Training in a high altitude environment

There is much speculation as to the difference between training at sea level and training in a high altitude environment when it comes to performance management. Many pilots say training at high altitude is just a gimmick and has no real affect on how you manage a helicopters performance in flight, when others say just the opposite; Training in a high altitude environment will teach you to manage your aircraft's performance to a higher degree, and also increase your ability to handle the aircraft under extreme conditions when every bit of power is necessary.

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Vertical Reference - High Altitude Training