Working over 5,000 m: medical check-up

Ann Ig. 2016 May-Jun;28(3):233-42. doi: 10.7416/ai.2016.2102.

Abstract

Any work activity performed at elevations over 3,000 m above sea level is considered as work at high altitude. The changing environmental conditions result in an adaptation of the human organism, mainly due to a reduced partial pressure of oxygen in the air and a proportional decrease in barometric pressure. We carried out a systematic review of the scientific literature in this field so as to develop a health and risk protocol as well as a procedure of ascent for researchers and staff expected to work in a science research lab at an altitude of 5,100 m asl. We wish to highlight the crucial role that occupational medicine plays in the formulation of a medical protocol used to assess the suitability of staff to work in environments posing high risks to human health, as in this case, and of a protocol of ascent minimizing the risk associated with changes in altitude.

Keywords: High altitude; Occupational medicine; Procedure of ascent; Safety risks; Work at high altitude.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Adaptation, Physiological
  • Altitude Sickness / blood
  • Altitude Sickness / diagnosis*
  • Altitude Sickness / epidemiology
  • Altitude Sickness / physiopathology
  • Altitude*
  • Biomarkers / blood
  • Humans
  • Italy
  • Occupational Diseases / blood
  • Occupational Diseases / diagnosis*
  • Occupational Diseases / epidemiology
  • Occupational Diseases / physiopathology
  • Occupational Exposure / adverse effects*
  • Oxygen / blood*
  • Population Surveillance*
  • Research Design
  • Risk Assessment
  • Risk Factors
  • Work Capacity Evaluation

Substances

  • Biomarkers
  • Oxygen