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  • High altitude sickness

    So as requested here is some info on High Altitude sickness (HAS) or also called Acute Mountain Sickness AMS)

    First off a scenario, you fly into a city in the rocky mountains and then drive to an elevation above 8000 feet. You start having a headache, feel out of breath, & generally grumpy.

    There are 2 main types of HAS , High Altitude Cerebral Edema (HACE) fluid acculmates around the brain & High Altitude Pulmonary Edema (HAPE), fluid collects in the airspaces of the lungs, (can you say drowning??).

    The main cause is low oxygen content in the blood (hypoxia) due to the low barometric pressure that occures at altitudes above 8000 but as low as 6500.
    Signs & symptoms are like dehydration or heat illness e.g. Headache, nausea with or without vomiting, unusual weariness (lassitude), insomnia, loss of appetite.
    There are NO physical characteristics for either.
    HACE includes bizarre changes in personality, & loss of coordination.
    HAPE usually includes the symptom of a dry, unproductive cough (may progress to producing a froth or pinkish tinged sputum), & shortness of breath.
    Symptoms progress and become more severe the longer the conditions are untreated.

    Treatment is to decend in altitude at least 1000. There are certain prescription medications that can help such as acetazolaminde or dexamethasone.
    Keep patient warm , try to limit physical activity expecially with HAPE,

    So if you are going to a higher altitude consider making a slow, staged ascent. If possible camp no higher than 8000 feet the first night, increase elevation no more tha 1000-15000 feet per day.
    If the trip starts at an altitude above 8500 spend 2 nights at that altitude before going higher. You may go higher during the day but return to a lower elevation to camp.
    A high carbo diet started 1-2 days prior may help.
    Avoid extreme exercise until acclimatized.
    Stay hydrated.

    So when we go up high out here if someone in our group is acting dehydrated but their urine is clear, we suspect AMS and have them decend.

    Getting to a lower altitude is usually the best & only "first aid" treatment available.
    We have a lot of paragliders who fly in the area and they sometimes drive over from the Seattle area and then fly up to 10-12k and sometimes report symptoms which go away when they decend.
    Survival question. What do I need most, right now?

  • #2
    Awesome, thanks
    That sounds familiar, didnt know for sure if the headache was associated with it but sounds like it. Did ok on other trips but that one day was tough. Gotta ease into these things sometimes.
    Knowledge is Power, Practiced Knowledge is Strength, Tested Knowledge is Confidence

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    • #3
      Back in 72 I was leading a scout troop on a 75 mile hike along the Sierras, and the Scoutmaster who had planned the trip bailed, leaving me, a troop committeeman and just 6 months out of the army, to lead the scouts or disappoint them. The trip started by driving from LA to the trailhead at over 9000 feet and we had to climb over a pass at 11,900 to get to our first camp. Fortunately I only had a couple of the scouts a little dizzy and nauseous. Beautiful trip and it kept me praying for safety.
      About 8 years ago I drove up one night to a high lookout, above 9000 feet, planning on greeting a spectacular sunrise. I encountered an oldtimer, in his late 70's or 80's trying to put some spare gas in his old Willys. He was pretty disorientated so I ended up leading him back down the mountain to the 7000 foot level and he seemed better.
      On the other hand, my parents, who are in their 90's, spend every summer at our family cabin at the 7000 foot elevation and seem to do pretty well, though my dad doesn't do any solo trips up fishing the streams any more, he's 95.
      Last edited by Grantmeliberty; 06-07-2012, 06:31 PM.
      III We are everywhere.

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      • #4
        When I climbed Mt. Rainier a few years ago, we climbed to 9000' and set up camp and slept for a few hours. We began climbing at midnight, so we only had a day going from 700 ft of alevation to 14k. Anyway, I had a headache when we were above 10,000. I almost called the climb (and probably should have) because one of my climbing partners was REALLY tired and a little loopy. Slow to respond and whatnot. My other partner got diarrhea and had to stop at least once avery hour. He thinks it was because of some new freeze dried food he tried. Let that be a lesson to anyone who plans on using new food in a bug out. You never know with added stress…
        It was an incredibly miserable trip. But our little 3 man team made it. And we had the entire summit all to ourselves on a completely cloudless morning!!! So amazing!
        But also really dangerous on the decent b/c of the condition of my team… One dude dehydrated and the other exhausted and loopy. I was really nervous!

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