High Altitude Cerebral Edema (HACE)

Clinical 

 • Encephalopathy 

 • Ataxic gait 

 • Severe lassitude 

 • Progressive decline of mental function and consciousness 

Management 

 • Requires immediate intervention 

 • Descent is definitive (best when patient is still ambulatory) 

 • Dexamethasone (rescue medication) 

 • Supplemental oxygen 

 • Hyperbaric therapy 



#HACE #High #Altitude #Cerebral #Edema #Diagnosis #Management #Wilderness