Complications of Steroid Use on Mt Everest
โ Scribed by Bishnu Hari Subedi; Jhapindra Pokharel; Torrey L. Goodman; Sanuraja Amatya; Luanne Freer; Nalin Banskota; Eric Johnson; Buddha Basnyat
- Book ID
- 104099814
- Publisher
- Elsevier Science
- Year
- 2010
- Tongue
- English
- Weight
- 216 KB
- Volume
- 21
- Category
- Article
- ISSN
- 1080-6032
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โฆ Synopsis
Steroids are used for the prevention and treatment of high-altitude illnesses. However, these agents can cause significant side effects. We report a case of altered mental status, gastrointestinal bleeding, skin rash, and avascular necrosis in a climber taking prophylactic dexamethasone prior to an attempt to climb Mt Everest. High-altitude cerebral edema (HACE), steroid toxicity, and acute adrenal crisis can have similar clinical presentations. Differentiating between these life-threatening conditions at high altitude is essential for successful treatment.
๐ SIMILAR VOLUMES
## Abstract ## Background Climbers on the summit of Mt. Everest are exposed to extreme hypoxia, and the physiological implications are of great interest. Inferences have been made from alveolar gas samples collected on the summit, but arterial blood samples would give critical information. We prop