PT - JOURNAL ARTICLE AU - Szawarski, Piotr AU - Hillebrandt, David TI - Doctor won’t see you now: changing paradigms in mountain medicine AID - 10.1136/postgradmedj-2017-135468 DP - 2018 Mar 01 TA - Postgraduate Medical Journal PG - 182--184 VI - 94 IP - 1109 4099 - http://pmj.bmj.com/content/94/1109/182.short 4100 - http://pmj.bmj.com/content/94/1109/182.full SO - Postgrad Med J2018 Mar 01; 94 AB - The evolution in communication and digital technologies is revolutionising the practice of medicine. A physician is now able to oversee provision of healthcare at a distance. In this paper, we argue that practice of telemedicine is an essential and evolving aspect of high altitude and expedition medicine. We acknowledge the lack of international consensus, limited legislation as well as possible reservations towards telemedical practice. Given some unique social and medical aspects of participation in remote, high altitude expeditions we propose a number of guiding principles for those involved in provision of telemedical services for such endeavours.