Mesh : Acetazolamide / therapeutic use Acute Disease Albuterol / analogs & derivatives therapeutic use Altitude Sickness / prevention & control therapy Brain Edema / prevention & control therapy Carbolines / therapeutic use Dexamethasone / therapeutic use Humans Mountaineering Nifedipine / therapeutic use Piperazines / therapeutic use Pulmonary Edema / prevention & control therapy Purines / therapeutic use Salmeterol Xinafoate Sildenafil Citrate Societies Sulfones / therapeutic use Tadalafil Wilderness Medicine / standards

来  源:   DOI:10.1016/j.wem.2010.03.002   PDF(Sci-hub)

Abstract:
To provide guidance to clinicians about best practices, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the prevention and treatment of acute mountain sickness (AMS), high altitude cerebral edema (HACE), and high altitude pulmonary edema (HAPE). These guidelines present the main prophylactic and therapeutic modalities for each disorder and provide recommendations for their roles in disease management. Recommendations are graded based on the quality of supporting evidence and balance between the benefits and risks/burdens according to criteria put forth by the American College of Chest Physicians. The guidelines also provide suggested approaches to the prevention and management of each disorder that incorporate these recommendations.
摘要:
为临床医生提供最佳实践指导,荒野医学协会(WMS)召集了一个专家小组,以制定预防和治疗急性高山病(AMS)的循证指南,高原脑水肿(HACE),高原肺水肿(HAPE)。这些指南介绍了每种疾病的主要预防和治疗方式,并就其在疾病管理中的作用提供了建议。根据美国胸科医师学会提出的标准,根据支持证据的质量以及收益和风险/负担之间的平衡对建议进行分级。该指南还提供了包含这些建议的预防和管理每种疾病的建议方法。
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