High Altitude Medical Services

Dr. Pradeep Bhardwaj is dealing with the question of life and death of people at heights upto 24500 feet. @ anywhere, anytime, any weather and any height.

Dr. Pradeep Bhardwaj, Medical Director with his dynamic Six Sigma team has done an excellent Extra ordinary work for the welfare of the society by providing free – “High Altitude Medical Rescue Services” up to the height of 24500 ft. at Mount Everest during Nepal Earthquake 2015 and Kailash Mansarover Yatra (15500 feet) in China. He is the first to reach at Mount Everest base camp to rescue the people at the height of more than 24000 feet. The major medical operations are “Uttrakhand Flood – 2013, Shri Amarnath Yatra, Nepal Earthquake – 2015, Kailash Manasarover Yatra – via Nathula Sikkim and Manimahesh Yatra in Himachal Pradesh. Its FREE WITHOUT ANY DONATIONS / GOVT. SUPPORT. THERE IS NO LIABILITY ON GOVERNMENT AGENCIES, THEY ARE LEADING BY EXAMPLES.

Top 20 Highlights of Six Sigma’s – High Altitude Medical Services

  • Rescued 6200 Victims on High Altitudes
  • It’s FREE without any Donations up to the height of 24,500 feet.
  • Strong Team of 350 Doctors / Para Medicals / Social workers
  • Uttrakhand Flood – 2013 @ Kedarnath, Gaurikund, Badrinath
  • Shri Amarnathji Yatra-2014, 2016, 2017 @ Sheshnag, South Kashmir
  • Nepal Earthquake- 2015, @ Gorkha Distt, Nepal
  • Kailash Manasarover Yatra (KMY) Nathula Sikkim – 2015, 2017 @ Dolma Pass, 19500 Feet
  • Manimahesh Yatra – 2015, 2016, 2017 @ Chamba, Bharmor, Himachal Pardesh.
  • National Record Holder – Limca Book of Records
  • Recipient of 5 National – Govt of India Awards & Two International Awards
  • Appreciated / Acknowledged by the Hon’ble Prime Minister of India, Govt. of Nepal, Govt. of China.
  • Exemplifies professionalism, selfless commitment and unparalleled bravery.
  • Kedarnath Established First High Altitude Hospital at Kedarnath, Hemkund Sahib & Madhyamaheshwar
  • First to start “Mountain Medicines & High Altitude Medical Rescue” in India
  • Treated 53,889 people and Emergency of 519 on High Altitudes.
  • First to develop mobile application to find real time location of victims
  • Awarded National e Gov. Award – 2017 Govt. of India
  • Leadership of Dr. Pradeep Bhardwaj, Capt. R.K Sharma (WAR Veteran) President Awardees, Dr. Anita Bhardwaj
  • First in India – Started PG Diploma in Mountain Medicines and HMS.
  • First medical organization to introduced HAM Radio based communications with more than twenty qualified HAM operations.

Major Medical Operations by Six Sigma Healthcare

Uttrakhand Flood – 2013

Leadership is the capacity of translate vision into reality. The role of Six Sigma Healthcare in High Altitude Disaster management during Uttrakhand floods is a milestone in the history of healthcare. They were the first to reach Kedarnath and saved 511 people. The Six Sigma today stands tall for its commitment, encouragement, inspiration, through professionalism, modern heathcare management techniques with a commitment of on time or before time services in the changing scenario of hospital and heatlcare management.

When disaster strikes, responses must be rapid. Dr. Bhardwaj, CEO – Six Sigma has the will and capability to respond fast in such tough situations anytime, anywhere, any whether and at any height. The Six Sigma left no stone unturned to rescue the people at high altitudes. They Put themselves in harms’ way to evacuate pilgrims and citizens in inaccessible pockets of Himalayas. They have gone extra miles to rescue the people.

Six Sigma had swung into action much before the civil administration could gauge the scale of the disaster. The team in White Appron knocked down the obstacles, with single minded dedication and mission of saving people without consideration of caste, creed or religion.

Nepal Earthquake – 2015

These medical rescue operations were carried out to far flung inaccessible areas at earthquake affected places of NEPAL includes – Gorkha, Barpak, Lapark, Lamzung, Palumtar, Ulya of Nepal from 30th April, 2015 to 4th May, 2015. Six Sigma rescued 1700 victims. They always serve like an ARMY – ever ready for everything, courgeous, disciplined and ever ready to fight against all odds. This operations was highly appreciated by the Government of Nepal, Embassy of India (Kathmandu – Nepal), Health Ministry of Nepal, Economy Ministry of Nepal.

