty percent of those traveling to altitudes below 5500 m/18,000 ft are affected by some form of altitude illness. This number rises to fifty percent above 18,000 ft. While most cases of altitude illness are mild and self limiting, some cases can become life threatening. If you are planning a trip to altitudes above 1500 m/5000 ft. knowledge is the best prevention for altitude illness. This brief outline serves as merely an introduction to this important topic. Additional resources available at the end of this page (or links provided elsewhere in this website) are highly recommended reading for those traveling to high altitude.
Altitude Related Illnesses
High Altitude Illnesses (HAI) include Acute Mountain Sickness (AMS), High-Altitude Pulmonary Edema (HAPE), and High-Altitude Cerebral Edema (HACE). The symptoms of AMS are typically felt by most people when they arrive at a new altitude, but the symptoms are usually self limiting (e.g. 1st 3-5 days at high altitude). The exact mechanisms of AMS remain unclear, however symptoms tend to be the most prevalent 1-2 days after arrival at elevation. The most common symptoms include a headache, gastrointestinal upset, feelings of fatigue, dizziness, and sleep disruption. The more life threatening condition of HAPE includes symptoms of shortness of breath at rest, persistent coughing, exercise intolerance, and possibly the production of pink frothy sputum. HACE is defined as the presence of AMS symptoms with difficulty walking (ataxia), mental status changes, or severe lethargy. If you notice any of these symptoms in yourself or a member of your group, it is critical to stop and evaluate your situation. Descent is usually the first priority when altitude illness occurs.
What General Health Precautions should I take before traveling to High Altitude?
During decades of research, altitude physiologists have identified fairly reliable prevention strategies for avoiding altitude illnesses. However, individuals who perform well on one outing at a given altitude may become ill on another venture to a similar climate. If you are planning to travel to High Altitude there are certainly some general health precautions that will reduce your chances of experiencing a high-altitude syndrome like AMS, HAPE, or HACE.
Get Organized—Plan your trip itinerary to allow for proper ascent schedules. If you are planning a vacation (e.g. skiing or trekking), allow for an extra day or two during the trip so that members of your group can adjust to the effect of new altitudes. For those planning strenuous alpine ascents, remember that difficult terrain can frustrate attempts to adhere to ascent schedules and terrain and weather can severely limit evacuation options. These factors must be included in your plan. Again, descent forms the primary treatment for most altitude illness, so consider egress routes when planning more challenging ascents. Regardless of your location, give some consideration to what you will do if you or a member of your party becomes ill from altitude.
Get Fit—Being physically fit is not regarded as a preventative factor by most experts in altitude physiology. Even the most highly trained athletes suffer the effects of altitude illness. Nevertheless, if you are physically fit you stand a better chance of being more resilient in the midst of any illness. If you are required to participate in your own rescue or the evacuation of another team member, you will likely be much more effective if you are in excellent physical shape.
Get Checked Out— A visit to a medical provider familiar with the demands of altitude travel is helpful before your trip, especially if you have ongoing medical conditions. You should address any acute medical issues such as sinus infections, bronchitis, or chest pain with your doctor before you leave on your trip. Individuals with Heart and Lung disease should be examined carefully as altitude places tremendous strain on the cardiovascular system. Sleep disorders can also pose significant problems at altitude since sleep is significantly disrupted during the acclimatization process. Musculoskeletal conditions can also present problems for traveling efficiently and performing effectively at altitude. A clinician who knows your health conditions and understands the demands of altitude can help you prepare for your trip. Medications useful to you at altitude as well as immunizations for travel to remote areas can also be provided at your pre-trip visit.
Get Hydrated—Dehydration decreases the body’s ability to acclimatize to high altitude. Unfortunately many travelers arrive at their destination dehydrated after long plane-flights, bus trips, or automobile journeys. Excessive caffeine and alcohol ingestion are common during travel and produce a general state of low blood volume. Even before your trip begins, drinking 2-3 liters of water per day can prepare your body for arrival at higher elevations. Keep a 1 liter water bottle with you when traveling and drink as regularly as is feasible, given your mode of transportation. Reducing caffeine and alcohol consumption before your trip will also decrease your chances of arriving at altitude in a dehydrated state.
Get Medications—You should be sure to have an adequate supply of your regular medications when you begin your trip. While most travelers choose to acclimatize to altitude naturally, many people choose to take prescription medications that help the body adjust to high altitudes, such as acetazolamide (Diamox) and dexamethasone. Others suggest supplements such as gingko balboa may be helpful. The specific benefits of these medications/supplements and their side effects are discussed below. Altitude medications are more highly recommended for rapid travel (i.e. by plane) to very high altitude (3500m-5500m/ 11,483 – 18,045 ft) and may not be required for travel to lower elevations.
Get Rested—Domestic and international travel itineraries often disrupt normal sleep schedules and generate feelings of fatigue. Arriving tired and dehydrated at altitude creates room for altitude illness to develop if travelers immediately begin high-exertion activities such as skiing, hiking or climbing. Many travelers find medications such as Zolpidem (Ambien) helpful if they struggle to sleep while traveling to the start of their trip. Alternatively, plan a rest day or two once you arrive at your destination
Get Educated—The best treatment for altitude illnesses is to avoid getting sick in the first place. While there is no flawless way to prevent altitude sickness, most experts agree that knowledgeable travelers are less likely to experience serious conditions such as HAPE and HACE. You should know the symptoms, ascent guidelines, and treatment methods for altitude illnesses. You can also carry with you small books on mountain first aid that have excellent sections on altitude illnesses. Most individuals who have problems at altitude either lack basic knowledge about high-altitude regions, ignore/rationalize away obvious symptoms, or fail to provide the proper treatments for party members who become ill.
