A 28-year-old traveller returns from a rapid ascent with severe headache, ataxia, confusion, and vomiting. Oxygen saturation is 78% at altitude.

Question

A 28-year-old traveller returns from a rapid ascent with severe headache, ataxia, confusion, and vomiting. Oxygen saturation is 78% at altitude. Portable oxygen is available and descent is possible. What is the most appropriate initial management?

Accepted Answer

Immediate descent, oxygen, and dexamethasone

Answer

Acetazolamide alone and continue ascent

Answer

Lumbar puncture before treatment

Answer

Fluid restriction and sleep

Answer

Oral antibiotics for gastroenteritis

High-altitude cerebral oedema — RCPSC EM MCQ

A 28-year-old traveller returns from a rapid ascent with severe headache, ataxia, confusion, and vomiting. Oxygen saturation is 78% at altitude. Portable oxygen is available and descent is possible. What is the most appropriate initial management?