In this episode of the PFC Podcast, Ian Wedmore, an expert in high altitude medicine, discusses the newly released Clinical Practice Guidelines (CPG) for altitude-related illnesses. The conversation covers the pathophysiology of acute mountain sickness, high altitude pulmonary edema, and high altitude cerebral edema, as well as their diagnosis and treatment protocols. Ian emphasizes the importance of understanding the symptoms, utilizing technology, and implementing prevention strategies to effectively manage altitude illnesses in military and wilderness settings.

Takeaways

The new CPG for altitude medicine is a significant advancement.

Acute mountain sickness occurs when the body ascends too quickly without acclimatization.

Diagnosis of altitude sickness relies heavily on symptom scoring systems.

Vital signs are crucial for diagnosing high altitude pulmonary edema.

Dexamethasone is essential for treating high altitude cerebral edema.

Pre-exposure prophylaxis can reduce the risk of altitude sickness.

Acetazolamide is the primary medication for preventing acute mountain sickness.

Understanding the pathophysiology of altitude illnesses is key for treatment.

Good hydration and nutrition are critical for acclimatization.

Data collection through medic encounter forms will improve altitude care.

Chapters

00:00 Introduction to High Altitude Medicine

02:51 Understanding Acute Mountain Sickness

06:13 Diagnosing and Differentiating Altitude Illnesses

08:56 Pathophysiology of High Altitude Pulmonary and Cerebral Edema

12:04 Treatment Protocols for Altitude Illnesses

15:08 Utilizing Technology in Altitude Medicine

18:00 Prevention and Prophylaxis Strategies

20:45 The Role of Medications in Altitude Care

24:13 Future Directions in Altitude Medicine

27:01 Conclusion and Key Takeaways

Link to full podcast:

⁠https://creators.spotify.com/pod/show/dennis3211/episodes/Prolonged-Field-Care-Podcast-228-DImE-e32aek2⁠

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