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- Newsgroups: rec.backcountry
- Path: sparky!uunet!think.com!ames!data.nas.nasa.gov!amelia.nas.nasa.gov!eugene
- From: eugene@amelia.nas.nasa.gov (Eugene N. Miya)
- Subject: [l/m 9/18/92] AMS Distilled Wisdom (21/28) XYZ
- Followup-To: poster
- Sender: news@nas.nasa.gov (News Administrator)
- Organization: NAS Program, NASA Ames Research Center, Moffett Field, CA
- Date: Mon, 21 Dec 92 12:20:12 GMT
- Message-ID: <1992Dec21.122012.28883@nas.nasa.gov>
- Reply-To: eugene@amelia.nas.nasa.gov (Eugene N. Miya)
- Lines: 77
-
- UNDER CONSTRUCTION
- A recurring topic of discussion is altitude sickness and treatment.
- AMS (acute mountain sickness)
- Time and a distinct lack of resources can quickly elevate the
- dangers of a medical emergency. High Altitude Pulmonary Edema (HAPE),
- High Altitude Cerebral Edema (HACE), and retinal hemorrhaging
- are all problems which can take place in some individuals as low
- as 5-8,000 feet. You can read references, but you have a responsibility
- to be in reasonable physical shape, drinking plenty of fluids.
- But the important thing to realize is that you have a MARGIN of
- safety you are cutting into.
- You should consult YOUR physician about YOUR special needs.
- Diamox or Previtin should not be taken lightly.
- Reactions to other drugs (even aspirin), allergries can differ at
- higher elevations. See a physician.
- Another topic where urban thinking can harm you.
- Drug treatment is not a substitute for descending.
-
- Gamow bags have been discussed as an expensive measure (perhaps most
- useful for high altitude expeditions). Bottled LO2 is also a possibility.
-
- 1 Ferreira and Grundy, _Dexamethasone in the Treatment of Acute Mountain
- Sickness_, NEJM, VOl. 312, No 21, page 1390, 23 May 1985.
- 2 Oelz, Oswald, _A Case of High-Altitude Pulmonary Edema Treated with
- Nifedipine_, JAMA, Vol 257, No 6, page 780, 13 Feb 1987.
-
- Bibliography:
-
- "Medicine for Mountaineering: Third Edition" edited by James A. Wilkerson,
- M.D., 1985, The Mountaineers, ISBN 0-89886-086-5.
-
- "Medicine for the Outdoors" by Paul S. Auerbach, M.D., 1986, Little,
- Brown and Company, ISBN 0-316-05928-5 (hc) 0-316-05929-3 (pbk).
-
- "Wilderness Medicine" by William Forgey, M.D., 1987, ICS Books, Inc.,
- ISBN 0-934802-37-8
-
- "Mountain Sickness"
- by Charles S. Houston
- Scientific American, October 1992, page 58.
- Synopsis at top of the article says:
- "The varied and subtle symptoms of this potentially lethal disorder
- humble many who scale the summit. But the problem is often
- preventable."
-
-
- TABLE OF CONTENTS of this chain:
-
- 21/ AMS <* THIS PANEL *>
- 22/ Words from Foreman and Hayduke
- 23/ A bit of song (like camp songs)
- 24/ What is natural?
- 25/ A romantic notion of high-tech employment
- 26/ Other news groups of related interest, networking
- 27/ Films/cinema references
- 28/ References (written)
- 1/ DISCLAIMER
- 2/ Ethics
- 3/ Learning I
- 4/ learning II (lists, "Ten Essentials," Chouinard comments)
- 5/ Summary of past topics
- 6/ Non-wisdom: fire-arms topic circular discussion
- 7/ Phone / address lists
- 8/ Fletcher's Law of Inverse Appreciation and advice
- 9/ Water Filter wisdom
- 10/ Words from Rachel Carson
- 11/ Snake bite
- 12/ Netiquette
- 13/ Questions on conditions and travel
- 14/ Dedication to Aldo Leopold
- 15/ Leopold's lot.
- 16/ Morbid backcountry
- 17/ Information about bears
- 18/ Poison ivy, frequently ask, under question
- 19/ Lyme disease, frequently ask, under question
- 20/ "Telling questions" backcountry Turing test (under construction)
-
-