Evolution of consensus guidelines for prevention and treatment of acute mountain sickness by the Wilderness Medical Society and their implications for high-altitude military medical support
10.7644/j.issn.1674-9960.2024.12.006
- VernacularTitle:国际荒野医学协会关于急性高原病预防和治疗循证指南的演变历程及对高原卫勤保障的启示
- Author:
Xiaofang LI
1
;
Ke DU
;
Daiqing TENG
;
Yongjun LUO
Author Information
1. 陆军军医大学陆军卫勤训练基地军事医学地理学教研室,重庆 400038;陆军军医大学基础医学院学员一大队,重庆 400038
- Keywords:
Wilderness Medical Society;
acute mountain sickness;
high altitude cerebral edema;
high altitude pulmonary edema;
military medical support
- From:
Military Medical Sciences
2024;48(12):918-925
- CountryChina
- Language:Chinese
-
Abstract:
Acute mountain sickness is a variety of pathological reactions that occur when people enter high altitude areas and are exposed to a hypobaric and hypoxic environment.China has vast high-altitude regions with complex terrains and of strategic importance.With the increase in large-scale combat training activities,more troops have entered high-altitude areas to carry out training.The hypobaric and hypoxic environment at high altitudes impacts the generation of combat effectiveness.The Wilderness Medical Society(WMS)has issued consensus guidelines for the prevention and treatment of acute mountain sickness in 2010,2014,2019 and 2024,respectively.The commonly used drugs for the prevention and treatment of acute mountain sickness include acetazolamide,dexamethasone,acetaminophen and nifedipine while non-pharmaceutical approaches include gradual ascendance,pre-acclimation,oxygen inhalation,descendance to a lower altitude,and portable hyperbaric oxygen chambers.This article was intended to trace the evolution of each means of prevention and treatment specified in the four editions of the guidelines,keep track of the latest approaches to acute mountain sickness,and provide a reference for military medical support for related training.
