Footnotes

• Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

• Competing interests None declared.

• Patient consent Not required.

• Provenance and peer review Not commissioned; internally peer reviewed.

• Author note This is a letter to the editor in response to a recent article describing the medical cover provided to military parachuting operations based on a review of injuries sustained. This letter aims to highlight the additional aviation medicine considerations in parachuting operations carried out at higher altitudes.