Joshua O. Stream, MD, Colin K. Grissom, MD

Slides:

Advertisements

Similar presentations

Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Drowning Andrew C. Schmidt, DO, MPH, Justin R. Sempsrott, MD, Seth C.

Advertisements

Can People with Raynaud's Phenomenon Travel to High Altitude?

Joanna Coldron, MBChB, MRCP Wilderness & Environmental Medicine

Hyperbaric Oxygenation in Cardiac and Pulmonary Disease

Search and Rescue in Yosemite National Park: A 10-Year Review

Students Experience Self-Esteem Improvement During Mountaineering

Morteza Khodaee, MD, MPH, David R. Torres, MD

Hypothermia and Other Cold-Related Morbidity Emergency Department Visits: United States, 1995–2004 Eduardo Azziz Baumgartner, MD, Martin Belson, MD,

Clinical Images Wilderness & Environmental Medicine

High Altitude Cerebral Edema—Serial MRI Findings

Students Experience Self-Esteem Improvement During Mountaineering

Gabrielle Jacquet, MD, Tracy Cushing, MD, MPH

Grant S. Lipman, MD Wilderness & Environmental Medicine

Nancy V. Rodway, MD, MS, MPH, George W. Rodway, PhD, CRNP

Injury and Illness Encountered in Shenandoah National Park

Jonathan Reisman, MD, Dinesh Deonarain, MD, Buddha Basnyat, MD

Possible Anaphylactic Reaction Due to Pulmonary Hydatid Cyst Rupture Following Blunt Chest Trauma: A Case Report and Review of the Literature Mehmet.

Jeremy S. Windsor, James S. Milledge, George W. Rodway

Ricky L. Langley Wilderness & Environmental Medicine

Stacie L. Wing, MS, RD, E. Wayne Askew, PhD, Maurie J

Medical Incidents and Evacuations on Wilderness Expeditions

Efficient Breathing Circuit for Use at Altitude

English Air—The Story of the 1922 Mt Everest Oxygen Apparatus

Risk Factors for Coliform Bacteria in Backcountry Lakes and Streams in the Sierra Nevada Mountains: A 5-Year Study Robert W. Derlet, MD, K. Ali Ger,

Colin Powell, BSc (tech) FHEA Wilderness & Environmental Medicine

Search and Rescue in Yosemite National Park: A 10-Year Review

Joanna Coldron, MBChB, MRCP Wilderness & Environmental Medicine

Migraine Headache Confounding the Diagnosis of Acute Mountain Sickness

Death by Volcanic Laze Wilderness & Environmental Medicine

Bruno Ernst Durrer, MD: January 14, 1953 to December 5, 2016

Temperature and Blood Pressure Following Amlodipine Overdose

Search and Rescue Activity on Denali, 1990 to 2008

Tick Talk: Unusually Severe Case of Tick-Borne Relapsing Fever With Acute Respiratory Distress Syndrome—Case Report and Review of the Literature Mary.

Gabrielle Jacquet, MD, Tracy Cushing, MD, MPH

HMOX1 Promoter Microsatellite Polymorphism Is Not Associated With High Altitude Pulmonary Edema in Han Chinese Xue-Feng Cao, PhD, Lan Ma, PhD, Shang.

Gordon G. Giesbrecht, PhD Wilderness & Environmental Medicine

Ultrasound Identification of Patella Fracture

Snakes of Medical Significance in India: The First Reported Case of Envenoming by the Levantine Viper (Macrovipera lebetina) Col. Lekh R. Sharma, MBBS,

Migraine Headache Confounding the Diagnosis of Acute Mountain Sickness

Awareness of Altitude Sickness Among a Sample of Trekkers in Nepal

Fatal Pulmonary Edema in a Child After Jellyfish Stings in Korea

Airway Mucociliary Function at High Altitude

Ankle-Brachial Index on Kilimanjaro: Lessons from High Altitude

Forrest C. Wells, BS, Craig R. Warden, MD, MPH, MS

Tribute to Jonna Barry Wilderness & Environmental Medicine

Gordon H. Worley, MSN, RN, FNP, EMT-P

O. Larsell Wilderness & Environmental Medicine

Hypothermia and Other Cold-Related Morbidity Emergency Department Visits: United States, 1995–2004 Eduardo Azziz Baumgartner, MD, Martin Belson, MD,

The electrocardiogram in hypothermia

Can People with Raynaud's Phenomenon Travel to High Altitude?

Subtle Cognitive Dysfunction in Resolving High Altitude Cerebral Edema Revealed by a Clock Drawing Test Ian Quigley, MBBS, Ken Zafren, MD Wilderness.

Editor's Note Wilderness & Environmental Medicine

Animal-Caused Fatalities in New Mexico, 1993–2004

Water Intoxication: A Possible Complication During Endurance Exercise

Tick Attachment Sites Wilderness & Environmental Medicine

Douglas McGraw, Stephen J. Gluckman, MD

Epidemiology of Mountain Search and Rescue Operations in Banff, Yoho, and Kootenay National Parks, 2003–06 Finlay J. Wild, MBChB Wilderness & Environmental.

Gerald Dubowitz, MB, ChB, Andrew J. Peacock, MD

Palsy in the Desert Wilderness & Environmental Medicine

Neal W. Pollock, PhD, Gene W. Hobbs, CHT

Symptoms of Pulmonary Blastomycosis: Northern Wisconsin, United States

Management of High Altitude Pulmonary Edema in the Himalaya: A Review of 56 Cases Presenting at Pheriche Medical Aid Post (4240 m) Barbara E. Jones,

Recreational Injuries in Washington State National Parks

Gordon G. Giesbrecht, PhD Wilderness & Environmental Medicine

Adam M. Anderson, MD, John M. Leisey, MD

Comparing Student Outcomes of Hybrid and Conventional Wilderness Emergency Medical Technician Programs Joshua D. Martin, DNP, WEMT-P Wilderness & Environmental.

Wilderness & Environmental Medicine

Todd McGrath, MD, Crystal Murphy, MD

Airway Compromise After First Rattlesnake Envenomation

A Case of an Alpinist with a Patent Foramen Ovale and High-Altitude Pulmonary Edema at Moderate Altitude Georg Röggla, MD, Daniela Mandelburger, MD,

Presentation transcript:

Update on High-Altitude Pulmonary Edema: Pathogenesis, Prevention, and Treatment Joshua O. Stream, MD, Colin K. Grissom, MD Wilderness & Environmental Medicine Volume 19, Issue 4, Pages 293-303 (December 2008) DOI: 10.1580/07-WEME-REV-173.1 Copyright © 2008 Wilderness Medical Society Terms and Conditions

Figure 1 Panel A, Chest radiograph of a 15-year-old male with high-altitude pulmonary edema after helicopter evacuation from an altitude of 11 000 feet (3353m) to 4500 feet (1372m). The chest radiograph shows dense bilateral patchy alveolar infiltrative change and normal cardiac and mediastinal width. Panel B, Chest radiograph from the same patient after 1 day of treatment with supplemental oxygen delivered by nasal cannula at a flow rate of 4 L/min. The chest radiograph shows improvement in bilateral infiltrates. Wilderness & Environmental Medicine 2008 19, 293-303DOI: (10.1580/07-WEME-REV-173.1) Copyright © 2008 Wilderness Medical Society Terms and Conditions

Figure 2 Proposed pathogenesis of high-altitude pulmonary edema. Wilderness & Environmental Medicine 2008 19, 293-303DOI: (10.1580/07-WEME-REV-173.1) Copyright © 2008 Wilderness Medical Society Terms and Conditions