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Safety is's priority

Updated: Nov 16, 2021

A partnership with Ifremmont, a training and research institute in mountain medicine

I attach great importance to health and the smooth running of a trip. This is why trips to high altitudes are organised in partnership

  • with a tour operator based in Nepal and managed by long-time Tibetan friends,

  • with doctors specialised in altitude and isolated environments from Ifremmont, the institute for training and research in mountain medicine.

Although on each of these high altitude trips a local guide is in charge of the trip, I myself am present and will be trained in March 2018 as an "Ifremmont medical correspondent".

Safety services and equipment during the trip

The safety services and equipment that accompany us during the trip consist of

24/7 contact by telephone with a specialised Ifremmont doctor for any health problems during the trip

  • a first-aid kit adapted to the altitude environment to treat most cases,

  • a hyperbaric chamber,

  • a satellite telephone.

Your membership to the SOS MAM service is included in these trips.

It is important to be ready to act during the trip, but it is also essential to prevent. To this end, each person participating in these trips above 3000 m of altitude will benefit from :

  • a preventive tele-consultation of about half an hour with an Ifremmont altitude specialist in order to take stock of your general condition and, if necessary, to organise your complementary assessment. You can take advantage of this time to ask any questions you may have. This preventive consultation is not compulsory but is strongly recommended. This is why will cover the costs.

  • registration on the Ifremmont servers in order to fill in an online medical file, strictly confidential and secure, thus allowing the Ifremont doctors to get to know you better in case of a problem. The completion of this file is imperative to ensure maximum safety during the trip.

Please note that this service is not a substitute for your assistance / health repatriation insurance.


It is often said, but not true, that we go to the mountains to breathe in air! While it is true that the air is less polluted, the oxygen pressure in the ambient air decreases as the altitude rises (by a third at 3500 metres, by half at 5500 metres, and by two-thirds at the summit of Everest).

It is this reduction in the amount of oxygen available that can cause discomfort at first, then minor accidents (acute mountain sickness), and finally serious accidents (pulmonary oedema and high altitude cerebral oedema).

AMS can occur during an ascent, but also on arrival at an airport or city located at more than 3500 metres (La Paz in Bolivia, Cuzco in Peru or Lhasa in Tibet for example).

Who should attend the mountain medicine consultation?

  • Any person preparing for a stay at an altitude of more than 3,000 metres for the first time.

  • Any person suffering from a chronic illness likely to be decompensated by altitude.

  • Any person following a particular medical treatment.

  • Anyone who has suffered from a medical problem linked to altitude.

  • Anyone who works at altitude on a regular basis.

  • Any person in charge of a trekking group or expedition at altitude, who is able to become a medical interlocutor.

  • Anyone who is eager to learn and wants to give themselves the maximum chance of a successful stay.


--> Teacher training is given from 1 person upward. Kathy is in Lu Jong 1 teacher training ending in July. Aurore and Mickael are in training until January. It is possible to join or start a new training course from 1 person, Info here.
--> Johnathan returns to do the last course of Tog Chöd training in Chamonix at the end of June 2024. Venerable Oser is starting the Tog Chöd teacher training with the first face-to-face course in June in Chamonix and is already getting the hang of it with the theory through access to the online extranet. You can still join this training. The next training of Top Chod will perhaps start in June 2027 (or perhaps 2025 or 2026), to be continued...

--> A Tog ChOd discovery weekend is offered to everyone at the end of June! Info here

-->  We will be in Thailand in May and June and can offer discovery sessions or modules B of Lu Jong and Tog Chöd teacher training in French and English: in Chamonix from the end of June to the end of September, in Tenerife in October, in Nepal at the beginning of November 2024, in Thailand in November and December, and on Reunion Island in January 2025. And last minute... the Kora Kailash trip will take place in mid 2026 (the previous one was in 2018.. .), but will be reserved for former students or former participants of at least one trip with us! so if you would like to organize a retreat or training at these locations, contact us!

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