Altitude Illness, Pediatric

Michael Yaron Reviewed 06/2017
 


Basics

Description

High-altitude illness represents a spectrum of clinical entities with neurologic and pulmonary manifestations that overlap presentations and share elements of pathophysiology. Acute ...

Diagnosis

History

Previous altitude illness suggests similar symptoms in future with similar ascent profiles, rapid rate of ascent to high sleeping altitudes; increased exertion, preexisting medical co...

Treatment

Medication

  • Oxygen relieves AMS symptoms (1–2 L/min), easily available in most resorts, reserved for severe cases in remote settings. Hyperbaric therapy also effective, as it simulates descent

  • ...

Ongoing Care

Follow-up Recommendations

Refer to primary care physician for education of prevention strategies and consideration of prophylaxis with future ascent. History of HAPE or severe hypoxemia wa...

Additional Reading

  • Imray  C, Wright  A, Subudhi  A, et al. Acute mountain sickness: pathophysiology, prevention, and treatment. Prog Cardiovasc Dis.  2010;52(6):467–484. [View Abstract]

  • Luks  AM, ...

Codes

ICD09

  • 993.2 Other and unspecified effects of high altitude

  • 799.02 Hypoxemia

ICD10

  • T70.20XA Unspecified effects of high altitude, initial encounter

  • T70.29XA Other effects of high altitude, initial enc...

FAQ

  • Q: Can one develop AMS at moderate altitudes, such as during a ski vacation?

  • A: Yes. 25% of visitors from sea level will get AMS symptoms, although the altitudes encountered rarely lead to the deve...

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