Page 28 - PJ MED OPS Handbook 8th Ed
P. 28
High Altitude Pulmonary Edema
Dx:
1. Shortness of breath at rest
2. Rales
3. Pink, frothy sputum
Rx:
1. Descent
2. O2
3. Nifedipine
4. Albuterol
High Altitude Cerebral Edema
Dx:
1. Ataxia
2. Confusion
Rx:
1. Descent
2. Decadron
Acute Mountain Sickness
Dx:
1. Headache, listless, loss of appetite, nausea, vomiting, etc.
Rx:
1. Hydration
2. Ibuprofen
3. Diamox 250mg BID until 2 days after resolved and still at altitude
4. Hold any ascent until asymptomatic for 24 hours
Frostbite
Dx:
1. Hard, white tissue – frozen
Rx:
1. Keep warm
2. Only rewarm in 102° water if no risk of refreezing
3. Gauze/cotton between digits
4. Do not rub
5. Analgesics when rewarming
26 n Pararescue Medical Operations Handbook / 8th Edition
