Action
Treat for HAPE:
- Descend at least 1000 m or until symptoms resolve (Class I)
- Give supplemental oxygen (Class I)
- Use CPAP (Class III)
- Use portable hyperbarics (eg, Gamow bag) (Class II)
- Nifedipine ER 30 mg PO bid (preferred, Class II) or phosphodiesterase inhibitor (Class III)
Check for HACE:
- AMS
PLUS
- Any neurological finding or complaint?
Decision
Does the patient meet criteria for HACE?
Yes
Treat for HACE:
- Rapid descent (Class I)
- Give supplemental oxygen (Class I)
- Use portable hyperbarics (Class II)
- Dexamethasone (Class II)
- Give supportive care, as needed
