A 22-year-old climber arrives as ESI 2 after rapid ascent to 14,000 feet. He has severe headache, vomiting, ataxia, and confusion. SpO2 is 82% on

Question

A 22-year-old climber arrives as ESI 2 after rapid ascent to 14,000 feet. He has severe headache, vomiting, ataxia, and confusion. SpO2 is 82% on room air. Which of the following is the most appropriate next step in management?

Accepted Answer

Administer oxygen, dexamethasone, and arrange immediate descent

Answer

Treat as migraine and discharge

Answer

Give antibiotics for meningitis as sole therapy

Answer

Start beta-blocker therapy

Answer

Give oral fluids and allow further ascent

High-altitude cerebral edema — ABEM Board MCQ

A 22-year-old climber arrives as ESI 2 after rapid ascent to 14,000 feet. He has severe headache, vomiting, ataxia, and confusion. SpO2 is 82% on room air. Which of the following is the most appropriate next step in management?