Author/Editor		Klinar, Tomaž
Title		Primer zdravljenja akutne višinske bolezni na slovenski himalajski odpravi Šiša Pangma 2003
Translated title		Treatment of acute mountain sickness on Slovenian Himalayan expedition Hisha Pangma 2003 - case report
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 11. mednarodni simpozij o urgentni medicini; 2004 jun 9-12; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2004
Volume		str. 263-7
Language		slo
Abstract		Background: Everyone visiting high altitude areas (above 2500 m) can be affected by acute mountain sickness (AMS), especially if the rules of prevention cannot be strictly followed on the terrain. AMS can be accompanied by two complications: high altitude pulmonary edema (HAPE) and high altitude cerebral edama (HACE). Experience, good physical condition, even a degree of acclimatization and knowledge of how to avoid AMS are not sufficient for actual prevention. Methods: A case of severe AMS with symptoms and signs of both HAPE and HACE is presented. A 33-yaer old alpinist was affected the first day after the base camp site had been reached (5200 m). Bad weather, deficient hydration and a very fast ascent brought the alpinist in a hazardous situation. Treatment and help provided by the expedition doctor and other members of the team included the use of acetazolamid, dexamethason, nifedipin, parenteral hydration, oxygen and hyperbar ic bag. Rapid recovery followed, which enabled the patient to be in full command of his abilities on the third day after the beginning of treatment. Conclusion: It is known that experience, good physical condition and even partial acclimatization are not guarantee against the development of severe AMS, but supposedly can accelerate recovery The treatment recommended in literature was in our case so successful that the patient was ableon the third day after the beginning of treatment - to climb, on his own decision, a 6010 metre high peak.
Descriptors		ALTITUDE SICKNESS PULMONARY EDEMA BRAIN EDEMA MOUNTAINEERING ADULT