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High Altitude Cerebral EdemaAka: HACE

Symptoms
1. Headache
Signs
1. Ataxia
  1. Screening: Heal-toe walking in a straight line
2. Focal neurologic deficits
Management
1. Gamow Bag
2. Descend Immediately
3. Dexamethasone
  1. Initial: 4-8 mg IM/IV/PO
  2. Later: 4 mg q6h IM/IV/PO
4. High flow Supplemental Oxygen
5. Intubation and Hyperventilation if patient comatose

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.