Timeline for How do you diagnose severe altitude illness?
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| Oct 18, 2015 at 19:50 | comment | added | imsodin | @BenCrowell This is actually the point: I intended to be conservative in my recommendation. I see that you focus on diagnosis, I think I do address this in my answer while also including decision-making, as I do not think you can hold this apart. As you mention even for medical experts diagnosis is not altogether clear, the Louise Scale is not the solution, but it is IMO a good reference point for us laypersons. | |
| Oct 18, 2015 at 19:42 | comment | added | user2169 | I don't know, maybe we're just differing in emphasis or how conservative we are. I intentionally phrased the question to be very limited in scope: about diagnosis only, not prevention, treatment, or decision-making. | |
| Oct 18, 2015 at 18:57 | history | edited | imsodin | CC BY-SA 3.0 |
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| Oct 18, 2015 at 18:47 | comment | added | imsodin | @BenCrowell My statement on assuming AMS may not follow from the article, but I think that parts like "Early diagnosis is important. Acute mountain sickness is easier to treat in the early stages." and "You should not continue climbing if you develop symptoms." do support it. The second part is just as intended very general, how these symptoms have to be evaluated is stated in the following. | |
| Oct 18, 2015 at 18:44 | comment | added | user2169 | If you have sources in German, why not just reference them? If they're online, people can always use Google Translate. BTW, your answer prompted me to learn about the Lake Louise questionnaire. There actually seems to be a consensus that has developed within the last couple of years that it is not very good and needs to be redesigned. I put some info about that in my own answer. | |
| Oct 18, 2015 at 18:41 | history | edited | imsodin | CC BY-SA 3.0 |
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| Oct 18, 2015 at 18:40 | comment | added | imsodin | Thanks for the informations @BenCrowell , I have to admit I just referenced the site for its list of symptoms, the text has its limitations as you pointed out. The problem is the sources I know well are in German and therefore of no use here. I will see whether I can find something more appropriate | |
| Oct 18, 2015 at 16:11 | comment | added | user2169 | BTW, there is some obviously wrong material in the Heller article. "If you are traveling above 9,840 feet (3,000 meters), you should carry enough oxygen for several days." This was clearly written by someone who has no first-hand knowledge. | |
| Oct 18, 2015 at 16:10 | comment | added | user2169 | Assume acute mountain sickness (AMS) unless proven otherwise. This is not supported by the Heller article. AMS is potentially life threatening, so if you have symptoms related to AMS, do not ascend any further. I'm not clear on what you mean here. Do you mean any symptoms? E.g., one of the symptoms you list is fatigue, which is a perfectly normal way to feel when climbing a mountain. A more realistic suggestion might be not to climb higher if you have early symptoms in severe form, multiple symptoms, advanced symptoms, or more than a certain score on the Lake Louise questionnaire. | |
| Oct 18, 2015 at 16:07 | comment | added | user2169 | The pointer to the Lake Louise assessment is nice. (BTW, it's Louise, not Louis, but I don't think SE will let me edit out a one-character typo.) | |
| Oct 18, 2015 at 15:54 | comment | added | user2169 | I don't think it's accurate to say that HAPE and HACE are "actually symptoms of AMS." Although there can be a lot of overlap between severe AMS and HACE, HAPE is a qualitatively different condition involving fluid filling the lungs. | |
| Oct 18, 2015 at 15:21 | history | edited | imsodin | CC BY-SA 3.0 |
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| Oct 18, 2015 at 15:14 | history | answered | imsodin | CC BY-SA 3.0 |