Health and Altitude

Our sloe concern is your health and happiness. Top of the world adventure goes to great lengths to maintain the highest safety standards. Our guides are all trained in first aid and carry supplies of first aid with them, allowing us to cope with a full array of possible diseases.

Acute Mountain Sickness (AMS)

One of the most frequently asked questions concerns acute mountain sickness which is also known as altitude sickness. This is caused by rising and becoming dehydrated at too rapid a rate. Through carefully preparing the route and itinerary we minimize the risk of AMS.  We follow the rule of the 400 m a day and walk at a reasonable pace, taking lots of breaks to rest, refresh and acclimatize.

Communicate with your guide attentively during the trek as your guide is highly experienced with the symptoms of Acute Mountain Sickness.  Note, AMS can impact anyone, even the group's youngest and most appropriate leader.  You could be the only one in the group suffering from AMS.  In many cases, stopping to rest, or even going down to lower altitude, is sufficient to avoid AMS.  Your health is more important than the road, or to keep up with the group.

The approach trek is a means of acclimatization and getting fit for trekking peaks.  It's important that the rest days included in the itinerary allow your body to acclimatize.  Even a physically fit man will find that at higher altitudes, everything becomes more of a challenge.

It is recommended that you do not consume alcohol and cigarettes until you reach your destination if you do a high altitude trek above 4000 m. (Beer and whiskey are on sale.)

Travel Insurance

Top of the World Adventure strongly recommends you buy specialized travel insurance covering all the activities you are going to undertake during your adventure in remote areas of Nepal.  Emergency evacuation, injury, lost baggage, liability and medical treatment should be included. Top of the world Adventure Pvt. Ltd. will arrange the appropriate medical response depending up on your Insurance policy.

Rescue / Evacuations

We will arrange your evacuation to the nearest hospital in case of serious illness or casualty. You'll be responsible for all medical costs incurred. Therefore, please make sure your insurance covers it. Upon returning to Kathmandu be prepared to cover the evacuation costs.