Luks Andrew M, Auerbach Paul S, Freer Luanne, Grissom Colin K, Keyes Linda E, McIntosh Scott E, Rodway George W, Schoene Robert B, Zafren Ken, Hackett Peter H
Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, WA.
Department of Emergency Medicine, Stanford University School of Medicine, Stanford, CA.
Wilderness Environ Med. 2019 Dec;30(4S):S3-S18. doi: 10.1016/j.wem.2019.04.006. Epub 2019 Jun 24.
To provide guidance to clinicians about best preventive and therapeutic practices, the Wilderness Medical Society (WMS) 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. Recommendations are graded based on the quality of supporting evidence and the 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 form of acute altitude illness 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 2010 and subsequently updated as the WMS Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness in 2014.
为了给临床医生提供有关最佳预防和治疗方法的指导,荒野医学协会(WMS)召集了一个专家小组,以制定基于证据的预防和治疗急性高山病、高原脑水肿和高原肺水肿的指南。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益处与风险/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急性高原病的预防和管理建议方法。这是2010年发布的原始WMS急性高原病预防和治疗共识指南的更新版本,随后在2014年更新为WMS急性高原病预防和治疗实践指南。