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Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update.
Wilderness Environ Med. 2019 Dec; 30(4S):S3-S18.WE

Abstract

To provide guidance to clinicians about best preventive and therapeutic practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for prevention and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. Recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches to prevention and management of each form of acute altitude illness that incorporate these recommendations. This is an updated version of the original WMS Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness published in 2010 and subsequently updated as the WMS Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness in 2014.

Authors+Show Affiliations

Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, WA. Electronic address: aluks@uw.edu.Department of Emergency Medicine, Stanford University School of Medicine, Stanford, CA.Yellowstone National Park, WY; Midway Atoll National Wildlife Refuge, Honolulu, HI; Everest ER, Himalayan Rescue Association, Kathmandu, Nepal.Division of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Salt Lake City, UT; Division of Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, UT.Department of Emergency Medicine, University of Colorado, Denver, CO; Boulder Community Health, Boulder, CO.Division of Emergency Medicine, University of Utah, Salt Lake City, UT.University of California, Davis School of Nursing, Sacramento, CA.Division of Pulmonary and Critical Care Medicine, Sound Physicians, St. Mary's Medical Center, San Francisco, CA.Department of Emergency Medicine, Stanford University School of Medicine, Stanford, CA; Himalayan Rescue Association, Kathmandu, Nepal.Altitude Research Center, Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO.

Pub Type(s)

Journal Article
Practice Guideline

Language

eng

PubMed ID

31248818

Citation

Luks, Andrew M., et al. "Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update." Wilderness & Environmental Medicine, vol. 30, no. 4S, 2019, pp. S3-S18.
Luks AM, Auerbach PS, Freer L, et al. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update. Wilderness Environ Med. 2019;30(4S):S3-S18.
Luks, A. M., Auerbach, P. S., Freer, L., Grissom, C. K., Keyes, L. E., McIntosh, S. E., Rodway, G. W., Schoene, R. B., Zafren, K., & Hackett, P. H. (2019). Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update. Wilderness & Environmental Medicine, 30(4S), S3-S18. https://doi.org/10.1016/j.wem.2019.04.006
Luks AM, et al. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update. Wilderness Environ Med. 2019;30(4S):S3-S18. PubMed PMID: 31248818.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update. AU - Luks,Andrew M, AU - Auerbach,Paul S, AU - Freer,Luanne, AU - Grissom,Colin K, AU - Keyes,Linda E, AU - McIntosh,Scott E, AU - Rodway,George W, AU - Schoene,Robert B, AU - Zafren,Ken, AU - Hackett,Peter H, Y1 - 2019/06/24/ PY - 2018/11/17/received PY - 2019/04/12/revised PY - 2019/04/19/accepted PY - 2019/6/30/pubmed PY - 2020/1/30/medline PY - 2019/6/29/entrez KW - acetazolamide KW - acute mountain sickness KW - dexamethasone KW - high altitude KW - high altitude cerebral edema KW - high altitude pulmonary edema KW - nifedipine SP - S3 EP - S18 JF - Wilderness & environmental medicine JO - Wilderness Environ Med VL - 30 IS - 4S N2 - To provide guidance to clinicians about best preventive and therapeutic practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for prevention and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. Recommendations are graded based on the quality of supporting evidence and the balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches to prevention and management of each form of acute altitude illness that incorporate these recommendations. This is an updated version of the original WMS Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness published in 2010 and subsequently updated as the WMS Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness in 2014. SN - 1545-1534 UR - https://www.unboundmedicine.com/medline/citation/31248818/Wilderness_Medical_Society_Clinical_Practice_Guidelines_for_the_Prevention_and_Treatment_of_Acute_Altitude_Illness:_2019_Update_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1080-6032(19)30090-0 DB - PRIME DP - Unbound Medicine ER -