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High Altitude Medicine
and Physiology
The authors, with two other colleagues, outside the Silver Hut at 5800 m in the Everest region
during the Himalayan Scientific and Mountaineering Expedition, 1960-1961. Left to right:
Dr.J.S. Milledge, Professor J.B. West, Dr. LG.C.E. Pugh, Dr. M.P. Ward and Dr. M.B. Gill.
High Altitude Medicine and
Physiology
3rd Edition
by
Michael P Ward
CBE, MD, FRCS
Past Master, Society of Apothecaries of London, formerly Consultant Surgeon and Lecturer in Clinical
Surgery, London Hospital Medical College, London, UK
James S Milledge
MD, FRCP
Formerly Consultant Respiratory Physician and Medical Director, Northwick Park Hospital, Harrow, UK
John B West
MD, PHD, DSC, FRCP, FRACP
Professor of Medicine and Physiology, the School of Medicine, University of California, San Diego, USA
A member of the Hodder Headline Group
LONDON
Co-published in the USA by
Oxford University Press Inc., New York
First published in Great Britain in 2000 by
Arnold, a member of the Hodder Headline Group,
338 Euston Road, London NW1 3BH
http://www.arnoldpublishers.com
Co-published in the USA by
Oxford University Press Inc.,
198 Madison Avenue, New York NY10016
Oxford is a registered trademark of Oxford University Press
© 2000 Arnold
All rights reserved. No part of this publication may be reproduced or
transmitted in any form or by any means, electronically or mechanically,
including photocopying, recording or any information storage or retrieval
system, without either prior permission in writing from the publisher or a
licence permitting restricted copying. In the United Kingdom such licences
are issued by the Copyright Licensing Agency: 90 Tottenham Court Road,
London W1POLP.
Whilst the advice and information in this book are believed to be true and
accurate at the date of going to press, neither the author[s] nor the publisher
can accept any legal responsibility or liability for any errors or omissions
that may be made. In particular (but without limiting the generality of the
preceding disclaimer) every effort has been made to check drug dosages;
however, it is still possible that errors have been missed. Furthermore,
dosage schedules are constantly being revised and new side-effects
recognized. For these reasons the reader is strongly urged to consult the
drug companies' printed instructions before administering any of the drugs
recommended in this book.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
A catalog record for this book is available from the Library of Congress
ISBN 0 340 75980 1 (hb)
12345678910
Commissioning Editor: Joanna Koster
Project Editor: Sarah de Souza
Production Editor: Wendy Rooke
Production Controller: lain McWilliams
Cover design: Mouse Matt Design
Typeset in 10/12pt Minion and Ocean Sans by Phoenix Photosetting, Chatham, Kent
Printed and bound in Great Britain by Bath Press, Bath
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