What Medications are Effective in Preventing High Altitude Illnesses?
Prevention: Recent consensus statements on the strength of evidence for various preventive medications are available through the internet. Please see the link below for excellent references and one recent summary article. What follows is a summary drawn from this helpful consensus article.
For further reading, health related professionals may wish to investigate the excellent references at the end of the document.
Fairly effective in preventing many cases of altitude illness. The indications for using Acetazolamide include a) rapid ascent to sleeping elevations > 3000 m, b) significant gains in elevation during an expedition (e.g. moving from 4000 m to 5000 m, and c) previous difficulty during travel to high altitude. Acetazolamide has side effects that many find unpleasant causing some travelers to avoid this medication. Consult with your prescribing physician before taking this medication.
Dexamethazone has been shown to be effective in preventing altitude illness in many individuals. Some will take it in conjunction with Acetazolamide, or alone. Consensus statements indicate that this medication should be reserved for individuals who cannot tolerate Acetazolamide.
3. Other medications:
Methazolamide, Spironolactone, Nifedipine (useful in treating HAPE, not in preventing AMS) and Sildenafil all seem to have some beneficial effect in some altitude travelers, but scientific research has yet to affirm them as strongly as Acetazolamide and dexamethazone.
Are there any natural supplements that help prevent Altitude Illness?
Gingko Bilboa has been shown to improve circulation and reduce blood pressure in a similar way to Sildenafil (Viagra). Studies have not demonstrated that Gingko is any better than placebo, but some individuals still find this a helpful herbal agent in preventing altitude illness
Other recommendations include high doses of Vitamin C and other anti-oxidant agents which may help reduce the circulating volume of free radicals during acclimatization. Scientific evidence for these interventions is somewhat limited, yet these vitamins may function as excellent support for the irregular diet and lifestyle produced by many travel itineraries.
Some substances controlled in the United States may alleviate the symptoms of altitude illness. Coca leaves (coca de mate) are commonly used to make tea or are chewed directly by many high altitude workers and travelers in Central and South America. These remedies are consumed at the travelers own risk.
One fine summary of herbal remedies exists at:
What Guidelines Exist for Safe Travel in High Altitude Regions?
Group Travel: Traveling with a group is an excellent way to reduce the likelihood of altitude illness. Solo travelers may have a more difficult time recognizing AMS symptoms in themselves and may be more likely to rationalize away their symptoms in order to reach a goal. The use of a buddy system (each member of your group has a buddy to watch them throughout the day) is very effective in recognizing AMS symptoms early. While groups increase the number of people who can potentially become ill, they probably decrease the likelihood that serious illness will occur.
Gradual Initial Exposure: Graded ascent to high altitude is preferred over rapid exposure to high altitude. For example, trekking to elevations over 3500 m over a number of days decreases your risk of AMS when compared with flying to the same elevation. Ascend to altitude slowly when possible. If you are rapidly exposed to altitudes > 3500 m (e.g. LaPaz, Bolivia) consider taking Acetazolamide according to accepted therapeutic regimens. Once you arrive at 3500 m, you should take 2-3 days to rest and allow your body to adjust to the new altitude. This involves non-strenuous activities like walking, touring the local town, or sightseeing.
See the linked YouTube video for more on these acclimatization schedules.
Ongoing Exposure: After 2-3 days spent at altitudes around 3500 m, travelers should increase their sleeping elevation no more than 600 m per day. Gaining more elevation during the day is acceptable so long as overexertion is avoided and the sleeping elevation does not exceed 600m. In addition, an extra night of acclimatization is recommended every 300-900m gain in sleeping elevation. As noted, terrain may frustrate adherence to these schedules, but groups must make their best attempts to approximate these guidelines. (excellent)
What Should I do if someone gets Altitude Illness?
Most healthy people will sustain some mild measure of altitude illness on arrival at altitude, such as a headache, problems sleeping, mild shortness of breath, or fatigue. If these symptoms fail to resolve with a rest day, hydration, and over the counter medications, your group must pay attention, and perhaps initiate treatment.
Treating severe AMS (Acute Mountain Sickness)
1. Discontinue ascent and rest.
2. Acetazolamide 125 mg by mouth every 12 hours until symptom free
3. Dexamethasone 4 mg by mouth every 4-6 hours for two doses. Do not continue ascent until after 18 hours after the last dose and symptom free. This can be used by itself or with Acetazolamide.
4. Give Oxygen, if supplemental oxygen is available.
5. Descend if symptoms persist more than 24-48 hours or if the patient’s condition worsens.
Treating HAPE (High-Altitude Pulmonary Edema)
1. IMMEDIATE descent (almost always with assistance) is imperative, and should not be delayed unless descent poses a greater danger to the parties involved (i.e. weather, terrain). Even modest elevation losses can be helpful.
2. In addition to descent, administration of dexamethasone 8 mg IM/PO loading dose followed by 4 mg IM/PO Q 6 hours should be given immediately.