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Immediate priorities
Stabilization priorities
Airway protection triggers
Inability to protect airway
Persistent vomiting with altered mental status
Breathing targets
Pulse oximetry continuous
Supplemental oxygen to SpO2 90% or higher
Circulation targets
Systolic blood pressure 90 mmHg or higher
Large bore IV access if severe illness
Temperature control
Hypothermia prevention during evacuation
Hyperthermia control during exertion
Glucose rapid check
Point of care glucose for altered mental status
Syndrome recognition
High altitude syndromes
Acute mountain sickness
Headache after recent ascent
Gastrointestinal upset
Fatigue or weakness
Dizziness or lightheadedness
Sleep disturbance
High altitude cerebral edema
Ataxia
Altered mental status
Severe headache
Focal neurologic deficits possible
High altitude pulmonary edema
Dyspnea at rest
Cough
Reduced exercise tolerance
Tachycardia
Hypoxemia out of proportion to altitude
Time critical actions
Immediate escalation triggers
If suspected high altitude cerebral edema, immediate descent
Oxygen if available
Dexamethasone initiation
If suspected high altitude pulmonary edema, immediate descent
Oxygen if available
Nifedipine initiation if oxygen limited
If severe symptoms and descent delayed, portable hyperbaric chamber
Repeat sessions until evacuation feasible
Monitoring
Monitoring bundle
Neurologic trend
Mental status trend
Gait assessment trend
Respiratory trend
SpO2 trend with exertion and rest
Work of breathing trend
Fluid status trend
Oral intake
Urine output
Consultation and activation
Support activation
Mountain rescue activation for HACE or HAPE
Weather and terrain constraints
Helicopter eligibility
ICU capable destination for HACE or HAPE
Transfer planning early
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.