High-altitude illness: Management approach

doi:10.1016/j.tjem.2019.09.002

Review

. 2019 Sep 19;19(4):121-126.

doi: 10.1016/j.tjem.2019.09.002. eCollection 2019 Oct.

High-altitude illness: Management approach

Gökhan Aksel¹, Şeref Kerem Çorbacıoğlu², Can Özen³

Affiliations

¹ University of Health Sciences, Ümraniye Training and Research Hospital, Emergency Medicine Clinic, İstanbul, Turkey.
² University of Health Sciences, Keçiören Training and Research Hospital, Emergency Medicine Clinic, Ankara, Turkey.
³ Emergency Department, King's College Hospital, London, UK.

PMID: 31687609
PMCID: PMC6819752
DOI: 10.1016/j.tjem.2019.09.002

Review

High-altitude illness: Management approach

Gökhan Aksel et al. Turk J Emerg Med. 2019.

. 2019 Sep 19;19(4):121-126.

doi: 10.1016/j.tjem.2019.09.002. eCollection 2019 Oct.

Authors

Gökhan Aksel¹, Şeref Kerem Çorbacıoğlu², Can Özen³

Affiliations

¹ University of Health Sciences, Ümraniye Training and Research Hospital, Emergency Medicine Clinic, İstanbul, Turkey.
² University of Health Sciences, Keçiören Training and Research Hospital, Emergency Medicine Clinic, Ankara, Turkey.
³ Emergency Department, King's College Hospital, London, UK.

PMID: 31687609
PMCID: PMC6819752
DOI: 10.1016/j.tjem.2019.09.002

Abstract

In high altitudes, usually above 2500 m, travelers are faced with decreased partial pressure of oxygen along with decreased barometric pressure. High-altitude illness, a syndrome of acute mountain sickness, high-altitude cerebral edema and high-altitude pulmonary edema, occurs due to the hypobaric hypoxia when there is inadequate acclimatization. This review provides detailed information about pathophysiology, clinical features, prevention and treatment strategies for high-altitude illness according to the current literature.

Keywords: Altitude hypoxia; Altitude sickness; Brain edema; Emergency medicine; Mountain sickness.

2019 Emergency Medicine Association of Turkey. Production and hosting by Elsevier B. V. on behalf of the Owner.

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References

1. Luks A.M., Auerbach P.S., Freer L. Wilderness medical society Practice guidelines for the prevention and treatment of acute altitude illness: 2019 update. Wilderness Environ Med. 2019 Jun 24 pii: S1080-6032(19)30090-0. - PubMed
1. Luks A.M., Swenson E.R., Bärtsch P. Acute high-altitude sickness. Eur Respir Rev. 2017 Jan 31;26(143):160096. - PMC - PubMed
1. Nieto Estrada V.H., Molano Franco D., Medina R.D. Interventions for preventing high altitude illness: Part 1. Commonly-used classes of drugs. Cochrane Database Syst Rev. 2017 Jun 27;6:CD009761. (submitted for publication) - PMC - PubMed
1. Montgomery A.B., Mills J., Luce J.M. Incidence of acute mountain sickness at intermediate altitude. J Am Med Assoc. 1989;261:732–734. - PubMed
1. Honigman B., Theis M.K., Koziol-McLain J. Acute mountain sickness in a general tourist population at moderate altitudes. Ann Intern Med. 1993;118:587–592. - PubMed

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[1] Luks A.M., Auerbach P.S., Freer L. Wilderness medical society Practice guidelines for the prevention and treatment of acute altitude illness: 2019 update. Wilderness Environ Med. 2019 Jun 24 pii: S1080-6032(19)30090-0. - PubMed

[2] Luks A.M., Auerbach P.S., Freer L. Wilderness medical society Practice guidelines for the prevention and treatment of acute altitude illness: 2019 update. Wilderness Environ Med. 2019 Jun 24 pii: S1080-6032(19)30090-0. - PubMed

[3] Luks A.M., Swenson E.R., Bärtsch P. Acute high-altitude sickness. Eur Respir Rev. 2017 Jan 31;26(143):160096. - PMC - PubMed

[4] Luks A.M., Swenson E.R., Bärtsch P. Acute high-altitude sickness. Eur Respir Rev. 2017 Jan 31;26(143):160096. - PMC - PubMed

[5] Nieto Estrada V.H., Molano Franco D., Medina R.D. Interventions for preventing high altitude illness: Part 1. Commonly-used classes of drugs. Cochrane Database Syst Rev. 2017 Jun 27;6:CD009761. (submitted for publication) - PMC - PubMed

[6] Nieto Estrada V.H., Molano Franco D., Medina R.D. Interventions for preventing high altitude illness: Part 1. Commonly-used classes of drugs. Cochrane Database Syst Rev. 2017 Jun 27;6:CD009761. (submitted for publication) - PMC - PubMed

[7] Montgomery A.B., Mills J., Luce J.M. Incidence of acute mountain sickness at intermediate altitude. J Am Med Assoc. 1989;261:732–734. - PubMed

[8] Montgomery A.B., Mills J., Luce J.M. Incidence of acute mountain sickness at intermediate altitude. J Am Med Assoc. 1989;261:732–734. - PubMed

[9] Honigman B., Theis M.K., Koziol-McLain J. Acute mountain sickness in a general tourist population at moderate altitudes. Ann Intern Med. 1993;118:587–592. - PubMed

[10] Honigman B., Theis M.K., Koziol-McLain J. Acute mountain sickness in a general tourist population at moderate altitudes. Ann Intern Med. 1993;118:587–592. - PubMed

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High-altitude illness: Management approach

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High-altitude illness: Management approach

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