HACE/HAPE

Question 1

HACE stands for what

Answer 1

High altitude Cerebral Edema

Question 2

AMS stands for what?

Answer 2

Acute Mountain Sickness

Question 3

HACE Usually occurs at elevations above _________ and is more common in
unacclimated individuals

Answer 3

2500 meters (8250 feet)

Question 4

What issue
Hx Hiking in the mountains
a. Severe headaches,
b. confusion,
c. truncal ataxia,
d. urinary retention or incontinence,
e. focal deficits,
f. papilledema,
g. nausea and vomiting,
h. seizures.

Answer 4

HACE

Question 5

AMS / HAPE / HACE
Treatment

Answer 5

1) Immediate descent for at least 610 meters (2000 feet), continuing until symptoms improve.
2) Oxygen (100% 2-4 L/min) should be administered by mask.
3) Acetazolamide (250 mg orally every 8-12 hours)
4) Dexamethasone, 4-8 mg orally every 6 hours, is recommended thereafter.
5) If immediate descent is impossible, a portable hyperbaric chamber should be used until sx improve

Question 6

HAPE

Answer 6

High altitude pulmonary edema

Question 7

what is the leading cause of death from altitude illness

Answer 7

HAPE

Question 8

Early symptoms of hape may appear within _____ hours after arrival at a high-altitude area

Answer 8

6-36

Question 9

What issue?
Signs and Symptoms
a. Early:
-1) Incessant dry cough,
-2) Shortness of breath disproportionate to exertion,
-3) Headache,
-4) Decreased exercise performance,
-5) Fatigue,
-6) Dyspnea at rest,
-7) Chest tightness
b. Later:
-1) Wheezing,
-2) Orthopnea,
-3) Hemoptysis may occur as pulmonary edema worsens

Answer 9

HAPE