Amarnath Yatra Medical Services, Sheshnag – South Kashmir

The Governor of Jammu and Kashmir & Chairman, Shri Amarnathji Shrine Board has invited “Six Sigma Healthcare ” Delhi To make provision of medical relief for worshippers and pilgrims during Holi Yatra of Shri Amarnathji 2014/ 2015/2016 for organizing medical camp at the highest point of yatra @ Sheshnag.

Recently, the Punjab Government has given “National Award to Dr Pradeep Bhardwaj, CEO- Six Sigma Healthcare, for rendering OUTSTANDING self less services to the Humanity” specially on High Altitude Medical Services. The Government of Haryana has given “Kalpana Chawla Shaurya Award to Dr. Anita Bhardwaj in the year 2016.

The entire team work under the leadership of Dr. Pradeep Bhardwaj (Listed India’s TOP-10 Doctor, 5 National Awardees, Alumnus of IIM Ahmedabad). The journey ahead is going to be challenging, exciting and rewarding. Today’s the Nation feel proud on Six Sigma Healthcare and Team.

Do’s and Don’ts in Mountains, Snow-Bound Areas and Glaciated Terrain During Acclimatisation

Introduction

While operating in mountains, snow-bound areas and glaciated terrain, it is very important to acclimatise properly. Acclimatisation is the process of adjusting one’s body to the rarefied atmosphere and extreme cold climate of High Altitude Area.

Do’s.

(a) During acclimatisation work on higher altitude and sleep at lower.
(b) Acclimatisation is a must for mountaineers operating above 9000 ft.
(c) Mountain climbers should progressively increase their weight carrying capacity.
(d) Mountain climbers should be made to adjust to cold winds, harsh climate and move during night.
(e) Mountain climbers should practice movement in bad weather.
(f) Lasix tablets should always be carried and consumed on advice by the Medical Officer.
(g) First aid kit should always be carried and Nursing Assistant should always accompany climbers undergoing acclimatisation walk.
(h) Electrol/Glucose and salt should be carried.
(j) Mountain climbers should be re-acclimatised after rejoining the team from leave.
(k) Use goggles in snow bound areas.
(l) Use sunscreen lotions and lip salve.

Don’ts.

(a) No medical discomfort should be hidden, however small it may seem.
(b) Do not run or walk fast while climbing.
(c) Above 12000 ft, do not climb more than about 2000 ft.
(d) Do not get tired. Conserve your energy.
(e) Do not walk empty stomach.
(f) Always remember ‘Do not be a GAMA’ in the land of ‘LAMA’.

Conclusion

To maintain one’s mountaineering efficiency and operate with full zeal and élan, one must religiously follow the do’s and don’ts during acclimatization.

Do’s and Don’ts in Mountains, Snow-Bound Areas and Glaciated Terrain While Camping

Introduction

There are many occasions while operating in mountainous terrain when climbers have to camp out for days. During these times, it is very important for them to have complete knowledge of camping in mountains. This chapter gives you certain points that you should follow while camping in mountains, snow bound terrain and glacier.

Do’s.

(a) Select a site close to water and tree cover.
(b) Living area should be away from avalanche prone slope.
(c) Camping site should be large enough to accommodate helipad, radio operator detachment, group antenna etc.
(d) Campsite should have good exposure to sunlight and be away from direct wind.
(e) On glaciers camp should be established at a place where there are no chances of crevasses opening.
(f) Natural shelter should be used extensively.
(g) Shelter should be open from both ends to enable ventilation.
(h) Shelter should be water proof and wind proof.
(j) Cook house should be sited in the folds of the ground so that smoke/light can be concealed.
(k) Camp should be sited in good order to guard against any eventuality.
(l) Sentries should be placed all around the camp.
(m) Camp should be cleaned daily.
(n) A snow/ice wall should be constructed all around the camp, if possible.
(o) Site latrines on the leeward side, away from cookhouse and living area.
(p) Leave camp clean before moving out.

Don’ts.

