This paper is only available as a PDF. To read, Please Download here.
An epidemic of mild acute mountain sickness (AMS) occurred at a 4-day meeting of epidemiologists held at an altitude of 3000 m (9800 ft) in the Rocky Mountains of Colorado, USA. Questionnaires from 96% of the 105 attendees documented the following symptom frequencies: headache, 59%; shortness of breath, 59%; difficulty in sleeping, 45%; weakness or dizziness, 40%; and nausea, 12%. AMS, defined as three or more symptoms, occurred in 42% of the respondents, and 90% had at least one symptom. One third felt the illness interfered with their concentration at the meeting, and 31% would not plan another meeting at this altitude, although only one person missed meeting sessions as a result of the AMS. AMS should be anticipated by those planning meetings of short duration at high altitude, and by physicians advising travelers to altitudes over 2000 m.
- Current concepts: acute mountain sickness.N Eng J Med. 1988; 319: 841-845
- High altitude sickness.Medical Letter. 1988; 30: 89-90
- Incidence of acute mountain sickness at intermediate altitude.JAMA. 1989; 261: 732-734
- The incidence, importance, and prophylaxis of acute mountain sickness.Lancet. 1976; ii: 1149-1154
- Incidence of acute mountain sickness: a study of winter visitors to six Colorado resorts.Am Alpine J. 1985; 27: 162-165
- Effect of acetazolamide on acute mountain sickness.N Eng J Med. 1968; 279: 839-844
- Acute mountain sickness and acetazolamide: clinical efficacy and effect on ventilation.JAMA. 1982; 248: 328-332
- A randomized trial of dexamethasone and acetazolamide for acute mountain sickness prophylaxis.Am J Med. 1987; 83: 1024-1030
- Epi Info computer programs for epidemiology.Centers for Disease Control, Atlanta, GA1988
- Effects of dexamethasone on the incidence of acute mountain sickness at two intermediate altitudes.JAMA. 1989; 261: 734-736
- Successful treatment of acute mountain sickness with dexamethasone.British Medical J. 1987; 294: 1380-1382
- Effect of carbon dioxide in acute mountain sickness: a rediscovery.Lancet. 1988; ii: 639-641
- Carbon dioxide breathing and mountain sickness.Lancet. 1989; ii: 272-273
- Acetazolamide and dexamethasone in the prevention of acute mountain sickness.Western J Med. 1988; 148: 541-545
- Acetazolamide in acute mountain sickness.Brit Med J. 1987; 295: 1161-1162
- Dexamathasone for prevention and treatment of acute mountain sickness.A viat Space Environ Med. 1988; 59: 950-954
© 1990 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.