Abstract：
High-altitude expeditions expose teams to particular medical, environmental, and social challenges that can have unintended and severe consequences for crew members. In June 2017, the 9-d Equal Playing Field (EPF) expedition to Mount Kilimanjaro to set a world record for the highest-altitude soccer match ever played demonstrated the variety of challenges that may arise during these types of trips. This trip included a full-length soccer match at 5714 m (18,746 ft), leading to additional challenges for expedition members participating in the athletic event. The EPF medical team identified the challenges that occurred during the expedition and documented the methods used to resolve these challenges in real time. From the challenges faced during the expedition, we describe the lessons learned for future expeditions to Mount Kilimanjaro and other high-altitude environments. Challenges arose with medical tent visibility, medical disqualification, underreporting of medical events, and acute pain management, while anticipated challenges with interpersonal conflict did not occur. The rigorous preparation and anticipation by the EPF medical team prior to expedition departure may have helped mitigate this conflict as well as prevented unintended severe medical events from occurring.
摘要：
高空探险让团队接受特殊的医疗服务，环境,以及可能给船员带来意想不到的严重后果的社会挑战。2017年6月，9d平等运动场（EPF）远征乞力马扎罗山，创造了有史以来最高海拔足球比赛的世界纪录，这证明了在这些类型的旅行中可能出现的各种挑战。这次旅行包括5714米（18,746英尺）的全长足球比赛，为参加体育赛事的探险队成员带来了额外的挑战。EPF医疗团队确定了探险期间发生的挑战，并记录了实时解决这些挑战的方法。从探险期间面临的挑战来看，我们描述了将来对乞力马扎罗山和其他高海拔环境的探险的经验教训。医疗帐篷能见度带来了挑战，医疗不合格,漏报医疗事件，和急性疼痛管理，虽然预期的挑战与人际冲突没有发生。EPF医疗团队在远征出发前的严格准备和预期可能有助于减轻这种冲突，并防止意外的严重医疗事件发生。
