The flight to Leh, thirty-five hundred metres — headache six hours after landing. At Pheriche, fifty-three in a hundred hikers had acute mountain sickness. Then the cough, then the stumble. This Atlas edition walks the whole mountain: hypobaric hypoxia and acclimatisation, Lake Louise twenty-eighteen, HACE (tandem gait, dexamethasone, the splenium on MRI), HAPE the killer (uneven vasoconstriction, normal heart size, descend a thousand metres, nifedipine as adjunct only), the mimics and traps — and prevention: sleep low, climb slow, acetazolamide. Grounded in the Wilderness Medical Society 20…
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