Navigating High Altitude Missions: Prophylaxis and Protocols

This chapter covers the essential planning needed for high-altitude missions, highlighting the role of acetazolamide in preventing acute mountain sickness (AMS). It also addresses ascent protocols and considerations for military operations at different altitudes.

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Episode notes

In this episode of the PFC Podcast, Ian Wedmore, an expert in high altitude medicine, discusses the newly released Clinical Practice Guidelines (CPG) for altitude-related illnesses. The conversation covers the pathophysiology of acute mountain sickness, high altitude pulmonary edema, and high altitude cerebral edema, as well as their diagnosis and treatment protocols. Ian emphasizes the importance of understanding the symptoms, utilizing technology, and implementing prevention strategies to effectively manage altitude illnesses in military and wilderness settings.

Takeaways

The new CPG for altitude medicine is a significant advancement.

Acute mountain sickness occurs when the body ascends too quickly without acclimatization.

Diagnosis of altitude sickness relies heavily on symptom scoring systems.

Vital signs are crucial for diagnosing high altitude pulmonary edema.

Dexamethasone is essential for treating high altitude cerebral edema.

Pre-exposure prophylaxis can reduce the risk of altitude sickness.

Acetazolamide is the primary medication for preventing acute mountain sickness.

Understanding the pathophysiology of altitude illnesses is key for treatment.

Good hydration and nutrition are critical for acclimatization.

Data collection through medic encounter forms will improve altitude care.

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