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Topics: Altitude Illnesscerebral edemapulmonary edema
ACEP Now: Vol 40 – No 02 – February 2021
June 9, 2019
I love your succinct synopsis, as a physician who has practiced at 9,300 feet for thirty-one years.
1.) We prefer O2, acetaminophen and ondansetron to NSAIDS in the nausea scenario. NSAIDS recommendations persist based on poorly designed earlier NSAID prevention studies which have been discounted. Why give NSAIDS to folks with nausea and vomiting?
2.) For those of us in the real world, the Lake Louise score is academic and impractical from the perspective of having treated over five thousand AMS patients. We take a history, do an exam, look for clinical improvement in patient w/o concurrent medical illness after 20 min 02 trial, then make a treatment decision. A score sounds good but does not help.
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