Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive neurological deterioration following rapid ascent to [Altitude] meters. Symptoms include severe global headache, refractory to analgesics, accompanied by ataxia, altered mental status, and persistent nausea/vomiting. No history of trauma or pre-existing neurological conditions.
Clinical Examination Findings
Physical exam reveals significant gait ataxia (tandem gait failure). Neurological assessment shows altered level of consciousness (confusion, lethargy, or stupor). Funduscopic exam may reveal retinal hemorrhages or papilledema. Vital signs demonstrate tachycardia and tachypnea. GCS score: [Score].
Treatment Protocol
Immediate descent to a lower altitude is the definitive treatment. Administer supplemental oxygen (titrate to SpO2 >90%). Initiate Dexamethasone 8mg IV/IM/PO followed by 4mg every 6 hours. Consider hyperbaric therapy (Gamow bag) if descent is delayed. Monitor for concurrent HAPE.