A drug that has been used for years to treat pulmonary hypertension has also been used for years in Canada and Europe to help with frostbite. Well, the FDA fairly recently approved its use in the United States, so let's talk about what evidence we have to support its use as well as some of the shortcomings of the supporting studies.

I recently went on an expedition to Kyrgyzstan. In preparation for that trip, I needed to consult with my physician on the medications I might need for the travel and the rigors of climbing hard and climbing at altitude. Of course, my medications won't be right for you, so this breakdown of what I brought might be a starting point for a similar conversation with your physician, allowing the both of you to choose what may be right for you.

Whether going from sea level to moderate altitude or from moderate altitude to high altitude, our bodies need time - and water - to adjust and adapt to the reduced oxygen we will take in. This video gives an overview of the physiology, the potential illnesses, and the preventative tactics that all come into play when we experience significant altitude changes.

When it comes to camping in the deep cold, staying warm is the ultimate goal. But did you know that organizing your gear in your tent can make a huge difference? Here are some tips on gear organization to maximize heat retention.

Going on a backpacking, multi-day climbing, mountaineering, hiking, or a camping trip during the dry, winter months can lead to split fingertips. The dry air and other conditions of winter just make it more likely. Those wounds can make using your hands painful. Here's how I help prevent those splits from happening as well as how I deal with the injury if I don't follow my own advice well enough!

My twin seven-year-olds love mountaineering, climbing, hiking, and camping. But making sure we have all the right gear for winter trips comes with larger consequences for getting it wrong. Here is a load out video of what we take for a winter day-trip in snowy, cold conditions.

Wanting to hike to the summit of a 14er? Here is a loadout of the equipment I take on a typical summer climb to above fourteen thousand feet.

In this post you get an opportunity to learn from some "overpacking" mistakes that I used to make when going out into the backcountry for multiple days. Now, carrying some of the kids' gear when we go out, every ounce counts. So, here are four repair kit items that we no longer take with us as camping gear or backpacking gear... and the lighter, multi-use gear we replaced those original items with.