High Altitude Illness: Knowledge, Practice, and Attitudes of Porters in Nepal

The adverse health effects of high altitude are of considerable importance since they may seriously interfere with working efficiency of an organization that is actively involved with inescapable duties. The objective of the current study is to explore inter-relational dynamics of various HR aspects in HAIA. The HR aspects included are job delay, poor team, motivation, less leave, high working hours, poor decision making, personal stress, family stress, personal discomfort, uncertainty, poor relations, health, accidents, quality and performance. A decision-making trial and an evaluation laboratory have been used to explore the inter-relation dynamics of various factors of HR. The results indicate that personal stress has the highest impact priority which is followed by poor performance, poor team and motivation. Uncertainty, less leave, and high working hours has the least impact priority. It is also found that high working hours, less leave and poor health are the major causes whereas decrease in motivation and poor quality of work are the major results.

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Acute Lung Edema as a Presentation of Severe Acute Reentry High-Altitude Illness in a Pediatric Patient

Case Reports in Pediatrics ◽

10.1155/2020/8871098 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Alfredo Merino-Luna ◽

Julio Vizcarra-Anaya

Keyword(s):

Pulmonary Hypertension ◽

Pulmonary Edema ◽

High Altitude ◽

Sea Level ◽

Pediatric Patient ◽

Lung Edema ◽

High Altitude Pulmonary Edema ◽

High Altitude Illness ◽

The City ◽

Determining Factor

Acute high-altitude pulmonary edema (HAPE) is a pathology involving multifactorial triggers that are associated with ascents to altitudes over 2,500 meters above sea level (m). Here, we report two pediatric cases of reentry HAPE, from the city of Huaraz, Peru, located at 3,052 m. The characteristics of both cases were similar, wherein acclimatization to sea level and a subsequent return to the city of origin occurred, and we speculate that it was caused by activation of predisposing factors to HAPE. The diagnosis and management associated with pulmonary hypertension became a determining factor for therapy.

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High-Altitude Illness Death Investigation

Academic Forensic Pathology ◽

10.23907/2018.006 ◽

2018 ◽

Vol 8 (1) ◽

pp. 83-97 ◽

Cited By ~ 4

Author(s):

Robert A. Kurtzman ◽

James L. Caruso

Keyword(s):

High Altitude ◽

Cerebral Edema ◽

Acute Mountain Sickness ◽

Physical Conditioning ◽

Postmortem Diagnosis ◽

High Altitude Cerebral Edema ◽

Diagnosis And Classification ◽

High Altitude Illness ◽

Death Investigation ◽

Medical Examiners

High altitude illness (HAI) is the current accepted clinical term for a group of disorders including acute mountain sickness (AMS), high-altitude cerebral edema (HACE), and high-altitude pulmonary edema (HAPE), which occur in travelers visiting high-altitude locations. High-altitude illness is due to hypobaric hypoxia, is not associated with age or physical conditioning, and mild forms are easily treated. High-altitude cerebral edema and HAPE are medical emergencies that are fatal if not promptly treated and fortunately are uncommon. The cause of most high-altitude fatalities is not related to HAI and can be easily distinguished from HACE and HAPE; however, other causes of death may have symptoms and physical findings that overlap with HAI, making postmortem diagnosis challenging. Fatalities due to HAPE and HACE are diagnoses of exclusion. Medical examiners and coroners who work in jurisdictions with high-altitude locations should be aware of the risk factors, physiology, pathology, differential diagnosis, and classification of HAI to accurately recognize HAI as a cause of death. Medical examiners who do not work in jurisdictions with high-altitude locations may be asked to evaluate deaths that occur overseas associated with high-altitude trekking and mountaineering activities.

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