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Wilderness Environ Med. 2014 Dec;25(4 Suppl):S4-14. doi: 10.1016/j.wem.2014.06.017.

Wilderness Medical Society practice guidelines for the prevention and treatment of acute altitude illness: 2014 update.

Author information

1
Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA (Drs Luks and Schoene). Electronic address: aluks@u.washington.edu.
2
Divisions of Emergency Medicine (Dr McIntosh).
3
Pulmonary and Critical Care Division, Intermountain Medical Center and the University of Utah, Salt Lake City, UT (Dr Grissom).
4
Department of Surgery, Division of Emergency Medicine, Stanford University School of Medicine, Stanford, CA (Drs Auerbach and Zafren).
5
Division of Health Sciences, University of Nevada, Reno, NV (Dr Rodway).
6
Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA (Drs Luks and Schoene); East Bay Regional Pulmonary and Critical Care Medicine Associates, Berkeley, CA (Dr Schoene).
7
Department of Surgery, Division of Emergency Medicine, Stanford University School of Medicine, Stanford, CA (Drs Auerbach and Zafren); Himalayan Rescue Association, Kathmandu, Nepal (Dr Zafren).
8
Division of Emergency Medicine, Altitude Research Center, University of Colorado School of Medicine, Aurora and the Institute for Altitude Medicine, Telluride, CO (Dr Hackett).

Abstract

To provide guidance to clinicians about best practices, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for prevention and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. These guidelines present the main prophylactic and therapeutic modalities for each disorder and provide recommendations about their role in disease management. Recommendations are graded based on the quality of supporting evidence and balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches to prevention and management of each disorder that incorporate these recommendations. This is an updated version of the original WMS Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness published in Wilderness & Environmental Medicine 2010;21(2):146-155.

KEYWORDS:

acetazolamide; acute mountain sickness; dexamethasone; high altitude; high altitude cerebral edema; high altitude pulmonary edema

PMID:
25498261
DOI:
10.1016/j.wem.2014.06.017
[Indexed for MEDLINE]
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