Luks Andrew M, McIntosh Scott E, Grissom Colin K, Auerbach Paul S, Rodway George W, Schoene Robert B, Zafren Ken, Hackett Peter H
Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA (Drs Luks and Schoene).
Divisions of Emergency Medicine (Dr McIntosh).
Wilderness Environ Med. 2014 Dec;25(4 Suppl):S4-14. doi: 10.1016/j.wem.2014.06.017.
To provide guidance to clinicians about best practices, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for prevention and treatment of acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. These guidelines present the main prophylactic and therapeutic modalities for each disorder and provide recommendations about their role 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 prevention and management of each disorder that incorporate these recommendations. This is an updated version of the original WMS Consensus Guidelines for the Prevention and Treatment of Acute Altitude Illness published in Wilderness & Environmental Medicine 2010;21(2):146-155.
为了给临床医生提供最佳实践指导，荒野医学会召集了一个专家小组，以制定关于预防和治疗急性高山病、高原脑水肿和高原肺水肿的循证指南。这些指南介绍了每种疾病的主要预防和治疗方法，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，建议根据支持证据的质量以及获益与风险/负担之间的平衡进行分级。这些指南还提供了将这些建议纳入其中的每种疾病的预防和管理建议方法。这是2010年发表于《荒野与环境医学》第21卷第2期第146 - 155页的《荒野医学会急性高原病预防和治疗共识指南》的更新版本。