(a) Do not camp on low ground.
(b) Do not camp at a place visible to avalanche prone slopes.
(c) Do not camp too close to an ice fall or river/stream.
(d) Cook house should not be located close to crevasse area as the heat produced may open crevasses.
(e) Opening of the cook house should not face wind direction.
(f) There should be no crevasse/stream in between the camp site.
(g) Do not light a fire inside a snow shelter.
(g) Waste material should not be disposed of close to camp site.
(j) Do not litter the area and leave tell-a-tale marks.
(k) Do not cut trees, vegetation or cause damage to the environment.

Conclusion

While operating in mountains, snow bound terrain and glaciers, it is important for climbers to follow the points as mentioned here in. By doing so, the mountain work efficiency of climbers is maintained even under the tough conditions of survival.

Do’s and Don’ts in Mountains, Snow-Bound Areas and Glaciated Terrain : Physical Fitness

Introduction

It is the most important aspect for a climber to maintain his physical fitness under various environment and work conditions. Mountains are peculiar for their extreme cold climate, rarefied atmosphere, fast winds and extremely rugged terrain. To operate in such areas with full potential, a climber has to remain physically fit and mentally robust. This chapter gives you certain points to be followed to keep physically fit.

Do’s.

(a) Warm fluids should be consumed regularly.
(b) Avoid excessive sweating.
(c) Breathe through your nose and talk less while climbing.
(d) Use sunglasses to avoid damage to eyes from the UV radiation of the sun.
(e) Wash eyes regularly with clean water.
(f) Keep yourself warm.
(g) Wear loose fitting clothes so that clean air can circulate in your body.
(h) Keep clothes dry from outside and inside.
(j) Keep your head on height while sleeping – use pillows.
(k) Exercise your face muscles by pulling them in all directions to avoid cold injuries.
(l) While entering a shelter, brush your shoes and clothes of snow sticking to them.
(m) Wear hand gloves and keep them dry.
(n) Exercise all parts of the body and keep them clean and dry.
(o) Keep your head covered as maximum heat is lost by the body through the head (40%).

Don’ts

(a) Do not smoke or consume liquor.
(b) Do not lie on the floor or on warm surface.
(c) Do not wear tight fitting clothes as they do not allow proper blood circulation.
(d) Avoid wearing wet clothes.
(e) Do not touch metal articles with naked skin.
(f) Do not use dirty or torn socks.
(g) Do not expose your body to cold weather, wind, wet clothes or humidity.
(h) Do not rub your skin vigorously while taking a bath.
(j) Do not overlook injuries, however small.
(k) Do not sleep wearing wet clothes, socks or wet shoes.

Conclusion

Physical fitness is an asset for all living beings and is a requisite for personnel in the mountaineering team. Due to the expreme terrain and weather conditions of mountains and diseases/injuries associated with them, it is only pertinent that personnel operating in such areas keep themselves in top physical shape and avoid the don’ts.

Do’s and Don’ts in Mountains, Snow-Bound Areas and Glaciated Terrain When Caught in a Storm

Introduction

There may be many occasions while moving from one camp to another, when climbers may be caught in a storm, in a group or alone. It is very important to have a cool head at that time and not fret under adverse conditions. So you should have the knowledge of things to be done to make yourself powerful. This chapter empowers you with the knowledge of things to be done in such an eventuality.

Do’s – When in a Group.
(a) Distribute responsibilities.
(b) Plan and look for a way out.
(c) Make a shelter, if possible.
(d) Send out an SOS signal.
(e) Locate own position on ground and map.
(f) Mark your trail.
(g) Stay in a group.
(h) Use rations and fuel judiciously.

Don’ts – When in a Group.
(a) Do not panic.
(b) Everyone should not sleep at the same time.
(c) Do not lose height.

Do’s – When Alone.
(a) Control your panic.
(b) Stay where you are.
(c) Plan your next action deliberately.
(d) If way to the starting point is known, then turn back.
(e) Keep yourself warm.
(f) Use the rations and fuel judiciously.
(g) Make a shelter, if possible.

Don’ts – When Alone.
(a) Do not fear because of loneliness.
(b) Do not lose height.

Conclusion

While operating in mountainous and snow bound terrain it is very important for the climbers to protect themselves when caught in bad weather. If all individuals keep in mind the points mentioned in this chapter then they can maintain their mountain work potential and complete the allotted tasks efficiently and effectively.